Scientific Justification and Optimization of System of Rendering the Disease-Prevention Stomatologic Service to the Children's Population in the Conditions of the Far East Region

Abstract

Subject. Complex studying and assessment of influence of potential is carried out risk factors on a secondary dentition of children in the conditions of particular territorial community and also are developed and introduced preventive and improving actions. Work purpose: studying of features of a secondary dentition of children in specific conditions of the habitat for the purpose of development of the priority directions of prophylaxis of violations of health of children and perfecting of methods of rendering the children's stomatologic help. Methodology. Studying of process of a secondary dentition at children of 4,5-11 years of Vladivostok is carried out. The beginning of eruption considered the perforation moment tooth of an alveolar gingiva with exposure of one hillock or cutting edge. Potential risk factors of the period of pregnancy of mother and childbirth, risk factors of the early childhood, social and economic, features of a way of life are studied. By means of the component konfirmatorny analysis identification of relationships of cause and effect in system habitat factors ‒ a secondary dentition is carried out. Results. The early secondary dentition at children is revealed. Signs of sexual dimorphism of an index of a tooth maturity are established. The greatest impact on a secondary dentition is exerted a factor of a delivery of children, by features of a way of life of boys and girls and also a delivery of their mothers during pregnancy. Conclusions. Materials of a research formed the basis of the developed regional standards of a secondary dentition which were introduced in work of the children's stomatologic organizations. The system of preventive actions providing accounting of regional features of a condition of the habitat, living conditions, deliveries is developed and also solves a number of practical problems of perfecting of the principles of medical observation and improvement of children.