ANALYSIS OF THE STRUCTURE OF DENTAL DISEASE AT THE MILITARY PERSONNEL OF THE CHERNIVTSI GARRISON AND THE NECESSITY OF THE DENTAL HELP

Naumenko K., Belikov A.

DENTISTRY

Scentific article

Dental morbidity among service men of the Armed Forces of Ukraine is an actual and at the same times a problematic issue. The frequency and structure of calls for dental care, the need for treatment among service men of the Chernivtsi garrison are analyzed. Studies were carried out on the basis of reports of outpatient journals of the Chernivtsi military hospital for 2013-2017. It is established that 282 people were on military service under the contract and 110 – conscripts. According to the gender characteristics, there were 380 men and 12 women. In the analysis of outpatient journals, the following trend was established. In 44,89% of cases there were complicated forms of caries, 35,20% of uncomplicated caries, 13,26% of periodontal tissue diseases, 5,35% of deformities and bite anomalies, and only 1.27% of cases – inflammatory diseases of the oral mucosa. The distribution of the need for dental care was also different. The need for therapeutic treatment was 63.25% of calls, in the surgical department – 19.77%, in orthopedic – 15.42% and in orthodontic – 1.56%. Among the military personnel in need of therapeutic treatment, the sharpest forms of periodontitis – 39.11%, acute and chronic middle caries – 35.08%, acute forms of pulpitis – 25.80% had the greatest tendency. While teeth with deep chronic and multiple caries were removed without X-ray control in the form of periodontitis. Among periodontal tissue diseases, periodontitis of the first degree prevailed – 42.30% and the second degree of severity – 36.53%, catarrhal gingivitis – 21.15%, in rare cases, mucosal diseases (meteorological cheilitis, aphthous stomatitis and glossitis). The cause of tooth extraction was complicated forms of caries, which accounted for 75.32% of cases and inflammatory diseases of periodontal tissue – 24.67%. Removal of the destroyed teeth with deep chronic and multiple caries without X-ray control, both in the side and in the frontal area increased the real need for orthopedic treatment. We also found that the increase in the need for orthopedic treatment was dependent on the age category. Thus, the category of servicemen of 19-24 years needed restoration or manufacture of crowns, category 25-30, 30-35 years – crowns and bridges, and category 35 and older – bridges and partial removable dentures. As an exception, for some military personnel of the first age category, due to the large number of removed teeth in the side section, there were restrictions in non-removable structures, which required the manufacture of removable dentures. Also, unfortunately, among the analyzed non-removable orthopedic structures, we did not find any root and in-root inserts. The received data on the state of dental health of servicemen need a targeted approach to the organization of prevention, prevention of complications through sanitation and early prosthetics with the expansion of indications for the use of tabs of various designs according to indications.

servicemen, dental diseases, need for dental care

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«Bulletin of problems biology and medicine» Issue 4 Part 3 (141), 2017 year, 356-359 pages, index UDK 616.31-08-039.71-057.36(477.85)

10.29254/2077–4214–2017–4–3–141–356-359