Prevenirea cariei dentare la copiii cu boala de reflux gastroesofagian prin aplicarea topică a nanofluorurilor

Abstract

Rezumat. Scopul lucrării. Sporirea eficienţei prevenirii cariei dentare la copiii cu boala de reflux gastroesofagian (BRGE) prin aplicarea topică a nanofluorurilor. Materiale şi metode: materialul clinic al prezentei lucrări constituie datele investigaţiei a 112 copii de 12-14 ani, 56 din care au fost diagnosticaţi cu BRGE, 56 copiii sănătoşi au constituit lotul martor. Au fost estimaţi indicii de frecvenţă şi intensitate a cariei dentare, a fost determinat pH-ul salivar şi testul de rezistenţă a smalţului la acţiunea acizilor. La copiii cu BRGE au fost efectuate metode cario-preventive complexe, inclusiv aplicarea topică a nanofluorurilor şi aplicarea lacului fluorat − Belak-F. Studiul a fost aprobat de Comitetul de Etică a cercetării şi a fost realizat după obţinerea acordului scris al părinţilor copiilor sau reprezentanţilor lor legali. Rezultate. La copiii cu BRGE care au beneficiat de aplicaţiile topice a nanofluorurilor s-a estimat reducerea indicatorilor de carie dentară cu 33,33% în raport cu copiii la care s-a aplicat local lacul fluorat − Belak-F. Concluzii: (1) Implementarea măsurilor preventive complexe la copiii cu BRGE din lotul L1 a asigurat reducerea indicatorilor de carie dentară cu 33,33% în raport cu lotul L2. (2) A fost demonstrată eficienţa superioară a aplicării topice a nanofluorurilor în decurs de 1,5 ani, fapt care a condus la ameliorarea stării de sănătate şi îmbunătăţirea calităţii vieţii copiilor.

Summary. Purpose. To increase efficiency of dental caries prevention in children with gastroesophageal reflux disease (GERD) by topical application of nanofluorides. Material and Methods: The clinical material of this article is data investigation of 112 children aged between 12 and 14 years. Of them, 56 were diagnosed with GERD, and 56 children were healthy controls. The frequency and intensity indices of dental caries have been estimated, as well as the salivary pH and test of enamel resistance to acids. Complex caries-preventive methods were used in children with GERD, including topical application of nanofluorides and fluoride varnish Belak-F. The study was approved by the Research Ethics Committee and it was carried out after obtaining the written consent of the children`s parents or their legal representatives. Results. A reduction of dental caries indicators by 33.33% was estimated in children with GERD who followed topical applications with nanofluorides compared with children who followed topical application with fluoride varnish Belak-F. Conclusions: (1) Implementation of complex preventive measures in children with GERD of group L1 contributed to reduction of dental caries indicators by 33.33% compared with group L2. (2) It was demonstrated a high effectiveness of topical application of nanofluorides within 1.5 years, which resulted in improving the health and quality of life of children.