Relevance. Dental trauma prevalence is high among children. Treatment of intrusive luxation, where the choice of treatment technique depends on the root formation stage, is of particular interest.Clinical case description. The article presents the treatment results of an 8-year-old patient with mixed dentition. The patient was diagnosed with an intrusive luxation of teeth 1.1, 2.1, soft tissue contusion, and fracture of the maxillary alveolar process.Thirteen days after the injury, we started the orthodontic treatment with a bracket system (ROTH 018 Micro-Sprint) placed on the upper teeth, controlled by cone-beam computed tomography (CBCT). Arches and elastics were consecutively changed during the treatment. In nine and a half months, teeth 1.1 and 2.1 were extruded. Functional and aesthetic parameters were restored. We assessed stability of the obtained result 18 months after the start of orthodontic treatment.Conclusion. The intrusive luxation treatment planning calls for a thorough history and diagnosis data comparison. The choice of non-surgical treatment without tooth extraction requires informing the patient about possible complications, treatment difficulties and long-term follow-up observation. The successful treatment outcome needs comprehensive patient management by a multidisciplinary team of a maxillofacial surgeon, pediatric dentist, orthodontist and other related specialists, if necessary.
Abstract. Despite the decrease in the prevalence and experience of dental caries in 12-year-old children in the Arctic zone of the Russian Federation, the quality of life associated with dental health remains low. Consumption of sweet foods has been reported to be associated with low quality of life. However, associations between nutritional factors and dental caries remain poorly studied in Russia, particularly in the Arctic using the World Health Organization criteria. Aims. To study associations between nutritional risk factors and the prevalence and experience of dental caries among 12-year-old children in Arkhangelsk region using the World Health Organization criteria. Materials and methods. In total, 1162 -year-old children participated in a cross-sectional study using the WHO methodology. Bivariate associations between the frequency of consumption of the studied foods and caries were studied using Pearson's chi-squared tests. Associations between average values of the DMFT index and its components across frequency categories of nutritional factors were assessed by a multivariable Poisson regression. Results.Adolescents drinking soft drinks once a day or more often had significantly more filled teeth than those in the reference group (p=0.003). An inverse association was observed between the frequency of tea/coffee/milk consumption and mean DMFT (p=0.041), which was largely attributed to the differences in the number of filled teeth (p=0.009). The number of filled teeth among those who consumed tee/coffee/milk at least once a day was 8% lower than in the reference group. Conclusion. We observed significant associations between caries experience and consumption of soft drinks and tee/coffee/milk with sugar among adolescents. Measures aimed at reduction of consumption of these items should be included in caries prevention programs. Key words. Dental caries; nutrition; socio-demographic factors; children; Russia; Arctic.
Relevance. Purpose of the study to assess the prevalence of malocclusion and orthodontic treatment needs among 15-year-old adolescents of the Arkhangelsk region.Materials and methods. This cross-sectional study is a part of the Third National dental examination of children and adolescents of the Russian Federation. The sample consisted of 1091 teenagers from 7 urban and 5 rural settlements. The study assessed the prevalence of malocclusion and calculated the Dental Aesthetic Index (DAI) to evaluate orthodontic treatment needs according to the sex and place of residence. The prevalence of malocclusion was presented by proportions with 95 % confidence intervals (CI) calculated by the Wilson method. Categorical variables were compared using Pearson’s chi-squared test. The numeric variables were analyzed by the Mann-Whitney test. Results. The malocclusion prevalence was 67% (95% CI: 64,2–69,8) without sex or location of residence differences. The mean DAI score was 24,0 (95% CI: 23,2–24,8) for the rural and 22,9 (22,5–23,4) for the urban adolescents (p < 0,001). 33,5 % of the 15-year-olds needed orthodontic treatment, with no differences in sex or place of residence. 18,7% of adolescents exhibited overt malocclusion, 9,7% had severe malocclusion, and 5,0% – very severe.Conclusions. The prevalence of malocclusion and orthodontic treatment needs in the Arkhangelsk region remain high. The mean DAI score was higher in rural than in urban adolescents. All the above mentioned indicates the necessity to prevent and timely treat orthodontic pathology in adolescents.
