scholarly journals DENTAL STATUS OF PREGNANT WOMEN AND WAYS TO IMPROVE THE ORGANIZATION OF THERAPEUTIC AND PREVENTIVE MEASURES

Author(s):  
TAMAR SHISHNIASHVILI ◽  
ANA ZUBADALASHVILI ◽  
TAMAR SULADZE ◽  
RUSUDAN KVANCHAKHADZE

As a result of the continuing changes in the condition of tissues and organs of the dental cavity and the body as a whole, there is a rise in the intensity of tooth decay and periodontal diseases with the onset of pregnancy. The aim of our research was to look into the prevalence and severity of pathology in the hard tissues of teeth and periodontal tissues during pregnancy, as well as to figure out how to better organize therapeutic and prophylactic steps for pregnant women. A comprehensive epidemiological study of 170 pregnant women aged 18 to 40 living in Tbilisi was carried out according to the WHO method. The findings show a high prevalence of dental cavity (from 61 percent to 98.8%) and a high severity of dental caries among pregnant women (from 2.55 1.03 to 14.31 5.44). The intensity of caries indicators increased as the gestational stage lengthened, but the greatest increase was observed in the second trimester of pregnancy. The results indicate a substantial prevalence of periodontal pathology (according to the PMA index) among pregnant women, with the level of pathology increasing with their age and gestational age (from 41.7 percent to 78.8 percent). By the end of the second trimester of pregnancy, the most noticeable improvements in periodontal tissues had been observed. Oral hygiene played a big role in determining the presence and incidence of periodontal disease. Low dental health indicators and worsening dental status during pregnancy point to the need for a more comprehensive diagnosis of all risk factors for major dental diseases, as well as the implementation of all stages of therapeutic and prophylactic interventions during pregnancy, based on the findings of a complete dental examination.

Author(s):  
Sultanshina A.R. ◽  
Kabirova M.F. ◽  
Bashirova T.V.

With diabetes, there is a violation of the microvasculature, a violation of the immune status, an increase in destructive processes in the bone tissue, which leads to the development and / or intensification of pathological processes. In the oral cavity, the most frequently diagnosed inflammatory periodontal diseases, chronic injuries of the oral mucosa (COP), recurrent aphthous stomatitis, COP candidiasis. The aim of our study was to study the dental status of patients with type 2 diabetes mellitus. Materials and Methods: A descriptive evaluative epidemiologically controlled, non-randomized study was conducted to determine the effect of type 2 diabetes on dental status. The main group (“case”) consisted of 68 patients with type 2 diabetes in the compensation phase (IA) and 56 patients in the subcompensation phase (IB). The comparison group included 60 patients without somatic pathology. All patients underwent a comprehensive dental examination, bacteriological and microscopic examination to identify fungi of the genus Candida. Results: in patients with subcompensated form of type 2 diabetes, there was an increase in the frequency of complaints of plaque on the tongue, burning sensation in the COP, dryness and changes in taste. Periodontal indices indicate that the patients of the main group have a high prevalence of inflammatory and destructive processes in the periodontal tissues (indices of PMA, KPI, Mullemann indices) with poor oral hygiene (OHI-S = 3.5 ± 0.4), which confirms the Friedman criterion (χ2 = 116.27; p = 0.0000) based on the calculation of Kendall's concordance coefficient (0.743). The diagnosis of oral mucosa candidiasis was confirmed in 74.6% of patients in the main group by bacteriological examination.


2017 ◽  
Vol 98 (2) ◽  
pp. 189-194
Author(s):  
F R Safaraliev ◽  
A M Safarov ◽  
F Yu Mamedov

Aim. Evaluation of dental diseases prevalence in professional athletes engaged in power sports and of the influence of biologically neutral products based on propolis on the level of their dental health. Methods. The examination of organs and tissues of the oral cavity of professional athletes engaged for a long time in power sports was carried out. With the use of the developed specialized questionnaire dental status of the athletes was determined. Based on the analysis of the results of clinical and laboratory studies anti-inflammatory and anti-bacterial effectiveness of products based on propolis were evaluated. Results. The results of the survey showed that not all athletes are informed about the possibility of aggravation of pathological processes in soft and hard tissues of oral cavity during active training, mainly, in power sports. Lack of awareness of surveyed athletes about the need for timely individual oral hygiene procedures and regular dentist visits was revealed, especially during intense training before and after competitions. On evaluation of dental status of professional combat athletes high prevalence and intensity of inflammatory periodontal disease and caries were found. High anti-inflammatory efficiency of the product «Pomegranate Balm» for correction of dental status of professional athletes was proven. Conclusion. High incidence of inflammatory periodontal diseases of mild to moderate severity was revealed in athletes during prolonged and intense physical training; efficacy of biologically neutral products based on propolis was established.


