THE ROLE OF SCREENINGS IN PEDIATRIC ORTHOPEDIC AND DENTAL PATHOLOGY DIAGNOSTICS

Lytovchenko S. O., Pelypenko O. V., Malyk S. V., Berezan O. I., Liublinska I. O.

CLINICAL AND EXPERIMENTAL MEDICINE

Scentific article

Introduction. Early diagnosis is extremely important for conservative treatment of both orthopedic and orthodontic pathology in children. Organization of preventive examinations or screenings is one of the tools that allows to achieve early detection of pathology. Purpose: to determine the peculiarities of conducting preventive orthopedic examinations of children and to investigate the prevalence of dysgnathia in children with pathology of the musculoskeletal system, in particular in children with scoliosis and flat feet. Materials and methods. During the study, 424 children aged 5 to 17 years (189 girls (44.6%) and 235 boys (55.4%)) underwent clinical orthopedic examination and dental examination and analysis of medical records to determine risk factors for dysgnathia and the presence of malocclusions in a child. For diagnosis, in addition to general examination methods, scoliometry and Foot posture index-6 (FPI-6) were used. Data processing was carried out using Microsoft Excel software, for analysis we used the Pearson correlation criteria. Results. Analysis of the number of children who underwent orthopedic evaluation depending on age revealed a significant decrease in the groups of 8-10 years and 11-13 years, compared to the groups of 5-7 years and 14-17 years (137 and 287 children, respectively). Also, the obtained data showed a correlation between the presence of scoliosis and the presence of dysgnathia. The number of children with malocclusion among children with scoliosis was higher than among children without it (68% vs. 54.7% (p=0.04), respectively). Conclusions. Despite the importance of orthopedic examination at the age of 8-13, the number of children who underwent orthopedic examination at this age was the smallest. Given the revealed correlation between malocclusion and scoliosis, it can be assumed that the diagnosis of one condition can increase the frequency of early detection of the other, however, the issue of comorbidity of dysgnathia and pathology of the musculoskeletal system requires further research taking into account qualitative evaluation of deformities.

comorbidity,screening,traumatology and orthopedics,orthodontics,musculoskeletal system,dentognathic system,malocclusion

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«Bulletin of problems biology and medicine» Issue 1 (168), 2023 year, 200-206 pages, index UDK (616.718+616.716)-071-053.2

10.29254/2077-4214-2023-1-168-200-206