The need for treatment of complicated caries of deciduous teeth in children

Abstract

Aim. To determine the role of complications of caries of deciduous teeth in the structure of pathology of hard dental tissues. Methods. Conducted was a dental examination and treatment of 1016 children aged 1 to 9 years who were treated at the children’s dental clinic. Results. The overall prevalence of caries was 78.64%, the need for treatment was - 73.82%. Complications of dental caries were found in 60.83% of cases. 55.21% of children had temporary tooth pulpitis, 41.24% - had a diagnosis of «periodontitis». Premature removal of deciduous teeth was performed in 12.11% of cases. At an early age (1-3 years) 47.35% of the children were registered as having affected deciduous teeth, almost half of them had teeth with complicated dental caries (20.0%). In children of preschool age (4-6 years) the prevalence of caries disease was 92.17%, and complications of caries were diagnosed in 78.80% of cases. In the group of primary school children (7-9 years) the proportion of children with affected temporary teeth was 98.34%. 86.77% of children had deciduous teeth with complications of caries. Every child who comes to children’s dentist at an early age, already has an average of 2.33 affected teeth, in the preschool age - 4.8 teeth, in the primary school years - 5.02 affected deciduous teeth. In evaluating the intensity of dental caries it was established that each child had on average 1.96 teeth with uncomplicated caries and 2.08 teeth with caries complications. Treatment or retreatment was necessary in 70.69% of cases of affected teeth, of them uncomplicated caries accounted for 35.96%. Conclusion. Revealed was a high prevalence and need for treatment of complicated caries of deciduous teeth starting from an early age.