E. Yarygina, V. V. Shkarin, Y. Makedonova, A. A. Avetisyan, O. Afanasyeva, L. A. Devyatchenko
{"title":"Evaluation of masticatory muscle function in the treatment dynamics of patients with myofascial pain syndrome","authors":"E. Yarygina, V. V. Shkarin, Y. Makedonova, A. A. Avetisyan, O. Afanasyeva, L. A. Devyatchenko","doi":"10.33925/1683-3031-2024-762","DOIUrl":"https://doi.org/10.33925/1683-3031-2024-762","url":null,"abstract":"Relevance. Myofascial pain syndrome (MPS) often progresses to a chronic form that is challenging to treat with established methods. This issue is well known to dentists and frequently leads to frustration despite significant efforts to advance knowledge in the fields of etiopathogenesis, diagnosis, and therapy. Most treatment protocols focus on normalizing physiological parameters, such as restoring masticatory function, achieving stable occlusal relationships, alleviating pain, and enhancing the psychological well-being of these patients. Therefore, the need for non-invasive diagnostics to assess functional activity and monitor the condition of masticatory muscles during treatment is crucial. This study aims to address this need.Materials and methods. The examination and treatment of 64 patients with myofascial pain syndrome were conducted in two stages—clinical and electromyographic. During the clinical examination, tenderness of the masticatory muscles during palpation and the degree of mouth opening were assessed. The electromyographic research was also conducted in two stages. The first stage assessed the average amplitude and total biopotential of the masticatory and temporal muscles on both the right and left sides. The second stage evaluated the symmetry index of the masticatory muscles, as well as torsion and masseter indices. The first group received conventional treatment combined with laser therapy, while the second group received ozone therapy and kinesiology taping in addition to the conventional therapy.Results. In the short-term observations over 14 days, both groups achieved positive results. However, patients undergoing ozone therapy and kinesiology taping showed statistically significant improvements in their parameters by the third day of observation compared to their baseline values.Conclusion. For diagnosing this pathology, it is advisable to incorporate electromyography into the examination protocol to allow non-invasive evaluation of the functional activity of the masticatory muscles. For treating myofascial pain syndrome, minimally invasive methods with anti-inflammatory, analgesic, and muscle relaxant effects are recommended. While all treatment methods yielded favorable results, ozone therapy combined with kinesiology taping effectively eliminated both subjective and objective symptoms in this patient category.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"56 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141682318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. V. Chuikin, N. Kudashkina, M. Tuigunov, A. Bilak, O. S. Chuikin, N. Davletshin, N. Makusheva, K. Kuchuk
{"title":"Prevention of postoperative complications in children after palatoplasty using a prolonged-release phytocomplex","authors":"S. V. Chuikin, N. Kudashkina, M. Tuigunov, A. Bilak, O. S. Chuikin, N. Davletshin, N. Makusheva, K. Kuchuk","doi":"10.33925/1683-3031-2024-756","DOIUrl":"https://doi.org/10.33925/1683-3031-2024-756","url":null,"abstract":"Relevance. Palatoplasty is a technically demanding reconstructive surgery for congenital full-thickness defects of the palate, with more than 20% of cases reporting postoperative complications. The primary cause of these complications is chronic oral inflammation. To mitigate inflammatory reactions, medications with antibacterial, bactericidal, and antiseptic properties are employed. Given the age-specific characteristics of children and the presence of full-thickness palate defects, it is essential to administer anti-inflammatory medications in an adapted, prolonged, and safe form. Consequently, we have developed a prolonged-release phytocomplex in the form of lozenges.Purpose. To evaluate the effectiveness of a prolonged-release phytocomplex in preventing postoperative complications in children following palatoplasty.Materials and methods. This study presents clinical and laboratory examination data from 90 children aged 2.5 to 5 years with cleft palate who underwent palatoplasty, and 45 healthy children aged 3 to 8 years. The study involved measuring the levels of secretory immunoglobulin IgA in the oral fluid using the 'IgA Secretory ELISA-BEST' reagent kit, cytokines (interleukins-2, 4, 6), and gamma-interferon through enzyme immunoassay with kits from 'Vector Best' (Russia), and lysozyme using the Lysozyme-96 kit.Results. It was observed that following the use of the prolonged-release phytocomplex, the levels of sIgA, lysozyme, and interleukins-2, 4, and 6 in the oral fluid of the children were significantly elevated compared to the control group. Additionally, the gamma-interferon levels returned to normal. Conclusion. The findings of this study demonstrate the positive antimicrobial, anti-inflammatory, and woundhealing effects of the developed prolonged-release phytocomplex in the form of lozenges.