Pediatric dentistry and dental profilaxis最新文献

{"title":"Dentist’s approach to management of oral mucosa lesions in children with Behcet’s disease","authors":"A. A. Skakodub, O. Admakin, N. Geppe","doi":"10.33925/16833031-2020-20-4-288-295","DOIUrl":"https://doi.org/10.33925/16833031-2020-20-4-288-295","url":null,"abstract":"Relevance . Behcet's diasease (BD) is a rare pediatric pathology, children compose 2-3% of all patients with Behcet's disease. Dentists are the first to encounter this severe disease, they provide continuous observation of children with chronic recurrent aphtous stomatitis (RAS), which has a prolonged course, frequent recurrences and resistance to the administered treatment. Elaboration of a program of collaborative examination and treatment of children by dentists, rheumalologisls and pediatricians was required. Purpose - to increase the level of diagnosis and treatment of Behcet's disease in children through the interdisciplinary approach to rehabilitation of the disease. Materials and methods . We examined children hospitalized to rheumatology department of University Children’s Clinical Hospital of Sechenov First Moscow State Medical University. There were 21 children aged between 6 and 17 with Behcet’s disease who were referred to a dentist, pediatrician and rheumatologist for a comprehensive examination of the whole body. The developed plan included assessment of disease localization and genetic predisposition, detection of a trigger and time of first manifestations of the primary diagnostic sign of RAS and manifestation time of subsequent clinical signs of the disease, laboratory tests and histomorphologic evaluation of damaged mucosa. Results . Upon application of the suggested plan of examination in children with Behcet’s disease it was found out that 18 (85.7%) children had nationality of the Silk Road. In 100% of children chronic recurrent aphtous stomatitis was the first symptom of the disease with severe course in 14 (66.67%) children, monthly relapses in 7 (33.34%) children and chronic relapses in 6 (28.57%) children. Among other symptoms of Behcet’s disease in children eye lesions are the most frequent (90.9%), the digestive system is affected in 90.9%, excretory organs are affected in 72.7%, and articular syndrome is frequently encountered (45.4%). Anemia, elevated ESR, immune index changes, decrease of total number of T-lymphocytes and T-helpers, elevated level of circulating immune complex (CIC), elevation of specific classes of immunoglobulins (especially IgA), hemotoxic activity of neutrophils and decrease of secretory IgA in saliva were detected on additional examination of children with Behcet’s disease (only severe RAS). Conclusions. Thus, Behcet’s disease has not been sufficiently studied yet, that’s why late diagnosis is observed. The disease proceeds as incomplete Behcet’s syndrome during 5.4+0.04 years in girls and 4.1+0.09 years in boys, manifesting itself only by chronic recurrent aphtous stomatitis in 100% of cases which is the first diagnostic symptom of the disease. The comprehensive diagnostic plan, developed by us, is offered to dentists who observe children with oral mucosa diseases. Diagnosis and treatment of Behcet’s disease in children require an interdisciplinary approach by doctors of different specialties ","PeriodicalId":19925,"journal":{"name":"Pediatric dentistry and dental profilaxis","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91531331","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":"Predictive assessment of clusterization of the oral mineral metabolism in mixed dentition","authors":"T. Mityaeva, G. Skripkina, A. Garifullina, Y. Romanova","doi":"10.33925/1683-3031-2020-20-4-262-270","DOIUrl":"https://doi.org/10.33925/1683-3031-2020-20-4-262-270","url":null,"abstract":"Relevance . The high incidence of dental caries in children remains relevant to the modern preventive dentistry. Many works have appeared in the recent years on the primary prevention of dental diseases in children based on the caries risk prediction. Thus, dental caries prognosis is relevant and requires further study to improve the methods of individual prevention in children. Purpose - to determine predictors of the oral mineral exchange in the mixed dentition according to the results of the cluster analysis. Materials and methods. A comprehensive clinical and laboratory examination of the oral metabolic processes was performed in 60 caries-resistant children with the mixed dentition aged from 7 to 12 years. Statistical analysis was performed using STATISTICA 8.0 software. Results. The study revealed strong relationship between the individual clinical and laboratory predictors, determined