Changes in dental status and peripheral blood countsof children whose temporary molars were restored using stainless steel crowns during oral cavity sanitation

E. Satygo, A. Kośko
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Abstract

Relevance. Problem of children health maintenance becomes more important nowadays. According to results of scientific researches of the last decade oral health influences general health state, therefore condition of the dentofacial system can be considered as indicator of general health.Purpose. To evaluate the effectiveness of the use of standard steel crowns for the children's oral cavity sanitation based on an analysis of the teeth condition and peripheral blood counts.Materials and methods. 77 children 4-9 years old, whose temporary molars during oral cavity sanitation after treatment of chronic pulpitis by vital pulp amputation were restored using either filling materials or stainless steel crowns were examined. Dental state was analyzed by evaluation of caries rate, caries rate’s increment and reduction of caries rate’s increment. In order to evaluate general performance status of children in research groups general blood test and immunogram were taken twice (before sanation and a year after) to estimate total concentration and percentage of different types of leucocytes, T-helpers and T-suppressors.Results. Children 4-9 years old, whose temporary molars during oral treatment were restored using stainless steel crowns demonstrate significant improvement of dental state by 54% reduction of caries rates increment. Children 4-9 years whose temporary molars were restored using stainless steel crowns had statistically significant decline of leucocytes amount (from 9,62 K/mcL to 7,35 K/mcL) and tendency to cell immunity stabilization, which definitely testify improvement of general status.Conclusions. The study shows improvement of dental state and some characteristics of peripheral blood of 4-9 year old children whose temporary molars were restored using Stainless Steel Crowns.
不锈钢冠修复临时磨牙患儿口腔卫生期间牙齿状态和外周血计数的变化
的相关性。儿童健康维护问题在当今社会显得尤为重要。根据近十年来的科学研究结果,口腔健康影响着总体健康状况,因此牙面系统的状况可以作为总体健康状况的指标。通过对儿童牙齿状况和外周血计数的分析,评价标准钢冠在儿童口腔卫生中的应用效果。材料和方法。本文对77例4 ~ 9岁慢性牙髓炎患者行牙髓截除术后进行口腔卫生时的临时磨牙,采用充填材料或不锈钢冠进行修复。通过评估龋率、龋率增量和龋率增量的减少来分析牙体状态。为了评价研究组儿童的一般体能状况,分别在卫生前和卫生后一年进行两次全身血检和免疫成像,以估计不同类型白细胞、t辅助细胞和t抑制细胞的总浓度和百分比。4-9岁儿童在口腔治疗期间使用不锈钢冠修复临时磨牙,其牙齿状态明显改善,龋齿率增加减少54%。4 ~ 9岁儿童使用不锈钢冠修复临时磨牙后,白细胞数量下降(从9.62 K/mcL下降到7.35 K/mcL),细胞免疫趋于稳定,整体状况明显改善。研究发现4 ~ 9岁儿童临时磨牙采用不锈钢冠修复后,牙体状态和外周血的一些特征得到改善。
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