CHANGE INDICATORS OF CARIES OF TEMPORARY TEETH, TAKING INTO ACCOUNT THEIR ODONTOGLYPHICS AND METHOD OF PREVENTION CARRIED OUT

Kaskova L. F., Sadovski M. O.

DENTISTRY

Scentific article

Dental caries is the most common oral disease worldwide. According to WHO estimates, in Europe from 20 to 90% of children aged 6 years have this disease, therefore its prevention is definitely the most important task of modern pediatric dentistry. The use of fluorides has been recognized as the main factor responsible for the decline in caries prevalence in recent decades. As confirmed by numerous studies by scientists, sealing of molar fissures and deep fluoridation are methods that have an undeniable caries-preventive effect. The American Academy of Pediatric Dentistry (AAPD) stated that fissure sealants reduce tooth decay by 76%. The method of deep fluoridation, in contrast to classic fluoridation of enamel, makes it possible to create a depot of fluoride crystals, which for a long time constantly release fluoride ions in a concentration sufficient for remineralization. The purpose of our study was to study the impact of sealing fissures of temporary molars on caries indicators, taking into account their odontoglyphics of the occlusal surface, as a risk factor for caries. 60 children from the age of 3 to 5 were under our observation for 2 years, who were divided into 3 groups according to the preventive measures taken. During the examination of the comparison groups, the effectiveness of various prevention methods was established. In the temporary mandibular and maxillary molars, the types of occlusal surface that have a more complex pattern are more common. They have 4-6 cusps, pits and duplicating and transverse fissures, which creates an environment for the accumulation of food residues, dental layers and leads to the occurrence of a carious process in the tooth. Carrying out preventive measures in children of different observation groups proved that the most effective method of preventing caries of temporary molars is sealing, which makes it possible to isolate the tooth from the action of external factors and promote the mineralization of its hard tissues under the influence of fluorides, which diffuses from glass ionomer cement.

caries,temporary molars,odontoglyphics of the occlusal surface,sealing

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«Bulletin of problems biology and medicine» Issue 1 (168), 2023 year, 405-411 pages, index UDK 616.314-002-053.2-084

10.29254/2077-4214-2023-1-168-405-411