the optimal set of predictors for classifying patients with different types of saliva microcrystallization, which is a prerequisite for the possible caries risk prognosis in mixed dentition. Conclusions. The obtained data of the oral mineral metabolism predictors can help to plan the individual primary prevention programs in children during the active formation of the hard dental tissues and to create software to make preclinical diagnosis and prognosis of the subclinical carious process.","PeriodicalId":19925,"journal":{"name":"Pediatric dentistry and dental profilaxis","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89600249","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":"An algorithm of orthodontic treatment of teenagers with the bilateral cleft lip and palate","authors":"A. Mamedov, O. T. Zangieva, R. Fedotov, L. A. Mazurina, O. Dudnik","doi":"10.33925/1683-3031-2020-20-4-317-323","DOIUrl":"https://doi.org/10.33925/1683-3031-2020-20-4-317-323","url":null,"abstract":"Relevance . Bilateral cleft lip and palate (BCLP) is the malformation of the maxillo-facial region caused by the defect of the alveolar bone, palate and upper lip. According to the World Health Organisation, the incidence rate is 0.61.6 per 1000 newborns. The protrusive premaxilla is often treated by osteotomy for esthetic reasons. However, the osteotomy of the protrusive premaxilla slows down the growth of the child’s midface, which leads to the skeletal deformations with complications. The study explores the method that allows performing the premaxillary osteotomy to improve the facial profile in the long term. Materials and methods . During the study, 12 patients with BCLP aged 10 to 14 were treated from 2016 to 2019. All patients had head computed tomography by Planmeca ProMax. The results were uploaded into the Dolphin Imaging for further cephalometric analysis. The growth was predicted by Ricketts prediction analysis. Results . The patients were divided into two groups according to the type of the facial growth. The patients of the first group were diagnosed with the vertical type of the growth. The treatment was performed with microimplants. The patients of the second group, with a horizontal growth type, underwent osteotomy of the intermaxillary bone. Consequently, the growth was predictable, which improved the overall facial profile. Conclusions . The osteotomy of the premaxillary bone is recommended only in patients over 10-11 years with the protrusive premaxilla who were diagnosed with the horizontal growth type.","PeriodicalId":19925,"journal":{"name":"Pediatric dentistry and dental profilaxis","volume":"364 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73476832","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":"Evaluation of index values in patients with mild or moderate chronic periodontitis","authors":"I. G. Mikhailova, A. V. Moskovskiy, A. V. Karpunina, Y. Urukov, O. Moskovskaya, N. Shuvalova","doi":"10.33925/1683-30312020-20-4-310-315","DOIUrl":"https://doi.org/10.33925/1683-30312020-20-4-310-315","url":null,"abstract":"Relevance . Inflammatory periodontal diseases constitute a very important problem among the oral diseases. The high prevalence of chronic generalized periodontitis arouses interest, becomes the subject of clinical research and analysis of indices, development and improvement of diagnostic and treatment techniques. The continuous increase in the incidence of periodontitis among the population of the Chuvash Republic is currently important. Purpose -determine the values of periodontal and oral hygiene indices and compare them before and after the comprehensive treatment of patients in the Chuvash Republic with mild and moderate periodontitis. Materials and methods . The study of index values in 146 periodontal patients included the Green - Vermillion simplified oral hygiene index (OHI - s), the plaque index (PI) (Silness - Loe, 1964), the Russell’s periodontal index (PI) and the community periodontal index of treatment needs (CPITN). Results . After the comprehensive treatment of patients with mild and moderate periodontitis, the mean values were as follows: OHI - s (Green - Vermillion) was 0.5 ± 0.15 in patients with mild periodontitis, 0.8 ± 0.21 - in patients with moderate periodontitis, (PI) Silness - Loe - 2.6 ± 0.95 in patients with mild periodontitis, 3.6 ± 1.01 -in patients with moderate periodontitis. Russell’s PI was 1.15 ± 0.81 in patients with mild periodontitis and 1.67 ± 0.090 in patients with moderate periodontitis. CPITN - 1 ± 0.85 in patients with mild periodontitis, 1.25 ± 0.80 in patients with moderate periodontitis. Conclusions . A decrease in indices was revealed in all studied patients