Regional and age-related features of the prevalence and structure of dental anomalies in children of the Krasnodar region

Voskanyan, Amalia; Ayupova, F.S.

doi:10.35556/idr-2021-4(97)21-23

Cited by 2 publications

(1 citation statement)

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“…Прогнозирование развития ЗЧС у детей представляет собой актуальную медико-социальную проблему, поскольку наличие прогноза развития ЗЧС у детей с ЗЧА позволит повысить эффективность вторичной профилактики тяжелых ЗЧА. Как показывают данные эпидемиологических исследований, в России с возрастом наблюдается как рост распространенности ЗЧА: 1-3 года -33%; 4-6 лет -56-71%; 7-15 лет -65-89% [1], так и рост их тяжести [2][3][4]. Для построения прогностических моделей в медицине хорошо себя зарекомендовали методы машинного обучения.…”

Section: актуальностьunclassified

Predicting early orthodontic treatment results and development of the dentofacial system without orthodontic treatment in 3-12-year-old children

Shishmareva,

Bimbas,

Limanovskaya

2023

jour

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Relevance. Prognosis of the dentofacial system (DS) development in children with dentofacial deformities (DD) is an urgent medical and social problem since the prognosis of the DS development will allow timely prescription and provision of adequate therapy, which will significantly reduce the risks of severe DD development in children. Machine learning methods have proven to be a reliable tool for predicting a patient's health status and evaluating the effectiveness of treatment methods. Therefore, it seems interesting to use this modern toolkit to build predictive models that allow us to assess the change in the condition of DS in children with DD after orthodontic treatment (OT) at different ages or without OT.Purpose. The study aimed to build a set of predictive models for assessing the severity of the dentofacial system condition in 3.5-4-year-old children after and without orthodontic treatment.Material and methods. The study used the data on the DS of children aged 3-5 years (n=50), 6-9 years (n=100), 10-12 years (n=100) and 13-17 years (n =100). The author's program was developed in Python 3.11 using the sklearn, pandas, and xgb libraries in Anaconda to build the predictive models.Results. We developed nine models of the DS condition in children aged 3-12 years, three of which make predictions for the DS development after the OT (one - in the group of 3 – 5-year-old children, the second – in the group of 6 – 9-year-old children and the third – in the group of 10 – 12-year-olds) and six models predict the development of the DS without OT. Three out of 6 models predict DS development without OT at 3-5 years: the first makes a prediction of the DS condition for 6-9 year-olds; the second – for 10-12 year-olds; the third – for 13-17-year-olds. The accuracy of the models ranges from 82 to 86%. Two models out of 6 predict the DS development for children with DD who did not receive OT at 6-9 years old: one – at 10-12 years old, the second – at 13-17 years old. The accuracy of the models ranges from 92 to 97%. The sixth model makes predictions of the DS condition in children aged 13-17 years who did not receive OT at the age of 10-12 years. The accuracy of the model is 94%. In addition, we built three models that predict the DS condition in 3.5-4 years after the OT: the first model predicts for 3–5-year-old children; the second – for 6–9-year-olds; and the third - for children of 10–12 years old. The accuracy of the models ranges from 82 to 90%.Conclusion. All obtained models will be used to build a web application for predicting the DS state severity in children after the orthodontic treatment and without the latter.

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Section: актуальностьunclassified

Predicting early orthodontic treatment results and development of the dentofacial system without orthodontic treatment in 3-12-year-old children

Shishmareva,

Bimbas,

Limanovskaya

2023

jour

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The concept of preventive care in the pediatric population with risk factors for the malocclusion development and prevention of severe malocclusion in children aged 3-12 years old

Shishmareva

Бимбас

2023

jour

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Relevance. Malocclusion prevention in Russian children is an urgent medical and social problem. The results of Russian epidemiological studies show malocclusion prevalence and severity increase in children with age. Postgrowth orthodontic treatment is costly and often inaccessible for the most population. In the current situation, malocclusion prevention organization in children is one of the most important tasks of public healthcare.Purpose. To propose and substantiate a new model for the prevention of severe malocclusion in children.Materials and methods. We have created a new conceptual model for the prevention of severe malocclusion in children to develop a methodology that provides unified approaches to malocclusion prevention.Results. The model involves the construction of a two-level system of pediatric preventive care based in the city, municipal multidisciplinary dental clinics. The model novelty is determined by the new concept of the primary prevention of malocclusion and early orthodontic treatment (EOT) processes to prevent severe malocclusion (secondary prevention) as a single system that provides a positive result in maxillofacial development in children. The introduction of a pediatric dentist as an operator and a coordinator of the prevention program implementation into the structure of preventive care for children's malocclusion determines the novelty of the prevention system conceptual model. The proposed conceptual model prioritizes an orthodontist who provides secondary prevention of severe malocclusion by early orthodontic treatment (EOT) to children during the growth and development of malocclusions. The introduction of a malocclusion assessment to identify the EOT need score also determines the novelty of the malocclusion secondary prevention subsystem. The model places a high value on the management function/ management issues. Severe malocclusion prevention program implementation in children requires changing the paradigm of doctors, namely, pediatric dentists and orthodontists.Conclusion. The presented concept of the two-level malocclusion prevention organization (primary prevention of malocclusion in toddlers and preschoolers and secondary prevention of severe malocclusion by EOT in children aged 3-12 years) will allow for the reduction of the number of severe malocclusions during dental and facial development and for the need of complex treatment at later stages, will contribute to children health preservation, their social adaptation and the child and family quality of life increase.

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Regional and age-related features of the prevalence and structure of dental anomalies in children of the Krasnodar region

Cited by 2 publications

References 0 publications

Predicting early orthodontic treatment results and development of the dentofacial system without orthodontic treatment in 3-12-year-old children

Predicting early orthodontic treatment results and development of the dentofacial system without orthodontic treatment in 3-12-year-old children

The concept of preventive care in the pediatric population with risk factors for the malocclusion development and prevention of severe malocclusion in children aged 3-12 years old

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