Clinical description of the condition of periodontal tissue in children with diffuse nontoxic goiter

Abstract

The study of the prevalence and intensity of destruction of periodontal tissues in children for kindergarten conditions. Methods. To address the problems examined 180 children under 12 years. Of these, 150 children with preschool and 30 somatically healthy children. Formed four groups of observations: I group — somatically healthy children (30 people); II group — children from kindergarten level Ia (50); III group — children from kindergarten level IB (50); IV group — children with Regulations II level (50). Dental examination of children carried conventional methods. To determine the state of periodontal tissues used papillary-marginally-alveolar index (PMA) and the estimate of the number of affected sextant. Research hygienic condition of the oral cavity was carried out using the simplified oral hygiene index (OIH-S). We used methods variation statistics using Student’s test. Results. The results suggest a probable increase of periodontal indices and samples, indicating the deterioration of the periodontal tissues in children with concomitant thyroid disease. It is known that periodontal diseases are multifactorial tissue nature with a predominance of inflammatory or degenerative processes. To install etiopathogenetical mechanism of the pathology of periodontal tissues under conditions of preschool parodontohenni we have analyzed the possible risk factors. Oral hygiene index according to OHI-S is at an unsatisfactory level in all groups of observation and control, which can be a trigger formation of diffuse inflammation in the gums. Local factors provoking inflammation is carious lesions, teeth and jaws abnormalities like. As shown by our research conducted with increasing severity of preschool children increases the number of carious, including untreated cavities. As for teeth abnormalities and deformities, the incidence of them also had a tendency to increase at thyroid pathology, but was not as rapid as in caries. Speaking about the structure of orthodontic pathology, it attracts relatively high frequency of anomalies of the teeth standing alone, including abnormalities of eruption and the number of teeth in children observation group compared with the control. Stored general trend dominance of teeth anomalies and deformations as crowded teeth, narrowing of the upper jaw. Malocclusions met with the same frequency as in somatically healthy children and children with thyroid pathology. Thus, the surveyed our children with kindergarten are required precipitating factors of inflammation in the gums as local and diffuse character, but availability is not a typical clinical picture of chronic catarrhal and chronic hypertrophic gingivitis, pronounced symptom of bleeding and frequent relapses, suggests that the process of gingivitis is morphologically and functionally altered periodontal tissues. Does not exclude a violation of local and systemic defense mechanisms of the oral cavity in children with thyroid pathology. Conclusions. The results of the study found that children with preschool, there is a higher percentage of periodontal lesions, indicating the need for further study paraclinical status of dental conditions related thyroid gland to establish causation.

Изучение распространенности и интенсивности поражения тканей пародонта у детей в условиях ДНЗ. Методы. Стоматологическое обследование детей осуществлялось общепринятыми методами. Для определения состояния тканей пародонта использовали папиллярно-маргинально-альвеолярный индекс (РМА) и оценку количества пораженных секстантов. Исследование гигиенического состояния полости рта осуществляли с помощью упрощенного индекса гигиены полости рта (OIH-S). Использовали методы вариационной статистики с использованием критерия Стьюдента. Результаты. Установлено, что с увеличением степени тяжести тиреопатологии наблюдается рост всех исследуемых показателей. Выводы. Результатами исследований установлено, что у детей, больных ДНЗ, наблюдается больший процент поражения тканей пародонта, что указывает на необходимость дальнейшего параклинического изучения стоматологического статуса в условиях сопутствующей патологии щитовидной железы для установления причинно-следственных связей.