儿童正畸治疗期间预防牙周病的临床和微生物学分析(临床病例)

Maryanenko L.M., Ayupova F.S., Ovcharenko E.S., Nizhnik V.G., Lapin V.V.
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引用次数: 0

摘要

本临床病例描述了对一名 6 至 12 岁患者进行长期正畸矫正的阶段,该患者牙列狭窄,下颌前牙拥挤,使用可移动正畸设备和平行牙周支持及时检查和治疗牙周疾病,并使用微生物诊断评估儿童口腔微生物群的定量和定性组成,通过处方益生菌纠正口腔微生物景观,提高个人卫生质量和专业卫生的现代硬件方法。一名 6 岁患者的乳牙过早脱落导致牙槽骨发育不全和不对称,以及咬合接触的破坏,这导致在可移动正畸装置中加入额外的元素,正畸设备面积的增加和其中额外元素的数量导致口腔中机会性病原体和真菌微生物污染的增加。基牙的长期变化、混合牙列时期恒牙萌出的延迟导致了患者恒牙牙根弯曲的发展,或许也是骨组织量不足的一个诱发因素,而骨组织量不足在年龄较大时会导致牙周炎的发展,尤其是在口腔机会性微生物污染增加、乳酸杆菌和双歧杆菌定量指标降低的背景下。这有助于降低儿童口腔机会性微生物污染的定量和定性指标,增加正常菌群的定量指标,从而起到拮抗作用,有助于改善口腔临床状况,确保牙周综合症患者在长期正畸治疗阶段的稳定性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CLINICAL AND MICROBIOLOGICAL ANALYSIS OF PREVENTION OF PERIODONTAL DISEASES DURING ORTHODONTIC TREATMENT OF CHILDREN (CLINICAL CASE)
The presented clinical case describes the stages of long-term orthodontic correction of a patient aged 6 to 12 years with narrowing of the dentition and crowding of teeth in the frontal segment of the lower jaw using removable orthodontic equipment and parallel periodontal support for timely examination and treatment of periodontal diseases, as well as assessment of quantitative and qualitative composition of the child’s oral microbiota using microbiological diagnostics and correction of the microbial landscape of the oral cavity by prescribing a probiotic, improving the quality of individual hygiene and modern hardware methods of professional hygiene. Premature loss of primary teeth in a patient aged 6 years led to underdevelopment and asymmetry of the dentoalveolar arch and disruption of occlusal contacts, which leads to the inclusion of additional elements in removable orthodontic appliances, an increase in the area of orthodontic equipment and the number of additional elements in them contributes to an increase in the contamination of the oral cavity with opportunistic pathogens and fungal microorganisms. The long-term change of primary teeth, the delay in the eruption of permanent teeth during the period of mixed dentition contributed to the development of curvature of the roots of permanent teeth in the patient and, perhaps, was a provoking factor for the deficiency of bone tissue volume, which at an older age can contribute to the development of periodontitis, especially against the background of an increase in microbial contamination of the oral cavity opportunistic microorganisms and reducing the quantitative indicators of Lactobacillus spp. and Bifidobacterium spp.., which helps to reduce the degree of quantitative and qualitative indicators of contamination of the child’s oral cavity with opportunistic microorganisms and increase the quantitative indicators of normal flora, which has an antagonistic effect and helps improve the clinical situation in the oral cavity and ensures the stability of the periodontal complex patient at the stages of long-term orthodontic treatment.
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