CARIES OF TEETH AND STATE OF GUM IN SCHOOL-AGE CHILDREN FROM DIFFERENT REGIONS OF UKRAINE

Abstract

Abstract. Actuality. The prevalence of dental caries and inflammatory gum disease in the children's population of the country varies depending on age and region, while the simultaneous course of the diseases appears to be possible. Methods. 503 children aged 7 to 15 who lived in Vinnytsia, Chernihiv and Kyiv were examined. The index of the intensity of dental caries, the papillary-marginal-alveolar PMA index and the simplified OHI-S oral hygiene index were studied. The aim. Analysis of indices of the intensity of dental caries damage, oral hygiene and gum inflammation in school-age children. The results. In Vinnytsia, the index of tooth caries intensity in children aged 7–8 years was 2.87±0.22, in Chernihiv – 6.03±0.39, in Kyiv – 5.07±0.39. Among children aged 12-13, the highest index was in Kyiv – 4.18±0.23, in Vinnytsia and Chernihiv it was 2.65±0.24 and 2.92±0.25. In 15-year-old children in Chernihiv and Kyiv, the values were 4.83±0.25 and 4.08±0.32. Among children aged 7-8 years, the lowest PMA index was found in residents of Vinnytsia – 13.2±1.7%, in children in Chernihiv – 15.1±2.8%, in Kyiv – 14.8±0.9%. Indices for children aged 12–13 in Vinnytsia, Chernihiv and Kyiv were 15.8±1.1%, 17.8±2.1% and 21.4±1.6%, respectively. Among 15-year-old children, the index was the highest in Kyiv – 22.3±1.9%, among children from Chernihiv – 14.1±0.7%. The state of oral hygiene was the best in children aged 7-8 from Vinnytsia – 0.93±0.05 points, in children from Chernihiv and Kyiv – 1.29±0.13 and 1.28±0.07 points. Among children aged 12-13 years, the best hygiene was recorded in Vinnytsia – 1.05±0.05 points, in Chernihiv and Kyiv – 1.22±0.11 and 1.55±0.04 points. The worst hygienic condition was in 15-year-old Kyiv residents – 1.57±0.06 points, in children from Chernihiv – 1.27±0.07 points. Conclusions. The worst indicators of the intensity of tooth decay, inflammation of the gums and the hygienic condition of the oral cavity were found in children who lived in Chernihiv and Kyiv, that is, in the cities of the northern region of the country. Correlation analysis showed the presence of reliable relationships between the indicators, which confirms the high probability of the simultaneous course of dental caries and inflammatory gum diseases and requires the development of treatment and preventive measures taking into account regional characteristics.