Occlusion and Nutrition after Peadiatric Prosthetic Treatment

D. Dimitrova, M. Dimova-Gabrovska
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Abstract

Nutritional and well-balanced food intake is of utmost importance for children's proper physical development and growth. Changes in masticatory structures are likely to cause significant change in both children's and adult's diet. The aim of this study is to examine the occlusion and the intake of macronutrients in children who have undergone dental treatment and restoration of the teeth affected by caries and its complications with different types of aesthetic crowns. The study included 103 children, which are prosthetically treated with crown structures and divided into four age groups. The restoration of the occlusal balance after the completion of the prosthetic treatment was established by means of a new generation of digital recording system (OccluSense by Bausch, Germany). A 24-hour diary on consumed foods and liquids was taken from children and their parents. Data is analyzed and processed statistically. The obtained results in all studied diagrams showed an increase in the occlusal forces bilaterally in the distal areas of the dentition in the anterior-posterior direction. Protein and carbohydrate intake by the tested children corresponded to the recommended range of 15.2±3.7 E% and 46.6±7.8 E%. Increased fat intake of 38.1±7.5 E%, as well as fibre consumption below the recommended values (13.6 g to 18.6 g) have also been observed. Dental restoration of heavily damaged children's teeth using prosthetic dentistry methods provides the opportunity for a normal intake of the main macronutrients.
培植假体治疗后的闭塞和营养问题
营养均衡的食物摄入对儿童的正常身体发育和成长至关重要。咀嚼结构的变化很可能导致儿童和成人的饮食发生重大变化。本研究的目的是对接受过牙科治疗并用不同类型的美容冠修复受龋齿及其并发症影响的牙齿的儿童的咬合情况和宏量营养素摄入情况进行研究。这项研究包括 103 名儿童,他们都接受过牙冠结构的修复治疗,并分为四个年龄组。在完成修复治疗后,通过新一代数字记录系统(德国宝诗公司的 OccluSense)对咬合平衡进行恢复。此外,还向儿童及其家长收集了 24 小时的食物和液体消耗日记。对数据进行了统计分析和处理。所有研究图表的结果均显示,牙齿远端部位的双侧咬合力沿前后方向有所增加。受测儿童的蛋白质和碳水化合物摄入量符合建议范围,分别为 15.2±3.7 E% 和 46.6±7.8 E%。脂肪摄入量增加了 38.1±7.5E%,纤维摄入量也低于推荐值(13.6 克至 18.6 克)。使用修复牙科方法对严重受损的儿童牙齿进行修复,为正常摄入主要宏量营养素提供了机会。
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