DENTAL STATUS ASSESSMENT OF CHILDREN TREATED UNDER GENRAL

R. Andreeva
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Abstract

Children treated under general anesthesia (GA) have a compromised dental status due to the specifics of their contingent. The aim of this article is to assess caries prevalence in a group of children treated under general anesthesia. Subject of monitoring of the clinical research are 396 children divided into three age groups: up to 5 years, between 6 and 12 years and over 12 years. The dental status was examined and registered according to WHO using the dmft/DMFT index. This index is higher in children in the group of children under 5 years (16.59±3.46) compared to 5-12 year old patients (10.66±1.79) and patients over 12 (9.96±1.74). There is a statistically significant difference in the incidence of dental caries between the first and second study groups, as between the first and third groups. The probable cause is the large number of children with early childhood caries (ECC) whose dmft index is the highest. High index values are mostly because of untreated complicated carious lesions. The number of obturated(f) and premature extracted(m) teeth is negligible. This result demonstrates more active cariogenic environment in children treated under general anesthesia. It is probably due to the reduced ability to create proper oral hygiene skills, due to physical disorders or the pain of complicated caries in children with early childhood caries and the need of prophylaxis is obvious.
对接受普通治疗的儿童进行牙齿状况评估
在全身麻醉(GA)下接受治疗的儿童由于其特殊性,其牙齿状况会受到影响。本文旨在评估一组在全身麻醉下接受治疗的儿童的龋齿患病率。临床研究的监测对象是 396 名儿童,分为三个年龄组:5 岁以下、6 至 12 岁和 12 岁以上。根据世界卫生组织的标准,使用 dmft/DMFT 指数对牙齿状况进行了检查和登记。与 5 至 12 岁的患者(10.66±1.79)和 12 岁以上的患者(9.96±1.74)相比,5 岁以下儿童组的这一指数更高(16.59±3.46)。第一研究组和第二研究组的龋齿发生率与第一研究组和第三研究组的龋齿发生率在统计学上有显著差异。可能的原因是大量儿童患有早期龋齿(ECC),其 dmft 指数最高。指数值高主要是因为复杂龋病未经治疗。闭锁牙(f)和早拔牙(m)的数量微乎其微。这一结果表明,在全身麻醉下接受治疗的儿童的致龋环境更为活跃。这可能是由于儿童早期龋病患儿的身体机能失调或复杂龋病的疼痛导致其建立正确口腔卫生技能的能力下降,因此预防龋病的必要性显而易见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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