after the comprehensive conservative and surgical treatment; the severity of chronic generalized periodontitis in the adult population of the Chuvash Republic determined a decrease in the index assessment criteria.","PeriodicalId":19925,"journal":{"name":"Pediatric dentistry and dental profilaxis","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83364517","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":"Malocclusion index assessment in schoolchildren in the endemic fluorosis area (pilot study). Part I","authors":"V. Belyaev, O. Gavrilova, I. Belyaev, M. A. El-Aydi, O. A. Myalo","doi":"10.33925/1683-3031-2020-20-4-324-328","DOIUrl":"https://doi.org/10.33925/1683-3031-2020-20-4-324-328","url":null,"abstract":"Relevance . There are a lot of publications on the assessment of dental caries and fluorosis in children in the fluoride endemic areas. The studies on the analysis of the prevalence and severity of malocclusion in these children are few and contradictory. The aim of the study was to assess the prevalence and severity of malocclusion in schoolchildren in the endemic fluorosis areas. Materials and methods . A cross-sectional dental examination was performed according to the WHO method with a calibration expert in 361 schoolchildren aged 12 and 15 years old living in the areas with highly fluoridated drinking water (1.5-4.5 ppm). The clinical forms of dental fluorosis were assessed by the WHO classification and the prevalence and severity of malocclusion were evaluated by the DAI index. The obtained information was processed using the SPSS® Statistics 23.0 software. Results . A high prevalence of dental fluorosis was revealed in the examined schoolchildren with the predominance of mild forms of pathology. Most of the children had malocclusion; mild malocclusion was most often diagnosed. Conclusions. The study did not reveal any differences between the occurrence and severity of fluoride induced dental lesions, malocclusion in the studied age and sex groups. The prevalence and severity of malocclusion were comparable in the samples of students without dental fluorosis and with various clinical forms of this pathology.","PeriodicalId":19925,"journal":{"name":"Pediatric dentistry and dental profilaxis","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87618130","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":"Comparative evaluation of clinical efficiency of different generations of air-polishing powders during professional oral hygiene","authors":"L. Orekhova, E. Loboda, I. V. Berezkina, P. A. Boeva, D. V. Rachina","doi":"10.33925/1683-3031-2020-20-4-296-302","DOIUrl":"https://doi.org/10.33925/1683-3031-2020-20-4-296-302","url":null,"abstract":"Relevance . Currently, a preventive system based on organic matter - carbohydrate trehalose has appeared on the dental market. The relevance of the research topic is determined by the need to study its properties and conduct a comparative assessment of different generations of air-polishing powders . The purpose of the study is to conduct a comparative assessment of the clinical efficiency of different generations of air-polishing powders during the professional oral hygiene. Materials and methods. The study involved 38 patients who underwent professional oral hygiene using prophylactic systems of various generations. The oral cavity was preliminarily divided into two sides, depending on the airabrasive agent - based on calcium carbonate (65-70 µm) and trehalose (65 µm). During professional oral hygiene, the time required to remove soft dental deposits was evaluated, and after the procedure, the state of the oral cavity was measured using dental indices. In addition, a questionnaire was used for patients and dentists. Results . The average time for the removal of the soft dental deposits using an air-abrasive agent based on calcium carbonate was 4.5 ± 3.6 min and 4.4 ± 3.8 min based on trehalose. The difference in the average time between the two groups was insignificant (P = 0.461); there was also no significant difference in the average values of the dental indices. The opinion of the dentists and patients about the two preventive systems was comparable. Conclusions . Trehalose-based air-abrasive product is effective, safe, ergonomic and can be recommended for the use of dentists and dental hygienists.","PeriodicalId":19925,"journal":{"name":"Pediatric dentistry and dental profilaxis","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89127808","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":"Assessment of effectiveness of dental cognitive-gaming complex to increasing hygienic knowledge in