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"23 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141685546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. N. Gromova, Y. A. Tokaeva, Y. O. Lukashchuk, V. A. Razumny, T. O. Zubareva, A. K. Koledaeva
{"title":"Application of the twin-block appliance combined with braces in the treatment of a patient with distal occlusion","authors":"S. N. Gromova, Y. A. Tokaeva, Y. O. Lukashchuk, V. A. Razumny, T. O. Zubareva, A. K. Koledaeva","doi":"10.33925/1683-3031-2024-741","DOIUrl":"https://doi.org/10.33925/1683-3031-2024-741","url":null,"abstract":"Relevance. Distal occlusion is one of the most frequently encountered anomalies in orthodontic practice among patients with both temporary and permanent dentitions. When selecting a treatment method for this anomaly, it is crucial to consider several significant factors, including the craniofacial stage of skeletal maturity and the type of jaw growth. Special attention should be given to the method of treating patients with incomplete skeletal growth using a twin-block appliance, followed by continued orthodontic treatment with fixed orthodontic appliances (braces).Clinical case description. This article presents a clinical case of treating a patient with distal occlusion in the peripubertal stage of skeletal growth, which is the most optimal for the initial stage of orthodontic treatment.Conclusion. Sequential treatment of distal occlusion during the pubertal growth spurt using a twin-block appliance and braces allows achieving the most physiological jaw relationship, ensuring proper functioning of the dentoalveolar system and harmonious development of the body as a whole.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"51 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141716183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. A. Pavlovskaya, O. A. Kachanova, V. Volobuev, M. Mitropanova, A. R. Gazarova, V. Y. Zobenko, A. G. Uvarova
{"title":"Method of microbial decontamination of endodontic absorbent paper points: a randomised experimental study","authors":"O. A. Pavlovskaya, O. A. Kachanova, V. Volobuev, M. Mitropanova, A. R. Gazarova, V. Y. Zobenko, A. G. Uvarova","doi":"10.33925/1683-3031-2024-739","DOIUrl":"https://doi.org/10.33925/1683-3031-2024-739","url":null,"abstract":"Relevance. One of the challenges in endodontic treatment is preventing the presence or introduction of pathogenic flora into the root canal. Modern treatment protocols aim to maintain aseptic conditions throughout all stages of treatment. Before the final sealing of the root canal, it is dried using endodontic paper points (absorbers). Using previously opened packages of absorbers can pose a risk of contamination by environmental microorganisms.Purpose. This study aims to evaluate the effectiveness of microbial decontamination of endodontic absorbent paper points using various ultraviolet (UV) irradiation treatments.Materials and methods. The study used standard endodontic absorbent paper points, manufactured by compressing paper into cone shapes of various sizes, designed to remove residual moisture from the root canal. The experiment was conducted at the subdivisions of KubSMU of the Ministry of Health of Russia. During the study, absorbers were placed in a bactericidal UV chamber for 1, 3, and 7 days according to the study design. Subsequently, the paper points were immersed in nutrient media and incubated. Results were recorded daily by visually checking for signs of microbial growth (turbidity, sediment, flakes, and other changes in the media). Decontamination was considered complete in the absence of microbial growth in all test tubes. The comparison of the number of positive results was performed using the analysis of four-field contingency tables (comparison of percentage shares in two groups) using the Chi-square test with Yates' correction for independent groups and the McNemar test for dependent groups using Statistica 8.0 software (StatSoft, USA).Results. Analysis of the results from culturing the test samples in nutrient media confirms the safe use of endodontic