ASSESSMENT OF ORAL HEALTH CONDITION IN CHILDREN WITH DIFFERENT SOCIAL STATUS IN GEORGIA

Abstract

Task: Oral diseases are prevalent worldwide. Children from the families with low economic capacity are particularly vulnerable to this group of diseases. Planning dental care is impossible without studying the intensity and prevalence of dental diseases. The aim of the research is to study the oral health condition in a contingent of children with different social status in Georgia. Methods: During the study was selected a prospectus, cross-sectional study through the direct consultation. Children and adolescents deprived of care included within the leaving prevention and deinstitutionalization process are the subjects of study. Target population was studied in 10 facilities located in Tbilisi, Rustavi, Kutaisi, Batumi, Martkopi, Norio (276 beneciaries). And control population was studied in secondary education institutions of Tbilisi, Rustavi, Chiatura, Kutaisi and Poti (276 students). The contingent studied was divided into two age groups - the study and control group: children and adolescents aged 6-13 and 13-18. Age and gender distribution were similar to the group of target children. The results obtained were recorded in the medical and dental cards, where information on the following variables was lled: name of the institution; social status of the object; age; sex; oral hygiene index; caries intensity (DMFT index); prevalence of caries; BoP index; determination of the teeth with extraction indication; prematurely extracted teeth. The standard software was used for the statistical analysis (SPSS 24). Results: The prevalence rate of caries among the children and adolescents of the target group is 98.9% and in the control group the same rate is 64.8%. The prevalence rate of caries among the female individuals of the target group is 93.4%, and in the female population of the control group is 56.8%. The prevalence rate of caries in the male population of the target group is 97.8%, and in male individuals of the control group it is 69.5%. The prevalence rate of caries among the children of the target group aged 6-13 is 94.2%, and among the children of the control group is 64.6%. The prevalence rate of caries among the adolescents of the target group aged 13-18 is 97.1%, and among the adolescents of the control group is 61.9%. Statistical analysis showed that the DMFT index is signicantly higher by age, gender and region among the children and adolescents of the target group (p<0.001). 40.6% of the study group has very high levels of caries intensity and 13% the has higher level. A different data is among the children and adults of the control group, only 4% has very high level of caries intensity and 2.9% has a high level. Comparing the sex, age and region of the control and target groups showed that the difference between these two groups is statistically signicant, the individuals of the target group have a higher caries intensity than those of the control group (P<0.001). The hygiene index rate of a third of the beneciaries studied is very poor (31.2%), and if poor in 15.2%. Only a fth (19.2%) had a good condition. Comparison of the sex, age and region of the control and target groups showed that the difference between these two groups is statistically signicant, and the individuals from the target group had a poorer oral hygiene index rates than those of the control group (P<0.001). 62% of the target group had no signs of bleeding (0 %), 11.6% in total had a high bleeding rate (25-75% and 75-100%). 96.7% of the control group had no signs of bleeding.15.1% of the study population had a prematurely extradited permanent dentitions and 2% of the control group. 15.7% of the control population had a caries complication of the permanent dentitions and 38.1% of the study population.