Clinical evaluation of the effectiveness of treatment of chronic catarrhal gingivitis in children with oligophrenia
DOI:
https://doi.org/10.11603/2311-9624.2022.1.12958Keywords:
chronic catarrhal gingivitis, treatment, index assessment, children, oligophreniaAbstract
Summary. The prevalence of inflammatory diseases of periodontal tissues in children with psychoneurological disorders reaches 100 %. Dental care for such children requires a special approach, and traditional methods of treatment and prevention of inflammatory diseases of periodontal tissues should be improved to takeing into consideration the clinical status of children with oligophrenia.
The aim of the study – to work out and evaluate clinically the effectiveness of a complex of measures for the treatment of chronic catarrhal gingivitis in children with oligophrenia.
Material and Methods. The study included 54 children aged 12 years with I grade oligophrenia with chronic catarrhal gingivitis (HCG). The main group included 26 children, 28 children formed a comparison group. Treatment of HCG in children of the main group was carried out according to the work out complex, which included exogenous and endogenous measures. In children of the comparison group, HCG treatment was performed in accordance to the regional protocols for dental care. Evaluation of the effectiveness of complex therapy of HCG in the study groups was carried out after 1, 6, 12 and 24 months on the basis of clinical changes, paraclinical indices, the level of oral hygiene.
Results and Discussion: The results of the study showed that after two years the application of treatment and prevention complex, there was revealed that number of children from main group with stabilization of periodontal tissues decreased comparing to the beginning of the observation. However, in children of the comparison group this indicator was lower more than 1.5 times. The effectiveness of the proposed treatment and prevention complex in children with oligophrenia and with inflammatory processes of periodontal tissues was also revealed in the dynamics of periodontal indices and the index of oral hygiene. It was noticed the oral hygiene improvement, which may be present, in our opinion, due to the professional hygiene, quality control of teeth cleaning, hygienic training of children and their parents.
Conclusions. Thus, observation of children with oligophrenia during two years using a complex of measures for the treatment of chronic catarrhal gingivitis and normalization of periodontal tissue ratified the effectiveness of the proposed complex by improving gingival tissue condition and oral hygiene, as well as positive dynamics in periodontal indices.
References
Avdieiev, O.V. (2015). Vyznachennia osoblyvostei perebihu hinhivitu v ditei yak osnova pry planuvanni likuvalno-profilaktychnykh zakhodiv [Determining the features of gingivitis in children as a basis for planning treatment and prevention measures]. Klinichna stomatolohiia – Сlinical Dentistry, 2, 104-108 [in Ukrainian].
Khomenko, L.O., Marushko, Yu.V., Moskovenko, O.D. & Duda, O.D. (2015). Vzaiemozviazok zapalnykh zakhvoriuvan tkanyn parodonta ta somatychnykh zakhvoriuvan u ditei. Ohliad literatury [Relationship between periodontal disease and somatic disease in children. Literature review]. Novyny stomatolohii – Dentistry News, 2, 90-94 [in Ukrainian].
Hodovanets, O.I., Pavlov, Yu.O., Hrynkevych, L.H. & Vitkovskyi O.O. (2018). Komorbitnist stomatolohichnoi ta somatychnoi patolohii v ditei [Comorbidity of dental and somatic pathology in children]. Halytskyi likarskyi visnyk - Galician Medical Journal, 2 (25), 4-6 [in Ukrainian].
Yanchuk, A.O., Skyba, V.Ia., Katerynchuk, I.P., Kuznichenko, S.O. & Skyba, O.V. (2019). Epidemiolohichni doslidzhennia ta monitorynh stomatolohichnoi zakhvoriuvanosti u ditei Ukrainy [Epidemiological research and monitoring of dental morbidity in children of Ukraine]. Svit medytsyny ta biolohii - The World of Medicine and Biology, 2, 154-158 [in Ukrainian].
Kostura, V.L., & Bezvushko, E.V. (2017). Poshyrenist ta struktura zakhvoriuvan tkanyn parodonta u ditei iz nadmirnoiu masoiu tila [Prevalence and structure of periodontal disease in overweight children]. Klinichna stomatolohiia - Сlinical Dentistry, 2, 42-47 [in Ukrainian].
Nagpal, R., Yamashiro, Y., & Izumi, Y. (2015). The Two-Way Association of Periodontal Infection with Systemic Disorders: An Overview. Mediators of Inflammation, 2015, 793-898. Doi: 10.1155/2015/793898.
Vagdouti, T., & Tsilingaridis, G. (2018). Periodontal Diseases in Children and Adolescents Affected by Systemic Disorders - A Literature Review. Int. J. Oral. Dent. Health, 4, 055. Doi: 10.23937/2469-5734/1510055.
Boriak, O.V. (2015). Rozumovo vidstali dity yak medyko-psykholohichna problema [Mentally retarded children as a medical and psychological problem]. Pedahohichni nauky: teoriia, istoriia, innovatsiini tekhnolohii - Pedagogical Sciences: Theory, History, Innovative Technologie, 6 (50), 74-85 [in Ukrainian].
Slabkyi, H.O., Dziuba, O.M., Dudina, O.O., Dudina, O.A., Gaborets, Y.Y., & Gaborets, Y.Y. (2018) Kharakterystyka invalidnosti dytiachoho naselennia Ukrainy [Characteristics of disability of children in Ukraine]. Visnyk sotsialnoi hihiieny ta orhanizatsii okhorony zdorovia Ukrainy - Bulletin of Social Hygiene and Health Protection Organization of Ukraine,1 (75), 5-11 [in Ukrainian].
Havrylenko, M.A. (2015). Osoblyvosti stanu tkanyn parodonta v ditei-invalidiv iz khvorobamy tsentralnoi nervovoi systemy [Features of the state of periodontal tissues in children with disabilities with diseases of the central nervous system]. Ukrainskyi stomatolohichnyi almanakh - Ukrainian Dental Almanac, 1, 62-65 [in Ukrainian].
Dats, V.V. (2019). Osoblyvosti stomatolohichnoho statusu u ditei z riznym rivnem psykhichnoho zdorovia [Features of dental status in children with different levels of mental health]. Suchasna stomatolohiia - Modern Dentistry, 2, 46-49 [in Ukrainian].
Dutko, H.Z. (2015). Vzaiemozviazok zakhvoriuvan parodonta z psykhosomatychnoiu patolohiieiu u ditei [Relationship between periodontal disease and psychosomatic pathology in children]. Klinichna stomatolohiia – Clinical Dentistry, 3-4, 148 [in Ukrainian].
Alkan, A., Cakmak, O., Yilmaz, S., Cebi, T., & Gurgan, C. (2015). Relationship Between Psychological Factors and Oral Health Status and Behaviours. Oral Health & Preventive Dentistry, 13(4), 331-339. Doi: 10.3290/j.ohpd.a32679.
Choi, J., Price, J., Ryder, S., Siskind, D., Solmi, M., & Kisely, S. (2021). Prevalence of dental disorders among people with mental illness: An umbrella review. Australian & New Zealand Journal of Psychiatry. Doi: 10.1177/00048674211042239.
Solanki, J., Gupta, S., & Arya, A. (2014). Dental caries and periodontal status of mentally handicapped institutilized children. Journal of Clinical and Diagnostic Research: JCDR, 8(7), ZC25–ZC27. Doi: 10.7860/JCDR/2014/8983.4557.
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