Author(s):  
Tamar Shishniashvili, Ana Zubadalashvili, Tamar Suladze Tamar Shishniashvili, Ana Zubadalashvili, Tamar Suladze ◽  
Rusudan Kvanchakhadze, Natalia Manjavidze Rusudan Kvanchakhadze, Natalia Manjavidze

Pregnancy is a critical period for a woman's dental health and is characterized by changes in the level and structure of oral diseases. The course of pregnancy is a significant psycho-emotional, immunological and metabolic burden for the female body. Complex psycho-physiological changes in the body during pregnancy are accompanied by pronounced disorders of the oral cavity. The aim of the study was to study the dynamics of periodontal tissue damage during pregnancy and to identify the peculiarities of different methods of prophylactic and therapeutic and preventive measures. A comprehensive dental study was conducted in 170 pregnant women aged 18 to 40 years according to the WHO methodology. The results of the study indicate a significant prevalence (according to the PMA index) of periodontal pathology among pregnant women,the severity of which increases with age and gestational age (from 41.7% to 78.8%). The severity of disease (according to the CPITN index) was clinically characterized by bleeding gums (45.56%), dental plaque and calculus (30.55%), and periodontal pockets (13.57%). The highest incidence of inflammatory phenomena in periodontal tissues occurs in the second trimester, and the critical increase - in the third trimester, indicating the need for a differentiated approach in choosing the timing of preventive examinations of pregnant women and developing differentiated treatment and preventive programs based on the prevailing dental pathologies. Keywords: Pregnancy, periodontal pathology, dental status


Author(s):  
O. Ya. Vydoynyk

Introduction. The child's dental health is an integral part of his overall health. Its formation is influenced by the same factors as the formation of somatic health [1, 2, 3]. The modern stage of development of pediatric dental care is characterized by increased attention to the problem of providing qualified medical therapeutic and preventive care for children with somatic diseases. One such disease is bronchial asthma (BA) – a chronic inflammatory disease of the respiratory tract involving a variety of cellular elements [2, 4, 8].The aim of the study – to assess the condition of hard tissues of teeth and periodontal tissues in children aged 7–15 years, suffering from bronchial asthma.Materials and Methods. The study was performed on the basis of children's pulmonology departments of district and city hospitals in the Ternopil region. We examined 240 children aged 7–15 years, patients with bronchial asthma who were the main group. As a comparison, 100 children without somatic pathology of the same age were examined. To assess the dental status of children, an examination was carried out using a standard set of dental instruments. The following parameters were evaluated: the prevalence of caries of temporary and permanent teeth, the intensity of caries in CP and CPI indices, the prevalence and intensity of periodontal diseases according to the SRI index. To assess the hygienic state of the oral cavity, a simplified OHI-S hygiene index was used (J.C. Green, J.R. Vermillion, 1964). The obtained data were recorded in a specially made child examination chart and were developed statistically using the software Statistica, 7 (StatSoft Inc.) [7].Results and Discussion. Dental examination of children with bronchial asthma and their peers without concomitant somatic incidence allowed establishing the main indicators of dental status in children.Conclusions. In children with bronchial asthma, there is a steady tendency to increase the frequency of carious lesions and severe inflammatory conditions in the periodontium, and with age, the prevalence of dental diseases in this contingent of children increases with respect to these children without concomitant somatic morbidity. Insufficient level of oral hygiene is one of the risk factors for the development of pathology of hard tissues of teeth and periodontal.


Author(s):  
Наталия Александровна Полушкина ◽  
Наталия Владимировна Чиркова ◽  
Жанна Владимировна Вечеркина ◽  
Елена Александровна Лещева ◽  
Кристина Павловна Кубышкина

