Pediatric dentistry and dental prophylaxis最新文献

{"title":"Features of dental care provision for the child population in subjects of the Russian Federation in 2020 and 2021","authors":"O. Yanushevich, L. Kiselnikova, T. Zueva, I. V. Zolotnitsky, A. A. Ogareva","doi":"10.33925/1683-3031-2023-607","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-607","url":null,"abstract":"Relevance. Dental care is one of the most common and socially significant types of medical care to the population of the Russian Federation. The types of outpatient pediatric dental care are pre-medical primary dental care for children provided by dental therapists; specialized primary pediatric dental care provided by dentists and pediatric dentists. Dental care availability is a dental care effectiveness criterium involving the population presentation, including the children's population, to the medical institutions providing dental assistance.The study aimed to conduct an analysis of the changes in the volume and types of pediatric dental care in 84 regions of the Russian Federation in 2020 and 2021.Material and methods. Within the framework of the activities of the National Medical Research Center of the Moscow State Medical University, named after A.I. Evdokimov of the Ministry of Health of the Russian Federation on the profile \"Dentistry\", the study analyzed the reporting documentation of 84 regions of the Russian Federation on the main sections of the dental service for 2020 and 2021. The article presents an analysis of the types of dental care provided to children, the number of child population visits for dental care in the regions of the Russian Federation in 2020 and 2021 and the pattern of changes in the studied indicators.Results. In 2021, the number of regions where a child had less than one annual visit to a dental care provider increased by 27.66%. In 2021de, compared with 2020, there was a decrease in the number of child visits to dental care facilities by 15.78%. In general, in 84 regions of the Russian Federation in 2021, there is a decrease in the volume of pre-medical primary dental care provided by dental therapists and specialized primary dental care provided by pediatric dentists and oral surgeons and an increase in the specialized primary dental care volume to the child population by dentists (general practice dentists).","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"64 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116316701","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":"Effect of maxillary constriction orthodontic correction using a fixed appliance with a screw in teenagers during a growth spurt","authors":"T. Kosyreva, A. S. Biryukov, O. Voeykova, M. V. Samoylova, N. V. Gorshunova, A. Rasha, A. Gharawi","doi":"10.33925/1683-3031-2023-564","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-564","url":null,"abstract":"Relevance. The research is relevant because of a high prevalence of anterior and posterior crowding in children with mixed and permanent dentition (from 42 to 86 %), for whom the correction of the dentition form and the size is recommended by fixed expanding appliances with a screw. After the teenage growth spurt, the growth and development of jaws end, steady pathological signs form, there are psychological problems in a face and smile selfperception, and the question of the orthodontic treatment duration arises.Purpose. To study the effectiveness of treatment of patients with maxillary premolar area constriction during growth spurt using two modifications of fixed Hyrax expander.Material and methods. We examined 22 male patients aged 10.6 to 13 y.o. (average age 11.2 ± 1.6 years old) with permanent dentition, constriction of the posterior teeth and crowding of incisors, treated with a fixed expander (Hyrax appliance) in the upper jaw during the growth spurt. The patients formed two groups. Group 1 (n = 11) had the Hyrax screw at the level of the upper first premolars, and Group 2 (n = 11) had the Hyrax lock located at the first permanent molars. The patients activated the expander independently by ¼ turn every other day for six months. Then the appliance remained in the mouth for three months. We studied the maxillary expansion results on plaster models before and after six months of the expander fixation using the Tonn, Pont, Korkhaus, Bolton method.Results. The study has established that orthodontic correction of transversal abnormalities with a fixed Hyrax expander affects the maxillary posterior teeth expansion, changes their parameters and improves their movement. At the same time, in Group 1, the width between the first premolars and the first molars reached the norm calculated from the sum of the mesiodistal dimensions of the upper incisors, and in Group 2, the width between the first permanent molars exceeded the normal, and inter-first-premolar distance did not reach the normal values for three months of activation.Conclusion. Fixed Hyrax expander showed the best results if the screw was at the level of first premolars during the teenage growth spurt.