preschoolers","authors":"T. Tserakhava, L. Kozlovskaya","doi":"10.33925/1683-3031-2020-20-2-123-129","DOIUrl":"https://doi.org/10.33925/1683-3031-2020-20-2-123-129","url":null,"abstract":"Relevance. Search and perfectioning of effective health programs, as well as the need of further improvement and assessment of the effectiveness of the motivation to acquire new knowledge by children have remained still relevant.Purpose. To evaluate the effectiveness of usage of dental cognitive-gaming complex in increasing the level of knowledge of preschool children.Materials and methods. We have assessed the level of knowledge of 88 preschoolers of 4-6 years old in dynamics. Hygiene lessons were conducted with the usage of “transformer cube”, step-by-step instructions, notes of the lesson and a special patient card. The level of knowledge of preschool children at the beginning, middle and end of the school year was determined with the results, recorded in individual patient card. We evaluated the level of knowledge (minimum, basic, high) due to answer on each question from 16 questions of the card.Results. Number of children with a high level of hygienic knowledge, that are necessary to preserve their own dental health, have been significantly increased under the influence of dental cognitive-gaming complex. Children of all age groups have demonstrated level up of knowledge on key issues, which were the criterion for the objectivization of a motivational benefit. The most significant positive dynamics in maintaining dental health is registered in 6-year-old children. knowledge necessary to preserve your own dental health.Conclusions. Consequently, the older child is, more effective and quickly hygienic motivation and knowledge develop. The cognitive-gaming complex has a significant influence on level up of knowledge on key issues of all age groups of children during the school year. Thus, the motivational complex is effective, and the answers to key questions are a criterion for the objectification of its assessment.","PeriodicalId":19925,"journal":{"name":"Pediatric dentistry and dental profilaxis","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87647633","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":"Study of functional state of microcirculatory channel system in periodontal tissues in persons of different age groups","authors":"L. Orekhova, A. A. Petrov, E. Loboda, I. V. Berezkina, K. V. Shadrina","doi":"10.33925/1683-3031-2020-20-2-88-94","DOIUrl":"https://doi.org/10.33925/1683-3031-2020-20-2-88-94","url":null,"abstract":"Relevance. The study of age-related features of microcirculation in periodontal tissues, using non-invasive functional research methods, allows us to develop the optimal range of therapeutic measures, as well as form a “personalized therapeutic case”.Purpose. Study of the functional state of the microvasculature in the tissues of the parodont in individuals of various age groups.Materials and methods. A standard dental examination of 80 patients was carried out, the sample of participants was ranked in 4 groups by age: 1 group – 12 years old, 2 group – 15 years old, 3 group – from 16 to 18 years old, 4 group – from 22 to 24 years old. Hygiene and periodontal indices were determined for all patients, such as papillarymarginal-alveolar (PMA) in the Parma modification, the Mulleman bleeding index in the Cowell modification (SBI), and the simplified Green Vermillion index of oral hygiene (OHI–s), caries intensity indicators for a permanent bite (CPI), as well as ultrasound dopplerography of periodontal tissues using the apparatus \"Minimax-Doppler-K\".Results. When studying microcirculation in periodontal tissues, distinctive characteristics of linear (Vas) and volumetric (Qas) blood flow rates, as well as indicators of pulsation indices (PI) and peripheral resistance (RI) in people of different age groups were recorded.Conclusions. This study confirms the presence of various hemodynamic indicators of periodontal tissues in the studied groups, which is due to structural features of the circulatory system in age periods.","PeriodicalId":19925,"journal":{"name":"Pediatric dentistry and dental profilaxis","volume":"15 4 Pt 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78475440","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":"Anatomical features of the extensor digitorum brevis muscle as a plastic material in reconstructive surgery of facial paralysis","authors":"E. D. Askerov, O. Z. Topolnitsky, O. Zayratyants","doi":"10.33925/1683-3031-2020-20-2-84-87","DOIUrl":"https://doi.org/10.33925/1683-3031-2020-20-2-84-87","url":null,"abstract":"Relevance . Facial paralysis is a common neurological illnesses of the maxillofacial region. Gold standard of dynamic correction of