切尔诺贝利核电站事故后牙齿形成障碍儿童牙龈炎严重程度的评估。

S F Liubarets
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引用次数: 0

摘要

目的:了解切尔诺贝利核电站事故后放射性核素污染地区居民牙形成障碍儿童牙龈炎的严重程度。材料与方法:研究对象为1470例6-14岁牙齿畸形儿童,其中528例为ChNPP所致放射性核素污染区居民,确定了牙齿形成障碍类型(全体性牙釉质发育不全(SEH)和磨牙-门牙低矿化(MIH)),牙龈炎严重程度不同。结果:测定DTF患儿牙龈炎的严重程度,提示其存在中等严重程度的病变,在ChNPP事故后SEH或MIH患者中普遍存在,并伴有内脏慢性疾病。结论:受辐射DTF患儿牙龈炎严重程度平均(РМА =(43.03±19.64)%,p > 0.001),可能是受低剂量电离辐射影响、受测者社会地位特殊性(营养不均衡)、口腔卫生状况不理想等多种因素综合作用的结果。ChNPP事故并发SEH患儿的PMA指数较MIH患儿可靠(p > 0.05),表明其牙周损伤程度更明显。受污染领土居民中患有DTF的儿童的牙周损伤,特别是牙龈炎,可能是由一系列负面环境因素的作用,特别是低剂量电离辐射的影响,以及儿童社会地位的特殊性造成的,这需要采取综合方法来预防牙齿硬组织缺陷的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ASSESSMENT OF THE SEVERITY OF GINGIVITIS IN CHILDREN WITH DISORDERS OF TEETH FORMATION SUFFERED AFTER THE CHORNOBYL NPP ACCIDENT.

Objective: to determine the severity of gingivitis in children with teeth formation disorders - residents of the ter-ritories contaminated with radionuclides as a result of Chornobyl Nuclear Power Plant (ChNPP) accident.

Materials and methods: The object of the study is 1470 children aged 6-14 years with dental malformations, 528 amomg them are residents of areas contaminated with radionuclides as a result of the ChNPP with the identified types of disorders of teeth formation (DTF) (systemic enamel hypoplasia (SEH) and molar-incisor hypomineralization (MIH)), and different stages of the severity of gingivitis.

Results: Determining of the degree of severity of gingivitis in children with DTF indicates the presence of its lesion of a moderate degree of the severity with a prevalence in persons with SEH or MIH and chronic diseases of internal organs suffered after the ChNPP accident.

Conclusions: In irradiated children with DTF, an average degree of severity of gingivitis was established (РМА = (43.03 ± 19.64) %, p > 0.001), which may be due to the effect of a complex of negative factors, in particular the influence of low doses of ionizing radiation, the peculiarities of the social status of the examined persons (imbalanced nutrition), unsatisfactory oral hygiene. In children suffered after the ChNPP accident with SEH, the indicators of the PMA index were reliable (p > 0.05) higher compared to individuals with MIH, which indicates a more pronounced degree of periodont damage. Revealed damage to periodont, in particular gingivitis, in children with DTF residents of the contaminated territories, probably caused by the action of a complex of negative environmental factors, in particular the influence of low doses of ionizing radiation, and the peculiarities of the social status of children, which requires a comprehensive approach to the prevention of complications of defects of hard tissues of the teeth.

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Problemy radiatsiinoi medytsyny ta radiobiolohii
Problemy radiatsiinoi medytsyny ta radiobiolohii Medicine-Radiology, Nuclear Medicine and Imaging
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