Autor: |
Gulyaeva OA; Bashkir State Medical University Ministry of Health of Russia, Ufa, Russia., Bakirov AB; Bashkir State Medical University Ministry of Health of Russia, Ufa, Russia., Chemikosova TS; Bashkir State Medical University Ministry of Health of Russia, Ufa, Russia., Averianov SV; Bashkir State Medical University Ministry of Health of Russia, Ufa, Russia., Arsenina OI; Central Research Institute of Dentisty and Maxillofacial Surgery, Ministry of Health of Russia, Moscow, Russia., Karimova LK; Bashkir State Medical University Ministry of Health of Russia, Ufa, Russia. |
Abstrakt: |
The aim of the study was to assess the dependence of dental status from the level of endogenous intoxication in chemical industry workers. Dental examination and analysis of the composition of the oral fluid were performed in 101 workers dealing with production of chlorophenoxyherbicides (CPH) and 100 individuals of the control group having no contact with harmful production factors. The survey revealed higher intensity of dental caries among workers (RR=1.2), which is in direct correlation with the duration and degree of contact with toxicants (rxy=+1.0). It is established that the incidence, intensity and severity of periodontitis are associated with the duration and degree of contact with CPH. The study also revealed an 80% reduction in antioxidant defense in workers. The level of malonic dialdehyde (MDA) in the main group was 4 times higher (p<0.01, RR=4), while oligopeptides of average molecular weight (OAMW) - 2.2 times higher than in controls (p<0.01; RR=2.2), indicating increased lipid peroxidation and endogenous intoxication of workers of chlororganic production. MDA and OAMW levels correlated positively with the degree of involvement in chlororganic production (MDA: RR=5.6; p<0.0; OAMW: RR=3; p<0.001; rxy=+0.894) and employment duration (MDA: RR=4.4; p<0.05; rxy=+of 0.922; OAMW: RR=2.4; p<0.01). The estimation of the parameters of oral fluid is a non-invasive method for screening for occupational intoxication and the formation of risk groups. |