STATE
OF THE ORAL CAVITY IN CHILDREN WITH CHRONIC GENERALIZED CATARRHAL GINGIVITIS ON
THE BACKGROUND OF BRONCHIAL ASTHMA
Î. Yu. Poleschuk, I. G. Romanenko, Ê. N. Kaladze
SE «Crimean state medical university named after S. I.
Georgievsky»
Simferopol
Periodontal inflammatory
diseases are not an isolated stomatologic problem, they are closely connected
with changes in other systems. Most often periodontal injuries in children's
and teenager’s age are diagnosed on the background of common somatic pathology. Bronchial asthma is among the most
widespread diseases of children's age and characterized by systemic changes
from an organism.
In patients with bronchial asthma intensity of caries
in the period of a constant occlusion makes 92,9 %, non carious injuries of
teeth is defined in 72,3 % cases, periodontal inflammatory diseases are marked
in 100 % of cases, edematous of tongue in 30 %, petechiae of oral cavity mucous
in 70 %, dryness of lips in 55%.
At periodontal inflammatory
diseases and bronchial asthma the uniform immune-inflammatory character of
emergence, mentioning both an oral cavity and respiratory tracts most likely
takes place.
Results of
epidemiological researches testify that characters of injuries of periodontal
tissues in children appear at enough early age. About 90 % of gingivitis cases
make catarrhal gingivitis. The observable wide circulation of stomatologic
diseases among teenagers and persons of young age demands effective measures
for primary prophylaxis and treatment. Revealing of initial clinical forms of
gingivitis in children has the big prophylactic orientation. There are the data
confirming that fact that gingivitis and parodontitis are consecutive stages of
the same chronic inflammatory process. It is proved that timely liquidation of
inflammatory process in periodontal tissues in children and teenagers is
prophylaxis of parodontitis in adults.
Research objective: study of a hygienic state of an oral cavity
in children with chronic generalized catarrhal gingivitis on the background of
bronchial asthma.
Examination of 120
children with chronic generalized catarrhal gingivitis (CGCG) of the light and
moderate severity level on the background of BÀ
at the age from 7 till 12 years, which were on sanatorium treatment in
children's sanatoria Evpatoria is
carried. 30 healthy children without background pathology with CGCG who arrived
to sanatoria on sanitation have been in parallel examined.
Stomatologic diagnosis has been determined because of complex
examination: the collection of complaints, the anamnesis, objective
examination, an index estimation of a state of periodontal tissues,
radiological examination.
It has been revealed
from the life anamnesis that 88 (73,3 %) children did not keep to rules of
hygiene of an oral cavity, from them in 80 (66,7 %) children did not brush teeth regularly, and in 8 (6,7 %) children –
individual hygiene of an oral cavity was not carried out at all, and only 32
(26,7 %) children keep to rules of
hygiene of an oral cavity.
As a result of study of a hygienic state of an
oral cavity in examined children
"good" hygienic state is noted in 16 (13,3 %) children,
"satisfactory" – in 86 (71,7 %), "unsatisfactory" – in 15 (12,5
%) and a bad hygienic state – in 3 (2,5 %)
persons.
Determination of
hygienic indexes carried out at receiption of the child in sanatorium. The
index of a hygienic state of an oral cavity on Green-Vermillion in all examined
children was authentically higher rate (ð<0,05) and has made
1,19±0,06, thus in children with a light
current of intermittent BÀ
it was – 1,07±0,06, and in children with persisting moderate severity level form – 1,57±0,11 that testified about
satisfactory hygienic state of an oral cavity.
Prevalence of inflammatory changes in a gum on
index ÐÌÀ installed. Index ÐÌÀ at all group of children has
made 15,24±4,61 %, and in children with a
light current of intermittent BÀ and persisting moderate severity level disease forms
13,91±0,45 % and 19,43±3,50 % accordingly that is authentic higher (ð<0,001) in comparison with norm.
Index CFE
in all group of examined children also has been increased in comparison
with norm and equaled 1,33±0,29 (ð<0,05). In children with a light
current intermittent BÀ index CFI has made 1,25±0,26, in children with
persisting form
of BÀ of
moderate severity level
–
1,59±0,23.
For an estimation of a
state of periodontal tissues and necessary volume of their treatment registered
an index of CPITN. In all examined children average rate of CPITN index has
made 1,61±0,35 point (ð<0,05) at average quantity of injured sextants on one examined child
4,68±0,02.
Correlation dependence between a hygienic state
of an oral cavity and the indexes characterizing a state of periodontal tissues
– ÐÌÀ (r = 0,22), CFE (r = 0,44), CPITN (r = 0,72) is
installed.
Conclusions. After the carried out
research we noticed authentic increasing in examined children with CGCG on the
background of bronchial asthma of an index of hygiene of Green-Vermillion, ÐÌÀ, CFE, CPITN that testified about unsatisfactory hygienic state of an
oral cavity and involving in pathological process of periodontal tissues.
Key words: parodontium, hygienic
indexes, children, and bronchial asthma.
State Enterprise "Crimean Medical University named after George
", Simferopol
Poleschuk Olga Yurievna-Assistant of the Department of therapeutic
Stomatology;
Romanenko Inessa Gennadievna-Professor, doctor of medical sciences, head of
the dentistry Faculty of the postgraduate education;
Kaladze Kirill Nikolaevich-Associate Professor of dental surgery.
Poleschuk O.yu.
58 Leksina Street, apt. 61
Simferopol
95051
+38 (050) -651 -17 -57
e-mail: kirill0905 @inbox.ru
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Î.Þ.
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ã. Ñèìôåðîïîëü
95051
+38 (050) -651-17-57
e-mail:
kirill0905@inbox.ru