COMPLEX ANALYSIS OF DENTAL STATUS IN CHILDREN WITH ALLERGIC DISEASES
The article presents data on the complex analysis of the dental status of 126 children with asthma, allergic rhinitis and atopic dermatitis. Allergic diseases are an important problem of modern medicine because sensitization of adult and child population is growing. In Ukraine, the frequency of allergic diseases has been increased in 1.5 times for the last 5 years.
The aim of this study is a complex study of the dental status of children with asthma, allergic rhinitis and atopic dermatitis. Analysis of decay intensity, the state of periodontal tissues and hygiene status has been made in accordance with the existing somatic pathology and age group.
The high prevalence of inflammatory periodontal diseases, an unsatisfactory level of hygiene among all surveyed groups of children and the average intensity of caries in children with asthma and a high level among children with allergic rhinitis and atopic dermatitis has been observed. Analysis of the data has shown that the decay intensity is increasing due to the age in all groups, but children with allergic rhinitis are most prone to dental hard tissues damage.
Among children with asthma, periodontal disease was detected in 76.8% of cases. In most cases generalized gingivitis (62.4%) was diagnosed, the localized form was diagnosed only in 37.6% of cases.
Among children with atopic dermatitis, periodontal disease was detected in 71.6% of cases. Results of clinical examination have shown that bleeding gums has been observed in 48.3% of children, dental calculus − in 23.3% of children. The most widespread form of gum inflammation is generalized gingivitis (58.2%), localized gingivitis has been diagnosed in 41.8% of cases.
In children with allergic rhinitis, periodontal diseases were found most frequently among all groups of children with atopic conditions − in 78.8% of patients. Results of clinical examination have showen that bleeding gums has been observed in 48.3% of children, dental calculus − in 23.3% of children. Catarrhal gingivitis has been defined the most common form of inflammatory periodontal disease − in 74.6% of cases, hypertrophic gingivitis has been found in 24.4% of cases; the prevalence of generalized gingivitis process has prevailed in 59.6% of the surveyed children.
To assess the state of oral hygiene in children with allergic diseases the comparative analysis has been made using the index evaluation. Analysis of the data has shown a poor level of hygiene in all age groups. The best level of hygiene has been observed in 5-6-year-old children with atopic dermatitis (1.88 ± 0.29), the worst level of hygiene − in children with allergic rhinitis (2.28 ± 0.34).
The data have shown certain changes of the dental status of children with asthma, allergic rhinitis and atopic dermatitis. The dental examination has led to the conclusion that all examined children are affected with inflammatory diseases of periodontal tissues and have an unsatisfactory oral hygiene level. Children with asthma have the average intensity of caries and it’s high in children with allergic rhinitis and atopic dermatitis.
Perspectives for future research are establishing the correlation between dental status, immune status, existing co-morbidities and developing adequate methods of prevention and treatment of dental diseases among this group of children.
2. Ласиця О. Л. Алергологія дитячого віку: навч.- метод. посіб. для студ. вищ. мед. навч. закл. III – IV рівнів акредитації та лікарів-інтернів / О. Л. Ласиця, Т. С. Ласиця, С. М. Недельська. – К. : Кн. плюс, 2004. – 368 c.
3. Глобальная стратегия лечения и профилактики бронхиальной астмы; под ред. А.Г. Чучалина. – М.: Издательский дом «Атмосфера», 2011. – 160 с.
4. Забелина Н.А. Скорость слюноотделения и некоторые параметры ротовой жидкости у детей, больных аллергодерматозами / Н.А. Забелина // Современная стоматология. – 2000. - №1. – С.32—33.