Rationale and aims: Population of the Russian North has high prevalence of both cardiovascular and dental diseases. The Arkhangelsk region was included in the third phase of the multicenter study Epidemiology of cardiovascular diseases in Russian regions (ESSE-RF3). The third ESSE-RF study aims at studying the prevalence of cardiovascular diseases, their biological and behavioral risk factors, and associations with regional economic, climatic, and geographical characteristics. The Arkhangelsk part of the study is unique because it included an assessment of oral health of the ESSE-RF3 study participants, and the oral health study protocol is presented in this paper. Methods: A population-based study was performed from 24 February through 30 June 2021 at the outpatient facility of the Northern State Medical University in Arkhangelsk. A representative sample of 1816 permanent residents of the Arkhangelsk region aged 35-74 years participated in the ESSE-RF3 study. Most of them (84.9%-87.5%) agreed to take part in the oral part of the study. The latter included a questionnaire; collection of saliva and gum fluid; assessment of dental and periodontal health status using a WHO-2013 methodology, oral hygiene, and dental aesthetic index; an orthodontic assessment with periotestometry and a photo protocol. In addition, an in-depth orthodontic study was performed in a sub-sample of the participants aged 35-51 years (N=236) using teleroentgenography, cone-beam computed tomography, and biometrics of plaster models. Expected results and conclusions: The study will assess the prevalence of a wide range of states and conditions related to oral health in a representative sample of the adult population of the Arkhangelsk region in the target age-group using validated international instruments to ensure comparability and reproducibility of the findings. More importantly, the study will assess the associations between various aspects of oral health and cardiovascular diseases, their risk factors as well as regional and behavioral characteristics studied by the main ESSE-RF3 study protocol.
Актуальность. Детский церебральный паралич (ДЦП) является распространенным заболеванием, которое приводит к ранней инвалидизации детей. Данная патология оказывает влияние на стоматологический статус ребенка. Отсутствие ситуационного анализа распространенности зубочелюстных аномалий (ЗЧА) делает невозможным качественное планирование ортодонтической помощи в рамках комплексной реабилитации детей и подростков с ДЦП. Целью статьи является анализ ортодонтического статуса у детей и подростков с ДЦП в городе Архангельске в период временного, сменного и постоянного прикуса, с целью обоснования включения ортодонта в мультидисциплинарную бригаду. Материалы и методы. В 2021 году проведено обследование 110 детей и подростков с диагнозом ДЦП в возрасте от 11 месяцев до 17 лет, находящихся на лечении в ГБУ АО «Архангельский многопрофильный реабилитационный центр». Проведено: стоматологический осмотр, опрос родителей (опекунов) на наличие или отсутствие вредных привычек у детей и подростков, оценка ортодонтического статуса путем объективного обследования и нарушение функций (жевание, глотание, дыхание). Результаты. Распространенность ЗЧА у детей и подростков с ДЦП составляет 100%. Зубочелюстные аномалии выявлены во всех трех периодах формирования прикуса: временном, сменном и постоянном. Для детей и подростков диагностированы: дистальная окклюзия (75,4%), вертикальная резцовая дизокклюзия во временном прикусе (66,6%) и глубокая резцовая окклюзия в постоянном прикусе (60,1%), наличие большой сагиттальной щели (71,8%) и односторонний перекрестный прикус (3,6%). Заключение. На основании полученных результатов предполагается, что стоматологическая патология при спастических формах ДЦП требует переосмысления подходов к профилактике и лечению стоматологических заболеваний, необходимы раннее выявление начальных форм ЗЧА и индивидуальные профилактические мероприятия в системе комплексной лечебно-профилактической помощи.
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