absorbent paper points immediately after opening the commercial package. In the model used, microbial growth was observed in 22.2% of cases on various media. No positive results for bacterial or fungal contamination were found in samples after treatment. Comparison of the proportion of positive contamination results showed a statistically significant difference according to the McNemar test (p = 0.027). Similarly, a statistically significant difference in the proportions of positive contamination results was observed when comparing with the control group using the Chi-square test with Yates' correction for independent samples (p = 0.009).Conclusion. The study demonstrated that using a UV chamber for storing and decontaminating endodontic absorbent paper points is effective after just one day, significantly reducing the risk of microbial complications in endodontic treatment.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"68 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141694561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Prokhorova, L. Orekhova, O. A. Biricheva, V. A. Prikhodko, A. A. Petrov
{"title":"Efficacy of Asepta Fresh liquid products by Werteks Ltd in daily oral hygiene: insights from clinical studies","authors":"O. Prokhorova, L. Orekhova, O. A. Biricheva, V. A. Prikhodko, A. A. Petrov","doi":"10.33925/1683-3031-2023-721","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-721","url":null,"abstract":"Relevance. Properly selected personal oral hygiene products play a crucial role in minimizing the risk of hard tissue and periodontal diseases while also preventing their development. Consequently, there is a need for research to assess the effectiveness of various oral hygiene products and their combinations.The objective of our study was to compare the clinical efficacy of a mouthwash and an irrigant in patients with fixed or removable orthodontic appliances.Materials and methods. The study comprised 60 patients aged 20 to 29, all without medical conditions. Participants were evenly divided into two groups, each consisting of 30 individuals. The first group utilized Asepta Fresh mouthwash (Werteks Ltd, Russian Federation), while the second group used both a mouthwash and irrigant from the this brand.Results. The study observed quantitative changes in the following indices: Lange’s API, Silness – Loe, Green – Vermillion (OHI-S), and Ulitovsky – Orekhova’s HI ORTHO (Hygiene Index ORTHOdontic). Throughout the study, based on the alterations in these indices, both groups showed an improvement in oral hygiene. However, it is noteworthy that the positive trends were more pronounced in the second group.Conclusion. The use of liquid products such as Asepta Fresh (Werteks Ltd, Russian Federation) in personal oral hygiene practices proves to be a sufficiently effective method for cleaning approximal tooth surfaces. This effectiveness is substantiated by the positive changes observed in oral hygiene measured by the aforementioned indices. Hence, it may be recommended as an auxiliary method for controlling oral hygiene in orthodontics with fixed appliances.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"268 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139832658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Prokhorova, L. Orekhova, O. A. Biricheva, V. A. Prikhodko, A. A. Petrov
{"title":"Efficacy of Asepta Fresh liquid products by Werteks Ltd in daily oral hygiene: insights from clinical studies","authors":"O. Prokhorova, L. Orekhova, O. A. Biricheva, V. A. Prikhodko, A. A. Petrov","doi":"10.33925/1683-3031-2023-721","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-721","url":null,"abstract":"Relevance. Properly selected personal oral hygiene products play a crucial role in minimizing the risk of hard tissue and periodontal diseases while also preventing their development. Consequently, there is a need for research to assess the effectiveness of various oral hygiene products and their combinations.The objective of our study was to compare the clinical efficacy of a mouthwash and an irrigant in patients with fixed or removable orthodontic appliances.Materials and methods. The study comprised 60 patients aged 20 to 29, all without medical conditions. Participants were evenly divided into two groups, each consisting of 30 individuals. The first group utilized Asepta Fresh mouthwash (Werteks Ltd, Russian Federation), while the second group used both a mouthwash and irrigant from the this brand.Results. The study observed quantitative changes in the following indices: Lange’s API, Silness – Loe, Green – Vermillion (OHI-S), and Ulitovsky – Orekhova’s HI ORTHO (Hygiene Index ORTHOdontic). Throughout the study, based on the alterations in these indices, both groups showed an improvement in oral hygiene. However, it is noteworthy that the positive trends were more pronounced in the second group.Conclusion. The use of liquid products such as Asepta Fresh (Werteks Ltd, Russian Federation) in personal oral hygiene practices proves to be a sufficiently effective method for cleaning approximal tooth surfaces. This effectiveness is substantiated by the positive changes observed in oral hygiene measured by the aforementioned indices. Hence, it may be recommended as an auxiliary method for controlling oral hygiene in orthodontics with fixed appliances.