ORAL HYGIENE IN CHILDREN WITH DISTURBANCES IN TOOTH FORMATION WHO WERE AFFECTED AS A CONSEQUENCE OF THE ChNPP ACCIDENT.

Autor: Liubarets SF; Bogomolets National Medical University of the Ministry of Health of Ukraine, 13 Tarasa Shevchenko Blvd., Kyiv, 01601, Ukraine., Kaminskyi VV; State Institution «National Research Center for Radiation Medicine of the National Academy of Medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine., Liubarets TF; State Institution «National Research Center for Radiation Medicine of the National Academy of Medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine., Afanasyev DE; State Institution «National Research Center for Radiation Medicine of the National Academy of Medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine., Shapovalova GI; Bogomolets National Medical University of the Ministry of Health of Ukraine, 13 Tarasa Shevchenko Blvd., Kyiv, 01601, Ukraine., Savychuk OV; Bogomolets National Medical University of the Ministry of Health of Ukraine, 13 Tarasa Shevchenko Blvd., Kyiv, 01601, Ukraine.
Jazyk: English; Ukrainian
Zdroj: Problemy radiatsiinoi medytsyny ta radiobiolohii [Probl Radiac Med Radiobiol] 2020 Dec; Vol. 25, pp. 478-489.
DOI: 10.33145/2304-8336-2020-25-478-489
Abstrakt: Objective: evaluation of oral hygiene to enhance the prophylaxis of complications specifically of dental caries inchildren with disturbances in tooth formation (DTF) who live on radiologically contaminated territories after theChornobyl NPP (ChNPP) accident.
Materials and Methods: Children aged 6-14 years (n = 1470) with DTF were the study subjects examined in 2012-2016. Among them there were (n = 528) residents of the zones III and IV of radiological contamination after theChNPP accident with 137Cs soil contamination density 1-15 Ci/km2. The effective radiation dose in them was notexceeding 1 mSv/year. The Green-Vermillion and Silness-Loe oral hygiene indices were assesses within clinicalexamination methods.
Results: The worth oral hygiene was revealed in children having got the DTF, compensated chronic diseases oforgans and systems, and in those with burdened radiation history. The Green-Vermilion and Silness-Loe indices were1.7 ± 0.51 and 1.65 ± 0.46 respectively.
Conclusions: A significant deterioration in oral hygiene confirmed by the highest values of the Green-Vermillion index (1.7 ± 0.51; p < 0.001 - «unsatisfactory oral hygiene» criterion) and Silness-Loe index (1.65 ± 0.46; p < 0.001 -«poor oral hygiene» criterion) was found in children with DTF aged 6-14 years being residents of contaminated areasas a result of the Chernobyl accident. The revealed deterioration may be due to a set of negative factors, includingthe impact of ionizing radiation in low doses and peculiarities of social status. Results of the questioning of surveyed pediatric contingents both having got an DTF and with no defects of the hard tissues of teeth indicate aninsufficient level of knowledge and skills in hygienic care of oral cavity regardless of the area of residence.Development of a set of measures to prevent the DTF complications in children should be carried out taking intoaccount the state of oral hygiene, level of knowledge and skills in oral care, and include the use of hygiene products, namely toothpastes and anti-caries mouthwashes.
(S. F. Liubarets, V. V. Kaminskyi, T. F. Liubarets, D. E. Afanasyev, G. I. Shapovalova, O. V. Savychuk.)
Databáze: MEDLINE