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125567068","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":"Two-phase rehabilitation of patients with a forced position of the lower jaw: a clinical case","authors":"R. Fadeev, V. V. Timchenko","doi":"10.33925/1683-3031-2023-579","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-579","url":null,"abstract":"Relevance. Malocclusion correction in children very frequently requires several orthodontic appliances throughout the entire treatment period. The high prevalence of dental abnormalities in childhood determines the issue's relevance.Clinical cases' description. The article presents summaries from the records of the patients who presented for orthodontic care with malocclusion complicated by the forced position of the lower jaw. The authors implemented a two-phase orthodontic treatment protocol and achieved acceptable aesthetic and functional results.Conclusion. Laboratory-made plates with occlusal pads in the first phase of treatment of patients with mixed dentition contributes to the normalization of the lower jaw position and the alignment of the occlusal plane. In the second phase of orthodontic treatment, a standard silicone aligner allows for the improvement of dental arch relationship in the vertical, sagittal and transversal planes, normalization of dental arch form, and the correction of displaced teeth.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125716748","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":"Morphological structure and composition of an odontoma removed from a 7-year-old child: a clinical case","authors":"O. I. Pikhur, D. S. Tishkov, S. Grechikhin, A. Gromov, Yuliya V. Plotkina, A. M. Kulkov","doi":"10.33925/1683-3031-2023-592","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-592","url":null,"abstract":"Relevance. An odontoma is a benign odontogenic tumour that consists of dental tissue elements. Diagnosis and differential diagnosis of odontomas is complicated enough for their high heterogeneity and significant morphological inhomogeneity.Clinical case description. The article presents the results of studying the morphology and composition of odontoma removed surgically for medical reasons in a 7-year-old patient using a complex of the following research methods: optical microscopy, scanning electron microscopy, X-ray computed microtomography and microprobe analysis. The study established that the odontoma belongs to solid simple odontoma. The odontoma is 0.93 х 0.63 х 0.45 cm in size and formed by dentin covered with an uneven layer of the irregular enamel surface. The microtomography provided the odontoma's internal structure 3D model demonstrating a conical cavity formed by the hard dental tissues. The chemical composition of odontoma contains significant amounts of calcium, phosphorus, sodium, magnesium, and chlorine. The Ca/P-coefficient in dentin is 1.44, and in enamel – 1.66-1.68.Conclusion. The study results contribute to the odontoma causes and pathogenesis investigation and form the base for the pathology diagnosis and implementation of treatment and preventive measures.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115485733","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":"Parental knowledge about oral disease prevention in children under seven years old","authors":"L. Sarap, K. O. Kudrina, A. A. Lytkina, Y. Shilova, E. Podzorova","doi":"10.33925/1683-3031-2023-542","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-542","url":null,"abstract":"Relevance. Oral health in children largely depends on parental involvement and the formation of adequate oral care skills. Parental awareness of oral disease prevention and adherence to the recommendation of pediatric dentists or dental hygienists are paramount for dental disease onset. Therefore, the assessment of parental knowledge about oral prevention is relevant.Aim. To evaluate the oral health education of parents of children under seven y.o. on oral disease prevention.Materials and methods. The study anonymously surveyed 250 parents of children under seven y.o., living in Barnaul. The survey in Google Forms included questions about parental awareness of dental diseases, the frequency of dental visits, parental knowledge of the child's home oral care and the child's diet. The study results were statistically processed using the MS Excel 2007 program.Results. The survey of Barnaul parents of children under seven demonstrated that 50% of the children were breastfed, and almost no one used dairy products as the main drink. Despite the knowledge about the importance of caries treatment in children, most parents (68%) visit a dentist when dental disease symptoms appear. The dentist is not always the principal source of information about dental diseases in children and their prevention. The parents selected oral hygiene products and items independently in most cases, without considering the child's individual dental status characteristics. Some parents believe that they may skip brushing their primary teeth brushing at all.Conclusion. The results evidence the need to increase parental knowledge about dental disease prevention in children.