Вплив профілактичного комплексу на стан гігієни порожнини рота у дітей регіонів із різним умістом фтору в питній воді

Abstract

За підсумками обстеження 120 дітей ( 60 − основна група, 60 − референтна група) у віці 6 років, які проживають у місцевості із різним умістом фтору в питній воді виявлено, що флюороз має перебіг на фоні погіршення стану гігієни порожнини рота. Профілактичний комплекс, який вміщує препарат «Остеовіт» і зубну пасту «Новий жемчуг кальцій» у регіоні з підвищеним умістом фтору в питній воді більш ефективний, ніж той, що передбачає пероральне вживання таблеток гліцерофосфату кальцію, полівітаміни «Ревіт» та аплікації глюконату кальцію. По результатам обследования 120 детей (60 − основная группа, 60 − референтная группа) в возрасте 6 лет, проживающих в местности с разным содержанием фтора в питьевой воде выявлено, что флюороз протекает на фоне ухудшения показателей состояния гигиены полости рта. Профилактический комплекс, который содержит препарат «Остеовит» и зубную пасту «Новый жемчуг кальций» в регионе с повышенным содержанием фтора в питьевой воде более еффективный, чем тот, который предусматривает пероральное употребление таблеток глицерофосфата кальция, поливитамины «Ревит» и апликации глюконата кальция. Dental fluorosis is caused by chronic high-level fluoride exposure during enamel development. Fluorosed teeth may appear mottled, discolored, and porous and may be more susceptible to decay. Fluorosis occurs at any fluoride concentration in drinking water, reaching 25% prevalence at optimal fluoride level (0,7-1,2 mg/l). That's why the fluorosis prevention is an actual problem in regions with different fluoride level in drinking water. And individual oral hygiene is an important part of any preventive stomatological measures. Purpose of the study was examination of preventive complex influence on the oral hygienic index changes in children from regions with different fluoride level in drinking water. 120 children aged 6-7 years were examined, who have lived in Poltava (fluoride content in drinking water 0,85-1,17 mg/l) and in Shishaki (fluoride content was 0,7-3,1 mg/l). Children from both regions were divided on 2 groups – basic and referent (control). Base group has got treatment-preventive complex with drug «Оsteovit» and tooth paste «New zchemchug calcium» for 1 month. Children from referent group have taken inside calcium glycerophosphate tablets, vitamin complex «Revit», and gluconate calcium applications on teeth for 1 month. It has been recommended for parents to choose medium tooth brush with head according to child's age. Dental fluorosis was estimated with WHO classification. Mild fluorosis has prevailed in studying children in Poltava. Moderate fluorosis has prevailed in studying children in Shishaki. Hygienic status has been examinated by Fedorov-Volodkina index. Probability of differences between data was assessed by Student's – Fischer t criterion. Hygienic index before prescription preventive complex was unsatisfactory in both regions and groups. After 1 month preventive complex prescription the hygienic index in basic group was 1,30 ± 0,06 and 1,47 ± 0,05 balls in referent group in Poltava, that means good oral hygiene; in Shishaki it was in basic group 1,54 ± 0,05, and 1,73 ± 0,07 balls in referent group, that means satisfactory oral hygiene level. But after 6 months oral hygiene level has been decreased. In Poltava hygienic index was in basic group 1,69 ± 0,05, and 1,86 ± 0,06 balls in referent group; in Shishaki it was in basic group 1,83 ± 0,05 and 2,03 ± 0,07 balls in referent group. That’s why the prescription of preventive complex was repeated. After 2 times of preventive complex prescription the hygienic index was in basic group 1,50 ± 0,05 and 1,65 ± 0,05 balls in referent group in Poltava, in Shishaki it was in basic group 1,64 ± 0,04 and 1,83 ± 0,04 balls in referent group. Thus, prescription of treatment-preventive complex «Оsteovit» with tooth brushing by paste «Novij zchemchug calcium» has improved oral hygienic level in children of basical and referent group from both regions, that approves high effectiveness of offered measures. It is necessary to study influence of other treatment-preventive complexes on oral hygienic level of children from regions with different fluoride level in drinking water.