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139892827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. P. Kiselnikova, V. Tsarev, F. M. Balaphendieva, M. Podporin, P. K. Borodina
{"title":"The opportunities for normalizing oral microbiota in infants with challenging deciduous teeth eruption","authors":"L. P. Kiselnikova, V. Tsarev, F. M. Balaphendieva, M. Podporin, P. K. Borodina","doi":"10.33925/1683-3031-2023-697","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-697","url":null,"abstract":"Relevance. The eruption of deciduous teeth is a distinct physiological process marked by local and systemic manifestations, along with alterations in oral microbiota in children.Research objective. A comparative clinical study evaluating the efficacy of different medications in managing localized symptoms during challenging deciduous teeth eruption, alongside an assessment of a homeopathic medicine's influence on oral microbiota in children (in vitro).Material and methods. The study encompassed 120 infants ranging from 5 months to 2 years old, randomized into three groups (40 individuals per group), all experiencing challenging deciduous teeth eruption. The research groups were assigned the following interventions: a homeopathic medicine, a dental gel containing an antiseptic and analgesic properties, and a dental gel infused with plant extracts. Clinical assessments of the children were performed using the E.M. Kuzmina index (2000), while concurrent evaluations of the oral microbiota were also conducted.Results. After the course of the medicinal homeopathic preparation, the condition of the gums, as per the E.M. Kuzmina index, indicated good oral hygiene, in contrast to medicinal preparations containing synthetic and plant-based antiseptics and anesthetics, which resulted in a satisfactory level of oral hygiene. Microbiological research indicated that the utilization of the investigated samples of the homeopathic medicine facilitated the creation of conditions fostering indirect competition of the stabilizing oral micro versus the pathogenic group of microorganisms.Conclusion. The clinical effectiveness of the homeopathic medicine for challenging deciduous teeth eruption was notably higher. A more substantial positive trend was observed in relation to the oral microbiota in children following the twice-daily application of the homeopathic medicine solution.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"19 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139145365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The results of pulpectomy in primary molars in children with negative behaviour","authors":"E. N. Arjenovskaya, E. Maslak, T. N. Kamennova","doi":"10.33925/1683-3031-2023-680","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-680","url":null,"abstract":"Relevance. A pulpectomy is a procedure predominantly performed for pulpitis treatment in single-rooted primary teeth. Data on the pulpectomy in primary molars are limited. Pulpectomy in children with negative behaviour is particularly difficult. The study aimed to determine the survival rate of primary molars after treatment of chronic pulpitis by pulpectomy in children with negative behaviour depending on the behaviour management method.Material and methods. A prospective clinical study in parallel groups involved 120 children aged 3-6 years who demonstrated negative behaviour (according to the Frankl scale) during a dental examination. Chronic fibrous pulpitis was treated by vital pulpectomy in 180 primary molars. In group 1 (60 children, 90 teeth), children underwent non-pharmacological behaviour management; in group 2, children were treated under conscious sedation (pharmacological correction of behaviour). Follow-ups after 6, 12, 18 and 24 months determined the tooth survival rate after pulpectomy.Results. The 24-month tooth survival rate after pulpectomy was 76.7% in group 1 (95% CI 67.9-85.4%), 81.1% – in group 2 (95% CI 73.0-89.2%), p > 0.05.Conclusion. More than 75% of primary molars survived for 24 months after vital pulpectomy in children with negative behaviour. The results of pulpectomy with pharmacological behaviour correction were better than after non-pharmacological behaviour management; however, the detected differences were not statistically significant.