The opportunities for normalizing oral microbiota in infants with challenging deciduous teeth eruption

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.