Показники тестів емалевої резистентності та клінічного визначення швидкості ремінералізації емалі в дітей, які часто хворіють на ГРВІ

Abstract

Високий рівень поширеності й інтенсивності карієсу серед дитячого населення нашої держави - одна з найактуальніших проблем сучасної дитячої стоматології. Особливу увагу слід приділити профілактиці карієсу при різних соматичних хворобах, зокрема при гострих респіраторно-вірусних інфекціях. Вивчення показників емалевої резистентності в дітей 6-7 років показало, що найгірший досліджуваний показник як за ТЕР-тестом, так і за тестом КВШРЕ був у дітей 7 років, які часто хворіють на ГРВІ, а найкращий - у практично здорових дітей 6 років. Загалом практично здорові діти мали вірогідно кращі показники гігієни ротової порожнини, ніж діти, які часто хворіють на ГРВІ. Тому цілком доцільним є розроблення лікувально-профілактичних заходів для часто хворіючих дітей; Высокий уровень распространенности и интенсивности кариеса среди детского населения нашего государства является одной из актуальнейших проблем современной детской стоматологии. Особое внимание следует уделить профилактике кариеса при различных соматических болезнях, в частности при острых респираторно-вирусных инфекциях. Изучение показателей эмалевой резистентности у детей 6-7 лет показало, что худший исследуемый показатель как ТЕР-теста, так и теста КОШРЭ был у детей 7 лет, часто болеющих ОРВИ, а лучший - у практически здоровых детей 6 лет. Практически здоровые дети имели достоверно лучшие показатели гигиены полости рта, чем дети, которые часто болеют ОРВИ. Поэтому вполне целесообразным является разработка лечебно-профилактических мероприятий для часто болеющих детей;The high prevalence and intensity of dental caries among children Ukraine - one of the most urgent problems of modern pediatric dentistry. Preventive examination of children of primary school age show a significant caries temporary and permanent teeth, despite improvement treatments and preventive measures for the implementation of this disease. From the point of view of many authors, increased caries infestation caused by several different factors, including environmental degradation and somatic health of children. In our opinion, somatic state may be the primary factor of dental caries. Still remains unexplored dental status of children, who often suffer from acute respiratory viral infections (ARI), which is one of the central problems of modern medicine, as characterized by a high prevalence of this group of illnesses among adults and among children. Among the diseases that belong to acute respiratory viral infections, the most common colds, exacerbation of chronic nasal infections, bacterial complications of ARVI, influenza. Therefore, in our opinion, the study of the dental status of children, who often suffer from ARVI - a topical issue for the development of methods of prevention activities. The aim was to study the performance of the test enamel resistance (TER) and clinical definition of speed of enamel remineralization (CDSER) in children who often suffer from ARVI. The test enables the resistance of enamel to determine the acid stability enamel caries predict growth in the examined contingent of children, to evaluate the effectiveness of caries preventive means. Results of the study evaluated in points, focusing on the printing scale blue. The clinical definition of speed of enamel remineralization (CDSER-test) (1982). The method is based on determining the resistance of enamel to acids and remineralization properties of saliva. Number of days etched enamel plot loses its ability to be stained, is a digital indicator of resistance to tooth decay. Quantitative indicators are statistically processed by the Student-Fisher (r≤0,01). Data on the incidence of ARVI received from medical records and by interviewing parents via questionnaires. Study parameters enamel resistance in children 6-7 years showed that children who often suffer from ARVI, vulnerable to caries than almost healthy. According to our research worst TER-test in children 7 years of age who are often ill ARVI, - 3,03 ± 0,10 points, and the best in healthy children 6 years old - 2,04 ± 0,05. Significant difference between the average resistance of enamel in children 6-7 years have not seen, but children are often ill with SARS, it was 1.03 times worse, corresponding to average. Significant difference was observed in the group of sickly children. The studied children 7 years old who often suffer from ARVI, have the worst indicators enamel resistance - 3,03 ± 0,10 points, which is significantly higher than in children 6 years of the same group, - 2,71 ± 0,04 points (≤ 0.05). In the group of healthy children significant difference was observed, but the results of the studied parameters were better in 12% of children 6 years of age than 7 years old. Examining performance test CDSER found that the best result was in healthy children 6 years and the worst - in children 7 years of age who are often ill ARVI, - 2,43 ± 0,05 and 3,75 ± 0,10 day respectively (Table. 1). Significant difference among the average speed determining clinical remineralization of enamel in children 6-7 years have not seen, and children frequently ill with ARVI, the figure was 0.8% worse (r≥0,05). Significant difference was observed within each group of children. The studied children 7 years old who often suffer from ARVI, have the worst indicators for enamel resistance test CDSER at 1.21 times than children 6 years of the same group significantly higher (≤0,05). In the group of healthy children observed the same trend: the results of the studied parameters were significantly better in children 6 years of age (2,43 ± 0,05 days) than in the 7- year (3,05 ± 0,15 days). Children often suffer from acute respiratory viral infection have worse indicators enamel resistance than practically healthy children and children in need of attention of a dentist. Particular attention should be paid to preventive measures aimed at increasing the resistance of enamel and prevent tooth decay. Prospects for further research - deeper study of the effectiveness of our proposed use of health-care complex in children who often suffer from acute respiratory viral infections.