The influence of the psychoemotional state of children aged 6—12 years with dental anomalies on the effectiveness of orthodontic treatment

Abstract

The influence of the psychoemotional state of children 6—12 years old with dental anomalies on the effectiveness of orthodontic treatmentresume. The article is devoted to the study of the influence of the psychoemotional state of children 6—12 years old with dental anomalies on the effectiveness of orthodontic treatment. Orthodontic treatment was performed in 122 patients aged 6—12 years. The psychoemotional state of the children was determined by the questionnaire of G.P. Lavrentieva and T.M. Titarenko. To assess the dental status of children, the Green-Vermillion hygiene index was determined in dynamics (Green, Vermillion, 1964). The microflora of the oral cavity was studied by mass spectrometry of microbial markers. The reasons affecting the psychoemotional state of the child and the factors that increase anxiety were analyzed. Prolonged wearing of an orthodontic device, the difficulty of maintaining hygiene contributed to the fact that after 4 weeks there was a significant deterioration in oral hygiene, a decrease in the number of children with good and satisfying and an increase — with an unsatisfactory and poor level of hygiene. It was found that the psycho-emotional state of children contributes to the violation of individual oral hygiene and changes the microbiota of the oral cavity. There was an increase in the total content of microorganisms 2—4 times compared to the norm due to an increase in the number of pathogenic and conditionally pathogenic microorganisms. Treatment of anxious children is accompanied by increased stress for clinicians, working with such patients is always associated with an increase in the duration of treatment and other difficulties, which reduces the effectiveness of treatment. Specific recommendations formulated by the authors on the management of patients are given, taking into account their psycho-emotional state.