RESULTS OF PREVENTIVE MEASURES IN PRESCHOOL CHILDREN

Abstract

The prevalence and intensity of the carious process increases with age and leads to disorders of the maxillofacial area due to the formation of incorrect functions (chewing, speech) that occur as a result of the destruction and early removal of temporary teeth in children. Filling of molars fissures, which involves isolating the most vulnerable areas of the occlusal surface from the action of external cariogenic factors, occupies a prominent place among various methods of caries prevention in terms of effectiveness. 60 children at the age of 3 year were examined, who were divided into three groups according to the additional preventive measures. In the 3-rd group, the fissures of the temporary molars were filled using glass ionomer cement FUJI TRIAGE (GC, Japan). In the second group, the preventive method was deep fluoridation of temporary molar fissures with the “Emalsealing liquid” (Humanchemie, Germany). First group included control group, whose children were proposed to follow these recommendations regarding individual hygiene and healthy nutrition. The first examination after 6 months revealed that caries appeared in all groups of children, but the rate varied and was the lowest one in the group that underwent fissure filling. After 12, 18 and 24 months, the caries rate increased in each examination group. The greatest increase in caries after 2 years was observed in 1st group, whose children were given recommendations for individual hygiene and healthy nutrition. In group 2, where deep fluoridation was performed, carious teeth were 1.3 times less than in group 1. The lowest rate was found in group 3, where fissures of temporary molars were filled (2.8 times lower than in group 1 and 2.2 times lower than in group 2). The greatest effect of the performed method of prevention was found in group 2, where deep fluoridation was performed, the smallest in group 1. Compared with molars, the filling method was the most effective. Deep fluoridation had some effect compared to group 1, where general measures were prescribed, but it was 2.9 times worse than in the 3rd group.