FEATURES OF CONDITION OF PERIODONTAL TISSUES IN DISABLED CHILDREN WITH CENTRAL NERVOUS SYSTEM DISEASES

  • M.A. Gavrilenko Zaporizhzhya State Medical University
Keywords: disabled children with diseases of the Central nervous system complicated caries, low level of oral hygiene.

Abstract

The article presents the results of investigation of condition of periodontal tissues in 98 children with disabilities aged from 2 to 18 years with diseases of the Central nervous system. High prevalence and intensity of diseases of fabrics of parodont.

It is known that the leading cause of periodontal diseases is poor oral hygiene. Periodontal diseases remain among the most common dental diseases. There are a number of modern publications on the treatment of inflammatory and destructive periodontal diseases. But its implementation is impossible in such a category of patients as disabled children with diseases of the central nervous system. Therefore, an important task is the timely prevention of dental diseases in these children.

Aim of the research: to study the dental status in disabled children with central nervous system diseases – to examine the state of oral hygiene; to evaluate the status of periodontal tissues; to study the features of dentoalveolar anomalies.

Materials and methods. 98 disabled children with central nervous system diseases aged from 2 to 18 years were examined. Diagnosis of the underlying disease was established by the neurologist. Children were divided by the age categories accordingly to the periods of teeth development: temporary bite – 2-5 years old (group I, 39 children), changeable bite – 6-10 years old (group II, 31 children), permanent bite – 11-18 years old (group III, 28 children). Condition of periodontal tissues was evaluated on the basis of determination of papillary- marginal-alveolar index (PMA) in the modification of Parma (1960) and communal periodontal index CPI (1998) recommended by the WHO. Oral hygiene was evaluated according to Yu.A. Fedorov and V.V. Volodkina, OHI-S Green and Vermillion. Processing of quantitative indices was carried out using Student's t-test (Р  0,01). Features of dentoalveolar disorders were studied during dental examination without jaws imprinting.

Results. Result of PMA index evaluation showed that the inflammatory process of periodontal tissues is observed in 100% of cases in children of I, II, III groups, light and medium severity of the disease predominates. Evaluating the state of oral hygiene we should note unsatisfactory hygienic condition of the oral cavity in 30% of children, in most of them oral hygiene is bad (33,3%) and very bad (33,3%).

Oral hygiene is good only in 10,25±0,1% of children in group I, and the best one is in children of group II (40,0±0,24%). It is very bad in children of group I – 34,0±0,16% of cases, the situation is better in group II – 14,4±0,76% have a score from 3,5 to 5,0 according to Fedorov-Volodkina. Index evaluation of the state of oral hygiene according to Green-Vermillion also shows that the worst oral health is in children of group I: 42,0±0,62% – very bad, 24,5±0,5% – bad, and only in 2,19±0,16% this index is good.

The prevalence of gingivitis in group I is 58,23±0,2%, in group II – 63,23±0,2%, in group III – 72,12±0,5%.

Mild degree of the disease course in group I is 28,02±0,2%, in group II – 35,9±0,2%, in group III – 17,5±0,3%.

The data of dental survey indicate the early loss of temporary molars (28,2%) and the first permanent molars (8,4% in group II, 14,8% in group III).

Conclusions.

  1. Unsatisfactory oral hygiene is observed in all age groups of the examined children. In group I 32,6±0,16% have 2,6-3,4 points, in group II – 20,0±0,21%, in group III – 18,9±0,9%. Very bad state of oral hygiene is in 34,0±0,16% of group I, 14,4±0,76% of group II, 27,3±0,25% of group III.
  2. The high level of periodontal tissues lesions in temporary and permanent teeth, absence of treatment of these diseases are determined. The prevalence of gingivitis in group I is 58,23±0,2%, in group II – 63,23±0,2%, in group III – 72,12±0,5%.
  3. The problem of early loss of permanent teeth and the need for specialized orthodontic care are established.

Proceeding from this, study of this problem is a topical issue for the identification and development of the complex of medical, rehabilitation and prevention methods to improve dental care for disabled children with the diseases of the central nervous system.

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Published
2018-03-21
How to Cite
Gavrilenko, M. (2018). FEATURES OF CONDITION OF PERIODONTAL TISSUES IN DISABLED CHILDREN WITH CENTRAL NERVOUS SYSTEM DISEASES. Ukrainian Dental Almanac, (1), 62-65. Retrieved from https://dental-almanac.org/index.php/journal/article/view/13
Section
CHILDHOOD STOMATOLOGY