Abstract
Purpose. To evaluate the effectiveness of the developed complex measures for the prevention of dental caries in children with infectious mononucleosis.
Materials and methods. To determine the effectiveness of preventive measures over time, 34 children with infectious mononucleosis (main group) and 32 practically healthy children (comparison group) were observed for 2 years. Prevention in the children of the main group was carried out according to the scheme of developed measures, while in the children of the comparison group, it followed regional protocols for providing dental care.
Results. During two years of observation, the intensity of dental caries in children who received the developed preventive complex increased more slowly than in children who received the usual preventive measures. After two years, caries intensity in the children of the main group was 5.23±0.21 teeth, which was 1.13 times less than in the children of the comparison group (5.95±0.27 teeth, p˂0.05). The increase in dental caries intensity in children of the main group during the entire observation period was 1.02±0.12 teeth, which was 1.72 times less than in children who did not receive the developed preventive complex (1.75±0.18 teeth, p˂0.05). After two years, the state of oral hygiene according to the OHI-S index in the children of the main group was assessed as satisfactory (1.63±0.09 points, p˂0.05). However, in children who did not receive the developed therapeutic and preventive measures, the Green-Vermillion index was almost 1.4 times higher than in the main group (2.21±0.07 points, p˂0.05), corresponding to unsatisfactory oral hygiene.
Conclusions. Therefore, two years of observation using the developed preventive complex showed that in children with dental caries and infectious mononucleosis who received preventive measures, there was a decrease in dental caries intensity and an improvement in oral hygiene, indicating the high effectiveness of our proposed preventive algorithm.
Publisher
Ukrainian Medical Stomatological Academy
Reference22 articles.
1. Yanchuk AO, Skyba VIa, Katerynchuk IP, Kuznichenko SO, Skyba OV. Epidemiolohichni doslidzhennia ta monitorinh stomatolohichnoi zakhvoriuvanosti u ditei Ukrainy. Svit medytsyny ta biolohii. 2019;2:154-8. (Ukrainian).
2. Kaskova LF, Mandziuk TB, Ulasevych LP, Andriianova OIu, Yanko NV. Porivnialna kharakterystyka pokaznykiv kariiesu u ditei riznoho shkilnoho viku. Bukovynskyi medychnyi visnyk. 2019;2(23):10-5. (Ukrainian).
3. Hodovanets OI, Kotelban AV, Hrynkevych LH. Poshyrenist ta intensyvnist rannoho dytiachoho kariiesu u ditei. Visnyk stomatolohii. 2021;2(40):59-62. (Ukrainian).
4. Khomenko LO, Ostapko OI, Bidenko NV, Holubieva IM, Voievoda OO, Duda OV. Vplyv stanu orhanizmu na stomatolohichni zakhvoriuvannia u ditei ta pidlitkiv. Medychna nauka Ukrainy. 2016;1-2(12):59-64. (Ukrainian).
5. Smoliar NI, Bodnaruk NI, Lysak TIu, Han IV. Otsinka urazhenosti kariiesom tymchasovykh zubiv u ditei iz somatychnoiu patolohiieiu (ohliad literatury). Ukrainskyi stomatolohichnyi almanakh. 2020;3:53-61. (Ukrainian).