The Evaluation of Changes in Clinical and Laboratory Parameters of Oral Homeostasis in the Treatment of Initial Caries of Tooth Enamel in Children With Compensated Form of Caries

Subject. Oral fluid plays a crucial role in maintaining the physiological balance of the processes of remineralization and demineralization in tooth enamel, especially in childhood. The mineralization and demineralization of tooth enamel depend on the mineralizing potential of the oral fluid, which is associated with the concentration of calcium ions and phosphate ions in the oral fluid at a certain pH of the medium. Today, the description of the morphology of crystals is reduced mainly to a qualitative assessment. This is inconvenient due to subjectivity in data processing. The goal is to increase the accuracy and objectivity of diagnosing the level of mineralizing potential of the oral fluid by quantifying the type of saliva microcrystallization and expand the ability to diagnose the risk of developing and exacerbating the degree of activity of the carious process in a pediatric dentistry clinic. Methodology. The research material was human saliva, which was taken in the morning, on an empty stomach, before brushing your teeth in a sterile test tube with a tight-fitting lid. Results. The results of the studies revealed statistically significant differences in the periodicity parameters with respect to type III saliva microcrystallization (p <0.001), in which the mineralizing potential of the oral fluid is less favorable for the optimal level of ion exchange between the oral fluid and the tooth enamel surface during the maturation period of the child’s dental hard tissues. Suggested technique determining a periodicity parameter characterizing the quantitative difference in the types of saliva microcrystallization can be used To assess the level of mineralizing potential oral fluid. Conclusions. The study allows to increase the accuracy and objectivity of diagnosing the level of mineralizing potential of the oral fluid by quantifying the type of microcrystallization of saliva and expands the possibility of diagnosing the risk of developing and exacerbating the degree of activity of the carious process in the clinic of pediatric dentistry.

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Quantitative Assessment of the Level of Mineralizing Potential of Oral Fluid in Children

Skripkina

Екимов

Nikitin

et al. 2020

Actual Problems in Dentistry

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Comparative Assessment of Individual Parameters of Biological Maturity in Preschool Children of Omsk, Taking Into Account the Dental

Skripkina

Garifullina

Екимов

et al. 2021

Actual Problems in Dentistry

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Subject. The child's development process takes place in stages. At the age of 4 to 6 years, children have the first growth spurt, as a result of which the trunk and limbs increase in length. This manifests itself in the appearance of the ability to perform the Philippine Test. The beginning of the change of teeth, the order and rate of teething are important indicators of biological maturation and harmonious development of the child's body. The lack of a standardized integrated approach among specialists of various profiles in determining the correspondence of the chronological age to the biological age of each examined child dictates the need to develop and apply in practice a universal test, taking into account the dental status of the patient living in a certain geographical region. Background. The aim is to comprehensively assess the parameters of biological maturity of preschool children (5 and 6 years old) in the city of Omsk, taking into account the dental status. Methodology. The study involved 5 and 6-year-old children attending the Omsk pre-school, 55 of them boys and 46 girls-a total of 101 children. The children were divided according to odontological characteristics into three groups. The first group ― children whose number of available teeth corresponds to the terms of eruption according to Kolesov A. A. (1985); the second group ― children who have advanced terms of teething; the third group ― children whose terms of eruption lag behind the above terms. Results. An interdisciplinary approach is needed, aimed at the timely diagnosis of mineral metabolism disorders in children and the appointment of an adequate set of preventive and therapeutic measures. Findings. The established dissonance of the studied parameters of the biological maturity of the child dictates the need for a comprehensive approach to the planned medical examination of preschool children in order to determine the biological maturity of the child, taking into account the dental status of the growing organism.

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Fissure Caries: Diagnostic Aspects of Curation in the School Dental Office

Muratova¹,

Ismagilov

Statseva

et al. 2020

Actual Problems in Dentistry

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Subject. The problem of fissure caries remains one of the key in modern cariesology. For individual prevention, the most effective is the method of sealing fissures and fossae of the surface of the teeth. By sealing (sealing) fissures, the creation of a physical barrier for cariogenic factors and microbial plaque, remineralization of hard tooth tissues is achieved. The goal is to evaluate the effectiveness of fissure sealing in 9-year-old children living in Kazan. Methodology. The study was conducted using the clinical method and statistical analysis of the data. In total, 137 children aged 9 years old, studying in the third grades of the gymnasium No. 102 of Kazan, took part in it. The main group included 82 schoolchildren who performed non-invasive fissure sealing (the first permanent molars) with UltraSeal XT plus sealant, the comparison group consisted of 55 students who did not have fissure sealing. Results. After 12 months, out of 165 teeth previously coated with sealant, sealant on 95 teeth was completely preserved (57.6 % of cases), sealant fell out or partially retained (tooth is intact) in 36.4 %, fissure caries at the place of sealant was detected in 6.1 % The effectiveness of fissure sealing, which consists in maintaining a healthy masticatory surface of hard tooth tissues, after 12 months of follow-up was 91.9 % with a reduction of caries of 76.7 %. A comparison of the data clearly showed that the condition of the first molars, which was used to seal the fissures, allows us to talk about the preservation of intact fissures in 88 % of cases, while 56 % of unsealed molars are prone to caries of fissures and only 44 % remain intact after a year. Conclusions. A clinical study confirms that sealing fissures is a reliable and reasonable method for the prevention of fissure caries.

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The Evaluation of Changes in Clinical and Laboratory Parameters of Oral Homeostasis in the Treatment of Initial Caries of Tooth Enamel in Children With Compensated Form of Caries

Cited by 3 publications

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Quantitative Assessment of the Level of Mineralizing Potential of Oral Fluid in Children

Quantitative Assessment of the Level of Mineralizing Potential of Oral Fluid in Children

Comparative Assessment of Individual Parameters of Biological Maturity in Preschool Children of Omsk, Taking Into Account the Dental

Fissure Caries: Diagnostic Aspects of Curation in the School Dental Office

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