Особое место в структуре стоматологической заболеваемости занимает патология пародонтального комплекса, в частности - хронический генерализованный пародонтит, который по данным ВОЗ находится на втором месте по частоте распространения среди всех стоматологических заболеваний, уступая лишь кариесу. Первые признаки воспаления пародонта начинают проявляться уже в молодые годы, а к пожилому периоду - распространенность заболеваний пародонта достигает значений, стремящихся к 100%. Решение проблемы своевременной диагностики, профилактики и лечения патологии пародонта по-прежнему является актуальнейшей задачей современной стоматологии. Генерализованный пародонтит - это не только очаг хронической инфекции и источник сенсибилизации организма, но также ведущая причина потери зубов (особенно в старших возрастных группах), приводящая к серьезным деструктивным последствиям, дезорганизующим зубочелюстной аппарат. Данный факт способен серьезным образом повлиять на качество жизни человека, делая пародонтологическую проблему не только медицинской, но и социальной. Несмотря на очевидную актуальность данного вопроса, а также большой интерес к научным исследованиям в области пародонтологии, стоит признать, что уровень стоматологического здоровья, а также оказания пародонтологической помощи, в том числе пожилому населению - далеки от идеала. Во многом это объясняется сложностью этиологии и патогенеза заболеваний пародонта, а также, нередко, отсутствием комплексного понимания данной патологии при ее терапии A special place in the structure of dental morbidity is occupied by the pathology of the periodontal complex, in particular, chronic generalized periodontitis, which, according to the WHO, is in second place in terms of prevalence among all dental diseases, second only to caries. The first signs of periodontal inflammation begin to appear already in the young years, and by the old age the prevalence of periodontal diseases reaches values tending to 100%. Solving the problem of timely diagnosis, prevention and treatment of periodontal pathology is still the most urgent task of modern dentistry. Generalized periodontitis is not only a source of chronic infection and a source of sensitization of the body, but also a leading cause of tooth loss (especially in older age groups), leading to serious destructive consequences that disorganize the dental apparatus. This fact can seriously affect the quality of life, making periodontal problems not only medical, but also social. Despite the obvious relevance of this issue, as well as the great interest in scientific research in the field of periodontology, it is worth recognizing that the level of dental health, as well as the provision of periodontal care, including the elderly population, is far from ideal. This is largely due to the complexity of the etiology and pathogenesis of periodontal diseases, as well as, often, the lack of a comprehensive understanding of this pathology during its therapy


2019 ◽  
Vol 15 (1) ◽  
pp. 63-67 ◽  
Author(s):  
Ольга Успенская ◽  
Ol'ga Uspenskaya ◽  
Ирина Фадеева ◽  
Irina Fadeeva

Subject. In the modern world, the prevalence of cancer is growing every year, in this regard, this pathology is one of the most pressing problems in medicine. There is no doubt that malignant neoplasms have a complex interaction with the body. The General mechanisms of occurrence and progression of the tumor process are intensively studied, and to date, a huge amount of material on molecular and clinical Oncology has been accumulated, it is used in related disciplines. The most important sections of dentistry are the diagnosis and treatment of diseases of the mucous membrane. Often, clinical manifestations in the oral cavity are one of the first symptoms indicating a General somatic disease. This article covers the study of the dental status of patients with different localizations of cancer. Objective ― to study the incidence of dental diseases of patients with cancer. Methodology. To conduct a study medical examination of patients with different localizations of cancer was held to determine dental: the definition of DMF-Index, PMA-index, Parodontal Index, and the condition of the mucous membrane of the oral cavity and periodontal tissues. Cancer patients receiving chemotherapy and radiation therapy, patients who refused to participate in the survey were excluded from the survey. Results. The study included 526 patients. The predominance of certain types of dental diseases among patients with a particular cancer pathology was revealed. Conclusions. Our study showed that all patients had decompensated forms of caries. The most common dental diseases combined with cancer are hyperplasia filiform papillae (K14.3), the "geographic" language (K14.1). Periodontal disease occurred in 69,5 % of cases among cancer patients.


2018 ◽  
pp. 72-74
Author(s):  
V.A. Drok

Relevance of the topic. Dentofacial anomalies are the main dental diseases, characterized by high prevalence. According to modern authors, abnormalities and deformations of the dentoalveolar system in children and adolescents contribute to the deterioration of dental health in the future, causing medical, social and economic damage. The aim of the research was to study the prevalence and structure of dentoalveolar anomalies in adolescents. Material and methods of the reasearch. 1920 teenagers aged from 16 to 17 years were examined. The clinical study was carried out according to the standard protocol, in accordance with the international statistical classification of diseases and health problems (ICD-10), as well as the classification of Angle’s dentoalveolar anomalies. Results and discussion. The study made it possible to establish that the prevalence of dentoalveolar anomalies in adolescents aged 16-17 is 64.32 ± 1. 09% – 1235 people. The most common anomaly of the maxillofacial system is dentoalveolar anomalies, which belong to the first class according to Angle – 506 people, which in a percentage ratio is 26.35 ± 1.01%. The distal bite is in the second place, which corresponds to the 2nd class according to Angle. Its prevalence is 18.23 ± 0.88%, it was detected in 350 examined patients. A deep occlusion in 189 patients was the next in frequency, which was 9.84 ± 0.68%. A shortened bridle of the upper lip was found in 153 adolescents (7.97 ± 0.02%). A shortened frenum of the tongue was detected in 212 adolescents (11.04 ± 0.72%). A small vestibule of the oral cavity was observed in 172 examined, which was 8.96 ± 0.65%. Conclusions: 1. The prevalence of dentoalveolar anomalies in adolescents aged 16-17 is 64.32 ± 1.09%. 2. The most common anomalies of the dentoalveolar system in adolescents are dentoalveolar anomalies, belonging to the I class according to Angle – 26.35 ± 1.01,%. The distal bite was in the second place, which corresponds to the 2nd class according to Angle. Its prevalence is 18.23 ± 0.88%. A deep bite was detected in 9.84 ± 0.68% of the examined. 3. Periodontal diseases were revealed in 56.51 ± 1.13% of adolescents aged 16-17 years


