Affections of non carious etiology at children with disabilities

Abstract

Introduction: Affections of non carious etiology are a large group of hard tooth structure damage, which either acts as a separate nosologic unit or combined with various addictions of development and functioning of organs and organ systems. The development of dental tissue injuries are dictated by both endogenous and exogenous harmful factors, as well as certain dysfunctions of dental development that is mainly of a genetic trait. It is necessaiy that the affections of non carious etiology to be viewed through the prism of the hereditary and acquired anomalies which manifests varied polymorphism in terms of both local clinic and general level. Thus the most vulnerable and most affected group of patients is, unfortunately, children with physical and mental disabilities. They also often are questioned and examined superficially due to the difficulty of working with them or because of ignorance and indifference. R.M. statistics on children diagnosed with primary disability aged under 18 years, namely the category of congenital malformations, deformations and chromosomal abnormalities have been shown to increase from 0.4% to 0.69% in 1000 children, since 2000 until 2012.This statistics emphasizes once again the need to know the interdependence of oral manifestations and dental hard tissue injuries and increased possibility of various affections of organs and child body systems. So non carious affections remain current with their frequency increasing, the peculiarities of development and manifestation of the various groups of patients through specialized assistance system and the lack of universal and effective methods of treatment. Materials and Methods: For the study, research sample included 24 children with various general and dental disorders(8 children from day center "Dorinţa", of city Călăraşi, 7 children from special boarding school of deaf children in the village Hîrboveţ, Călăraşi city, 8 children from special children school with poliomyelitis and infantile paralysis, of Ialoveni).The study used the following research methods: 1. Methodology of journal literature. 2. Clinical methods that include subjective clinical examination, with its parts (accuse, life history), clinical objective, evaluation indexes of oral hygiene and general health. 3. Paraclinical methods included: radiological methods of investigation and study of medical records. Results: After collection, analysis of data obtained through the completed questionnaire and clinical, paraclinical examination which underlined the interdependence of the clinical expression of non carious affections, involving hereditary and congenital factors. Conclusion: As a result of theoretical systematization of clinical information about affections of non carious etiology, we conclude that these injuries are the result of symbiosis of both hereditary predisposition as well as neonatal factors, often having repercussions not only at the stomatognathic system and involvement of different organ systems. The correct diagnosis offers the possibility to achieve a qualitative interdisciplinary treatment of non carious affections and not least the organ systems potentially affected.