permanent facial paralysis is gracilis muscle transfer. However, using this flap is impractical or impossible in some cases. There are few domestic and international publications about extensor digitorum brevis muscle for facial reanimation surgery. Purpose . Assessment of muscle variability on the dorsum of the foot; analysis of blood supply and innervation of the extensor digitorum brevis muscle. Materials and methods . Operations performed on 10 unclaimed corpses: dissection of the extensor digitorum brevis muscle, as well as the blood vessels and nerves of the dorsum of the foot. The legal and ethical requirements for such studies were observed planning the design of the study and during work. Results . As a result, in 80% of cases, was found a typical anatomy of muscles, blood vessels, and nerves in the dorsum of the foot. In 10% was found a typical anatomy of muscles and nerves, but there was no lateral tarsal artery – the branch of the dorsal artery of the foot. Blood supply to the extensor digitorum brevis muscle performed by perforating branches of the peroneal artery. In 10% was found subtotal atrophy and fibrous degeneration of the extensor digitorum brevis muscle. Conclusions . The use of the extensor digitorum brevis muscle is a perspective method for the treatment of facial paralysis. Harvesting of this flap is complicated.","PeriodicalId":19925,"journal":{"name":"Pediatric dentistry and dental profilaxis","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78742777","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":"Methodological algorithm for eliminating congenital asymmetric cleft of the upper lip and palate","authors":"Yulia Rogozhina, S. Blokhina, E. S. Bimbas","doi":"10.33925/1683-3031-2020-20-2-116-122","DOIUrl":"https://doi.org/10.33925/1683-3031-2020-20-2-116-122","url":null,"abstract":"Relevance. The current view of the problem of specialized care for children with congenital cleft upper lip and palate in the literature is described as a system-forming complex of medical and surgical aids. The issue of the further development of individual methods and algorithms for the rehabilitation of children of complex types of cleft, showing a pronounced asymmetry of the affected tissues, remains an urgent issue. The creation of «special» algorithms for therapeutic tactics and the choice of the method of surgical benefits of asymmetric forms of cleft upper lip and palate involves the interaction of each specialist, taking into account the variety of clinical characteristics of complex defects.Purpose. On specific clinical material describe the features of the algorithm for eliminating the asymmetric cleft of the upper lip and palate, taking into account the author’s methods of cheilorino-palatoplasty.Materials and methods. For the period 2015-2019. a group of patients (62 patients) with congenital asymmetric cleft of the upper lip and / or palate, including those with deficiency of their own tissues, was studied in the Multiprofile Clinical Medical Center «Bonum». The study used clinical, anthropometric, statistical methods, analysis of photographs of patients.Results. An algorithm has been developed to eliminate a complex variant of damage to tissues and structures of the maxillofacial region, taking into account the proprietary technologies for surgical care.Conclusions. The proposed methodological algorithm for the treatment tactics of complex clinical and anatomical variants of the cleft of the upper lip and / or palate allows us to assess the severity of damage of the maxillofacial region, establish indications for the use of additional therapeutic methods for orthodontic-surgical preparation for cheilorino-palatoplasty and adequately choose the method of surgical intervention.The use of original methods for surgical removal of asymmetric clefts of the upper lip and / or palate, including “wide” crevices with a deficit of their own tissues, increases the effectiveness of surgical and rehabilitation tactics in the general complex of specialized care for patients with complex tissue lesions of the maxillofacial region.The awareness of maxillofacial surgery doctors and rehabilitation dentistry specialists about modern methods of surgical care, about an improved methodological algorithm for eliminating asymmetric cleft upper lip and / or palate, including with deficiency of own tissues, can serve as a «road map» for the development of a specialized interdisciplinary health recovery complex this category of patients.","PeriodicalId":19925,"journal":{"name":"Pediatric dentistry and dental profilaxis","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82149651","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}