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"47 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mobile application for sensory deprivation of neurodiverse children during dental treatment","authors":"А. S. Dontsova, O. Gulenko","doi":"10.33925/1683-3031-2023-664","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-664","url":null,"abstract":"Relevance. Dental care for children with autism spectrum disorders (ASD) requires modification of the conventional treatment setting, which includes many sensory stimuli that influence the behaviour of these children. However, it is not possible to eliminate all dental treatment stimuli from clinical practice. The development of a new method for digital priming of neurodiverse patients was facilitated by the need to mitigate unavoidable dental treatment stimuli to achieve sensory deprivation, expressed as reduced anxiety and improved cooperation.The study aimed to investigate the level of cooperation and anxiety in children with ASD before and during dental treatment using a developed mobile application.Material and Methods. Forty-three children aged 7 and 12 years old with con-firmed ASD of varying severity participated in the study. The cooperation and anxiety level in children with ASD were assessed according to the Larry L. Venham clinical anxiety rating scale before and during treatment using the mobile application.Results. During dental treatment, the children with mild/moderate autism showed a statistically significant (p < 0.05) decrease in their anxiety level and improvement of the cooperativeness profile, which indicates a positive effect of the developed mobile application on the level of anxiety and cooperation.Conclusion. Further research is necessary to evaluate similar information and communication technology types as a part of significant approaches to sensory deprivation, behaviour improvement, and dental treatment outcomes in vulnerable children.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"26 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139006519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. A. Danilova, O. N. Goncharova-Tverskaya, E. A. Zalazaeva, P. A. Prokoshev
{"title":"Interdisciplinary approach to the diagnosis of dentofacial deformities and speech disorders in preschoolers","authors":"M. A. Danilova, O. N. Goncharova-Tverskaya, E. A. Zalazaeva, P. A. Prokoshev","doi":"10.33925/1683-3031-2023-667","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-667","url":null,"abstract":"Relevance. Maxillofacial deformities and speech disorders are common types of oral pathology detected in children under seven years. Comprehensive rehabilitation of patients with a combination of these forms of pathology is a difficult task since there is no situational analysis of their prevalence; motivated specialists work in different institutions (education, healthcare) and have different guidelines for the treatment (correction) of existing diseases (disorders), which complicates planning and administering treatment, and predicting results.Material and methods. To identify the nature of the relationship between various forms of orthodontic and speech disorders in children, we conducted a comprehensive clinical dental examination of 80 children aged 4-6 years in a preschool educational institution, where children with speech disorders receive speech therapy assistance.Results. Maxillofacial deformities appeared to be in 56.25% of children with some speech sound disorder. Children with identified speech sound disorders combined with dentofacial deformities showed not only skeletal but also soft tissue defects: shifted midline (86.67 ± 0.10%), distal occlusion (42.22 ± 0.30%), deep overbite (46.68%), as well as tongue and upper lip ties in 51.10% and 22.20% of cases, respectively. On examination, 44.45% of patients demonstrated clinical signs of mouth breathing, 32.5% – reverse swallowing, and 53.33% – inefficient chewing.Conclusion. Analysis of the results of a comprehensive speech pathology assessment and dental examination allowed us to conclude that there is a need to rethink the methodology of diagnosis, prevention and treatment of combined speech and dental disorders due to the high frequency of their comorbidity in preschool children.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138584269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}