THE COMPARISON OF CARIES PREVALENCE IN PERMANENT TEETH IN POLTAVA DEPENDS AT PREVALANCE AND MANIFESTATION OF FLUOROSIS

Kaskova l. f., Amosova l. I., Soloshenko Yu. I., Ulasevych l. P., Morgun N. A.

DENTISTRY

Scentific article

A considerable amount of research has been devoted to the study of the prevalence and intensity of dental caries in regions with different levels of fluoride in drinking water. The authors convincingly proved that in children living in regions with optimal or excessive concentration of this halogen in water, caries rates are significantly lower compared with those of children living in regions with an insufficient amount of fluoride. Along with this, there are actually no studies on the prevalence and intensity of dental caries, depending on the presence of manifestations of fluorosis. The aim of our investigation is to study the prevalence and intensity of caries in permanent teeth of schoolchildren in Poltava, depending on the fluorosis manifestation. To solve this problem it was a study of 7-, 8-, 9-, 12-, and 17-years-old students in secondary schools of Poltava (1214 people). All surveyed were divided into three age groups: 7 – 9-years-old, 12-years and 17-years-old. Each age group of students consisted of two subgroups: 1 – Poltava residents without clinical signs of fluorosis; 2 – Poltava residents with fluorosis symptoms on teeth. Results and its discussion. In each age group, the children of the second subgroup had a lower incidence. The prevalence of caries in them, compared with the children of the first subgroup, was significantly less by 5% in 7 – 9 years and by 12% – at 17 years. The intensity of caries was significantly below in 2,3 times and by 2,5 times respectively. School children of 12 years haven’t significant difference caries prevalence and intensity depending on the manifestations of fluorosis on the teeth (p> 0,05). Analysis of caries depending on the age showed that in the first subgroup examined that the prevalence of dental caries in 7 – 9 years was 9,42%, is likely to increase by 52% to 12 years and by 21% – from 12 to 17 years. The intensity of caries in 7 – 9 years was 0,16, significantly increased in 8 times up to 12 years and 2,2 times – from 12 to 17 years. Among children, the second subgroup likely increase in the prevalence of dental caries was 50% from 7 – 9 to 12 years and 16% – from 12 to 17 years. The intensity of caries from 7 – 9 to 12 years was significantly increased by 16 times. Between students of 12 and 17 years old we didn’t found a significant difference of intensity of caries (p> 0.05). Analysis of the relationship of caries manifestations of the presence of fluorosis showed a significant difference between the prevalence and intensity of caries in permanent teeth in 7 – 9 years old and 17 years old schoolchildren and led to the conclusion that after 12 years the intensity of caries of permanent teeth in children with manifestations of fluorosis grows very slowly. Conclusions. In the area of endemic fluorosis, the prevention of caries of permanent teeth should first of all be carried out for those children whose fluorosis is not diagnosed.

children, caries, permanent teeth, prevention, fluorosis

1. Kasʹkova LF, Popyk KM, Ulasevych LP. Kharakterystyka karioznykh urazhenʹ postiynykh zubiv u ditey, yaki navchayutʹsya v pochatkoviy shkoli. Visnyk problem biolohiyi i medytsyny. 2018;2(144):366-9. [in Ukrainian].
2. Smolyar NI, Bezvushko EV. Analiz zahvoryuvanosti na kariyes zubiv u ditej Lvivskoy oblasti. Lvivskyj klinichnyj visnyk. 2013;2(2):56-60. [in Ukrainian].
3. Grebnâk MP, Fedorčenko RA. Prognozuvannâ vplivu atmosfernogo zabrudnennâ na zahvorûvanìstʹ naselennâ ìndustrìalʹnogo mìsta. Dovkìllâ ì zdorovʼâ. 2016;2:30-4. [in Ukrainian].
4. Lučinsʹkij MA. Vpliv nespriâtlivih ekologìčnih činnikìv na stan stomatologìčnogo zdorovʼâ dìtej (oglâd lìteraturi). Ukraіnsʹkij stomatologìčnij alʹmanah. 2015;6:76-81. [in Ukrainian].
5. Savilov ED, Anganova EV, Ilʹina SV, Stepanenko LA. Tehnogennoe zagrâznenie okružaûŝej sredy i zdorovʹe naseleniâ: analiz situaciy i prognoz. Gigiena i sanitariâ. 2016;6(95):507-12. [in Russiаn].
6. Savychuk OV, Nemyrovych YuP, Holubieva IM. Dynamika stanu tverdykh tkanyn zubiv u dytiachoho naselennia ekolohichno nespryiatlyvykh rehioniv. Profilaktychna ta dytiacha stomatolohiia. 2012;1(6):33-5. [in Ukrainian].
7. Okunev VN, Smolyar VI, Lavrushenko LF. Patogenez, profilaktika i lecheniye ftoristoy intoksikatsii. K.: Zdorov’ya, 1987. 152 s. [in Russiаn].
8. Bauman SS, Turčìna KV, Mosìênko AS, Padalka AÌ, Šešukova OV. Porìvnâlʹna ocìnka uraženostì karìêsom zubìv dìtej m. Poltavа. Vìsnik problem bìologìі ì medicini. 2017;3;2(138):165-8. [in Ukrainian].
9. Sheshukova OV. Pokaznyky kariesu v ditey organizovanykh kolektyviv m. Poltava za n1994-2014 roky. Innovatsii v stomatologii. 2015;2:52-4. [in Ukrainian].
10. Polìŝuk TV. Analìz uraženostì karìêsom zubìv dìtej ta pìdlìtkìv m. Poltava. Aktualʹnì problemi sučasnoі medicini: Vìsnik UMSA. 2014;4(48):23-5. [in Ukrainian].
11. Khomenko LO, Ostapko OI, Holubieva IM, Voievoda OO. Profilaktychna stratehiia zberezhennia stomatolohichnoho zdorovia u ditei molodshoho shkilnoho viku. Skhidnoievropeiskyi zhurnal hromadskoho zdorovia. 2013;1(21):269-70. [in Ukrainian].

«Bulletin of problems biology and medicine» Issue 4 part 1 (146), 2018 year, 267-269 pages, index UDK 616.314-002.4-06;616-003.663.4]-053.2(477.53-25)

10.29254/2077-4214-2018-4-1-146-267-269