Relationship between idiopathic scoliosis of the spine and dentognathic anomalies in adolescents.

OBJECTIVE: Introduction: According to the data of the national statistics, the disease of the musculoskeletal system among the teenagers takes the third place among the main types of diseases. So, we decided to analyze and study the connection between the idiopathic scoliosis of the spine and dentognathic anomalies in children aged 12-15 years old in Uzhhorod (Ukraine). The aim: To determine the characteristic violations of the dentognathic system in adolescents with idiopathic scoliosis of the spine, taking into account the anatomical type of lesion. PATIENTS AND METHODS: Materials and methods: 225 people were examined, including 190 girls and 35 boys. All patients were under the control of an orthopedic physician. RESULTS: Results: The most common type of scoliosis is found to be thoracolumbar, which is noted in 114 patients. As a result of analysis it was found that the most characteristic disorders of the dentognathic system in patients with thoracolumbar scoliosis were distal bite (80 ± 2.0%), sagittal gap (37.5 ± 2.1%), deep bite (22.5 ± 2.3%). In the group of healthy children, without scoliosis, the prevalence of dentognathic anomalies is 2.6 times lower than in patients with idiopathic adolescent scoliosis. CONCLUSION: Conclusions: Regardless of the localization of deformation in the spine under scoliosis, all the groups of patients are characterized by the following signs: sagittal gap, shortening of the upper dentition, distal bite, crowding of the teeth on the lower jaw.

Socio-psychological aspects in the prevention of dental diseases.

OBJECTIVE: Introduction: Measures to prevent dental diseases are included in the list of medical care provided by dentists. Modern socio-economic transformations, including in health care, have contributed to the gradual evolution of the patient from the recipient of medical care to the consumer of services. The aim: To study the position of patients regarding the need and effectiveness of preventive dental care. PATIENTS AND METHODS: Materials and methods: Study was conducted among 310 patients who were admitted in various municipal and state medical institutions, dental clinics and private dental offices in Uzhhorod. The average age of respondents is 26 years. The survey was conducted using questionnaires. RESULTS: Results: 90% of respondents are willing to pay for dental treatment based on the use of innovative technologies; 64% of people refer to paid services aesthetic therapeutic treatment; 87% of patients agree to pay for orthopedic treatment and 48% - for surgical intervention. Only 16% of respondents consider additional professional hygiene services and ready to pay for it themselves. Survey data show that 43.2% of patients give a doctor the main role in the treatment process. 42.8% of respondents need medical help in the form of advice or counseling for a decision on treatment. 14% of patients prefer to choose their own medical care and control the treatment. CONCLUSION: Conclusions: Dental prophylactic measures that are implemented in the practice of regulating social and labor relations, the presence of relationships between the physician and the patient develop by socio-psychological laws.

Prevention of main dental diseases in children using herbal tea «dentesvita¼

Introduction: Transcarpathian region refers to the climate-geographic zone with a low level of fluoride and iodine in the environment and as shown by the epidemiological survey «very high¼ according to WHO criteria for the level of intensity of main dental diseases. With the purpose of directing the implementation of the state policy in the field of health care and for the prevention of dental diseases, the industrial release of a functional food product - «DentesVita¼ enriched with iodine and fluorine - has been adjusted. The aim: Was to study the effectiveness of the use of functional food product - DentesVita for the prevention of dental caries in children. Material and methods: A comprehensive dental examination of 180 children of 12 years of age has been carried out: 60 of them in each of the climatic and geographical zones of Transcarpathia: plain, foothills and mountains. The intensity of caries according to the DMF index, increase of intensity was determined. A simplified hygiene index (OHI-S) was used to assess the hygienic state of the oral cavity. Carried out research on the mineralization potential of saliva. Results: The growth of caries in children of the main group of the plain zone was 1.8 times smaller, and in the foothills and mountains 1.6 times smaller than the similar rates of control group children (p <0.05). The caries prophylactic effect at that was among schoolchildren in the plain zone: 43.48%, foothill - 38.66%, and mountainous - 23.53%. Conclusions: These studies confirm the effectiveness of using «DentesVita¼ for the prevention of dental caries in children living in conditions of biogeochemical deficiency of fluorine and iodine on the basis of caries intensity growth indexes, hygienic indexes of the oral cavity and mineralizing ability of oral liquid.