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114477483","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 concept of preventive care in the pediatric population with risk factors for the malocclusion development and prevention of severe malocclusion in children aged 3-12 years old","authors":"A. S. Shishmareva, E. S. Bimbas","doi":"10.33925/1683-3031-2023-577","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-577","url":null,"abstract":"Relevance. Malocclusion prevention in Russian children is an urgent medical and social problem. The results of Russian epidemiological studies show malocclusion prevalence and severity increase in children with age. Postgrowth orthodontic treatment is costly and often inaccessible for the most population. In the current situation, malocclusion prevention organization in children is one of the most important tasks of public healthcare.Purpose. To propose and substantiate a new model for the prevention of severe malocclusion in children.Materials and methods. We have created a new conceptual model for the prevention of severe malocclusion in children to develop a methodology that provides unified approaches to malocclusion prevention.Results. The model involves the construction of a two-level system of pediatric preventive care based in the city, municipal multidisciplinary dental clinics. The model novelty is determined by the new concept of the primary prevention of malocclusion and early orthodontic treatment (EOT) processes to prevent severe malocclusion (secondary prevention) as a single system that provides a positive result in maxillofacial development in children. The introduction of a pediatric dentist as an operator and a coordinator of the prevention program implementation into the structure of preventive care for children's malocclusion determines the novelty of the prevention system conceptual model. The proposed conceptual model prioritizes an orthodontist who provides secondary prevention of severe malocclusion by early orthodontic treatment (EOT) to children during the growth and development of malocclusions. The introduction of a malocclusion assessment to identify the EOT need score also determines the novelty of the malocclusion secondary prevention subsystem. The model places a high value on the management function/ management issues. Severe malocclusion prevention program implementation in children requires changing the paradigm of doctors, namely, pediatric dentists and orthodontists.Conclusion. The presented concept of the two-level malocclusion prevention organization (primary prevention of malocclusion in toddlers and preschoolers and secondary prevention of severe malocclusion by EOT in children aged 3-12 years) will allow for the reduction of the number of severe malocclusions during dental and facial development and for the need of complex treatment at later stages, will contribute to children health preservation, their social adaptation and the child and family quality of life increase.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124663910","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 effect of calcium toothpastes on the level of oral hygiene and enamel resistance in 12-18-year-old children","authors":"A. P. Limina, E. Satygo, K. V. Reutskaya, J. S. Hodgibaev","doi":"10.33925/1683-3031-2023-580","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-580","url":null,"abstract":"Relevance. Oral hygiene improvement and remineralization stimulation are essential to prevent dental caries in children aged 12-18 y.o.Purpose: to compare the oral hygiene and enamel resistance levels in children using toothpastes based on calcium glycerophosphate and calcium lactate.Materials and methods. The study involved 42 children aged from 12 to 18 years. Twenty patients used Novy Zhemchug with Calcium toothpaste as a home oral care product for two months. Twenty-two patients used Toothpaste R.O.C.S.® Active Calcium for two months. The study determined the plaque control record (O’Leary, 1967) and the SHS (Simple Hygiene Score) by quantitative light-induced fluorescence (Qraypen C™) and enamel resistance test (Okushko V.R., 1984). All results were statistically processed.Results. The study found that the O’Leary plaque control record, SHS and the enamel resistance test results were not statistically significant in both study groups. After two months of observation, the O’Leary plaque control record significantly improved in children of both groups. However, the group using Toothpaste R.O.C.S.® Active Calcium demonstrated significantly better values (59.74 ± 4.12%). The SHS was significantly better after two months of use in the children group using Toothpaste R.O.C.S.® Active Calcium compared to the children group using Novy Zhemchug with Calcium toothpaste. The enamel resistance test score significantly improved in children of both groups over two months. The patients using Toothpaste R.O.C.S.® Active Calcium for two months demonstrated the best enamel resistance score.Conclusion. Toothpaste containing calcium compounds is quite effective for oral hygiene and enamel resistance improvement in children aged 12-18 y.o. The best scores were in groups of children who used toothpaste containing calcium glycerophosphate compared to the children group who used too thpastes containing calcium lactate.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127386017","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 study of mouthwashes’ effect on oral microbiota","authors":"S. Tokmakova, O. Bondarenko, Y. Lunitsyna, E. Zhukova, E. V. Mokrenko, T. Gaidarova, A. O. Yarovaia","doi":"10.33925/1683-3031-2023-561","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-561","url":null,"abstract":"Relevance. Mouthwashes occupy a special place among the oral hygiene products range for their wide prevalence and high effectiveness. At the same time, their unreasonable use can lead to an oral microbial imbalance for the pronounced antimicrobial activity of the mouthwashes.Aim. To evaluate the effect of mouthwashes with various preservative systems on the normal oral microbiota quantity and to assess the possible risk of dysbiotic changes if used regularly for prevention purposes.Material and methods. The study examined the