Author(s):  
Tatiana Nikolaevna Novozemceva ◽  
E. E Olesov ◽  
I. M Makeeva ◽  
V. N Olesova ◽  
I. A Kryazhinova ◽  
...  

High health indicators, including dental health, are a condition of professional activity of cosmonauts. The assessment of indicators of dental status in members of the squad of astronauts on the basis of the survey on the Map-assessment of dental status of the who in the age groups under 35 years 35 - 44 years old over 45 years old. The values of the intensity of caries and periodontal disease, the quality of light-curing seals and endodontic treatment, the presence of orthopedic structures, including implants are presented. The lower intensity of caries, as well as the prevalence and intensity of periodontal diseases among the members of the cosmonaut team in comparison with the Russian indicators; insufficient quality of previous dental treatment regarding fillings and root canal obturation; low need for treatment of caries and dental prosthetics in connection with timely and quality treatment and replacement of removed teeth in specialized clinics of Moscow after enrollment in the cosmonaut corps, as well as in connection with the real dispensary dental care of cosmonauts.


Author(s):  
Uspenskaya O.A. ◽  
Plishkina A.A. ◽  
Zhdanova M.L. ◽  
Goryacheva I.P. ◽  
Kuz'micheva E.E.

This study assessed the level of dental health in the special contingent, identified the main factors that had a negative impact on the condition of the prisoners' oral cavity, the main diseases of the oral cavity, and also revealed a high prevalence of HIV infection and hepatitis among them. Analyzing the survey data of 150 prisoners in the remand prison, the following conclusion can be drawn. For the most part, persons in prison have a low social status and a high level of dental morbidity. Caries, periodontal diseases, leukoplakia, xerostomia were noted among the most common diseases of the oral cavity. In prisons, inmates are exposed to a number of factors that have a negative impact on their oral health and the body as a whole. The high prevalence of HIV and hepatitis among them also affects the oral health of prisoners. In the course of the study, it was found that the prevalence of leukoplakia (K13.2) is 40% (N = 60), xerostomia (K11.7) - 32% (N = 48), the prevalence of periodontal disease (K05.3) among prisoners is 76% (N = 114), caries was diagnosed in every prisoner patient in the study group. Due to the lack of the necessary resources in the medical institutions of the SIZO, it is impossible to give a full assessment of the prevalence and intensity of various dental diseases among prisoners in comparison with those at large. In this regard, the results of our research should make it possible to develop a program to optimize dental care in the system of the Federal Service for the Execution of Punishments, to contribute to an increase in the level of dental health among persons in penitentiary institutions.


2019 ◽  
Vol 72 (1) ◽  
pp. 89-94
Author(s):  
Liudmyla I. Ostrovskaya

Introduction: In the modern literature, a variety of treatment regimens for periodontal diseases in pregnant women have been suggested and recommended for use in practical public health. And yet the concept of “dental diseases prevention in pregnancy” does not fully reflect the essence of the necessary measures to maintain the dental health of women during this period. The aim: The aim of the present paper is to study the scientific literature on the issue of preventing periodontal diseases in pregnancy. Materials and methods: The subject under discussion was considered on the basis of 59 sources on this issue, using the method of content analysis, comparative and contrastive, analytical and biblio-semantic methods. Review and conclusions: The analysis of scientific literature justifies the need for an integrated approach to treatment and prophylactic measures during the entire pregnancy period. Furthermore, the review of literature sources allows us to advocate the need to improve the existing approaches and to develop new individual programs for primary and secondary prevention of periodontal diseases in pregnant women, taking into account pathogenesis and the peculiarity of their course. Diagnosis of dental status in pregnant women with assessment of early and long-term clinical observations provides a prognostic model of the course and outcome of dental diseases. Meanwhile, the introduction of the follow-up observation for the maternity leave group enhances the dental health of pregnant women and prevents multiple pathological conditions of the unborn child.


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