antimicrobial properties of nine experimental samples of mouth-washes developed for home oral care. The study included 110 healthy volunteers and collected 2 ml of unstimulated saliva from the subjects before toothbrushing and 5, 30, 60 and 180 minutes after rinsing with a test product for 1.5-2 minutes. The microbiological laboratory plated saliva samples and counted the number of colony-forming units. The results were statistically processed.Results. The analysis of the average microbiota levels for all the products at various time points revealed that the number of viable bacteria in the oral cavity decreased by no more than 1.5 orders of magnitude, except for 0.2% chlorhexidine mouthwash. This decrease is short-term, and for most mouthwashes, there were no statistically significant differences in the number of colony-forming units in 60-180 minutes compared to the baseline.Conclusion. All the tested samples of mouthwashes do not significantly affect the microbiota and, consequently, can be recommended for daily home oral care practice.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116628655","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":"Topical fluoride treatment effectiveness: a systematic review","authors":"E. Brusnitsyna, D. A. Ginkel, A. Prihodkin, T. Zakirov, E. S. Ioshchenko, A. S. Shishmareva","doi":"10.33925/1683-3031-2023-598","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-598","url":null,"abstract":"Relevance. The systematic review aimed to evaluate the effectiveness of topical fluoride in children based on the analysis of modern randomized clinical trial (RCT) data.Materials and methods. This review was carried out using the PRISMA checklist (the Preferred Reporting Items for Systematic Reviews and Meta-Analyses). The proposed criteria determined the quality of the studies for inclusion in the review and then during the result summary. A preliminary search was conducted among articles published between 2013 and 2023 where fluoride varnishes were one of the preventive products. The search included MeSH terms, the keywords \"fluorides\", \"fluorine varnish\", \"caries prevention\", \"remineralisation\", and \"children\". A preliminary search found 346 studies. After excluding duplicates and irrelevant studies, two independent reviewers analysed nine RCTs based on the PRISMA criteria.Results. Children aged eight months to five years old participated in five out of nine RCTs on the fluoride varnish application included in the review, and four studies included adolescents aged 14–20 y.o. The duration of the studies ranged from 2 months to 3.5 years. Six studies described the use of fluoride varnish in children, and three studies reported on the application of calcium phosphate gels with fluoride versus fluoride varnish. Various ways determined enamel condition, namely, visual method, digitally processed photography, analysis of radiographs, QLF (quantitative light fluorescence method), and laser fluorescence analysis method (Diagnodent). The dmft, ICDAS indices, caries increment, the WSL (white spot lesion) index, and the assessment of changes in the tooth damage area evaluated the prevalence and intensity of caries. In the control groups, most studies used 1000 to 1500 ppm fluoride toothpastes according to the usual scheme. None of the studies statistically proved the additional preventive effectiveness of the fluoride varnishes.Conclusions. The analysis of RCTs did not reveal the advantages of fluoride varnishes for caries prevention in children and adolescents compared to standard oral hygiene procedures using fluoride toothpastes.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125986373","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 attitude of parents of children with hearing impairment toward the prevention of major dental diseases","authors":"S. B. Ulitovskiy, N. Y. Sheveleva, A. Guliyeva","doi":"10.33925/1683-3031-2023-568","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-568","url":null,"abstract":"Relevance. The significant increase in the number of children with hearing impairment worldwide and the peculiarity of their dental status demonstrates a need for a specialized approach during preventive care. However, the choice of preventive measures has to consider both the parental perception of the process and its effectiveness.Aim. The study aimed to assess the level of parental knowledge of primary schoolchildren with hearing impairment associated with neurological pathology on the oral hygiene of children and their readiness for dental preventive care measures to improve their child’s dental status.Materials and methods. The study involved the parents of 94 primary schoolchildren aged 6-8 y.o. with hearing impairment associated with neurological pathology. The survey received information on different attitudes to preventive measures to improve children’s dental health.Results. The results demonstrated poor oral hygiene knowledge among parents of primary schoolchildren with hearing impairment associated with neurological pathology and unreadiness for full-scale cooperation with dentists.Conclusion. The obtained data indicate the need for more comprehensive and thoughtful patient education among parents of primary schoolchildren with hearing impairment associated with neurological pathology to create prerequisites for improving the children’s dental status.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132777508","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}