employee
Ufa, Russian Federation
employee
Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
employee from 01.01.1983 until now
Ufa, Ufa, Russian Federation
graduate student from 01.01.2018 until now
Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
The article is devoted to the study of the state of periodontal tissues in children with congenital cleft palate and defects remaining after uranoplasty. Objectives. To determine the characteristics of the state of periodontal tissues in children with defects remaining after uranoplasty in congenital cleft palate and to compare the obtained clinical data with a group of apparently healthy children. Methodology. The article presents the results of a clinical dental examination of 109 children aged 6-12 years with congenital cleft palate after uranoplasty and residual defects. In the examined children, the hygienic state of the oral cavity was assessed, the severity of gingivitis and the condition of the periodontal tissues were determined. The hygienic state of the oral cavity was assessed by the Fedorov-Volodkina index (1964), the Green-Vermillion IGR-U (C. Green, JR Vermillion, OHI-S), the periodontal condition using the complex periodontal index KPI (Leus P.A., 1988) and papillary-marginal-alveolar index (PMA, C. Parma, 1960). Results. In children with remaining postoperative defects with severe congenital cleft palate, the level of hygiene is more often characterized as "poor" and "unsatisfactory" than in healthy children; the highest incidence of periodontal diseases in childhood was revealed. In most cases, children with postoperative palate defects were found to have mild and moderate severity of gingivitis according to the PMA index. Conclusions. The results of the study made it possible to obtain clinical and dental data on periodontal diseases in children with congenital cleft palate and defects remaining after uranoplasty. To prepare a patient for a reconstructive plastic surgery to eliminate the remaining palate defect, it is necessary to introduce a set of measures to treat periodontal diseases and improve the health of the oral cavity into the rehabilitation algorithm for children with congenital cleft palate.
congenital cleft lip and palate, periodontal disease, gingivitis, hygiene index, complex form of cleft palate, postoperative palate defect
1. Dovbnya Zh.A., Kolesnik K.A., Golovskaya G.G. Zaschitnye reakcii polosti rta u detey pri hronicheskom kataral'nom gingivite i ego lechenii. Stomatologiya detskogo vozrasta i profilaktika. 2017;16(2):24-26. [Zh.A. Dovbnya, K.A. Kolesnik, G.G. Golovskaya. Protective reactions of the oral cavity in children with chronic catarrhal gingivitis and its treatment. Pediatric dentistry and prevention. 2017;16(2):24-26. (In Russ.)]. https://www.elibrary.ru/item.asp?id=29206046
2. Zueva T.E., Kisel'nikova L.P., Alimbekova A.A., Romanovskaya V.N. Vliyanie gigienicheskogo sostoyaniya polosti rta na kachestvo zhizni detey podrostkovogo vozrasta. Rossiyskaya stomatologiya. 2016;9(1):66. [T.E. Zueva, L.P. Kisel'nikova, A.A. Alibekova, V.N. Romanovskaja. Influence of the hygienic state of the oral cavity on the quality of life of adolescent children. Russian dentistry. 2016;9(1):66. (In Russ.)]. https://www.elibrary.ru/item.asp?id=26005899
3. Ismagilov O.R., Shulaev A.V., Starceva E.Yu., Ahmetova G.M., Berezin K.A. Stomatologicheskaya zabolevaemost' detey shkol'nogo vozrasta. Problemy stomatologii. 2019;15(4):140-148. [O.R. Ismagilov, A.V. Shulaev, E.Yu. Startseva, G.M. Akhmetova, K.A. Berezin. Dental morbidity in school-age children. Actual problems in dentistry. 2019;15(4):140-148. (In Russ.)]. https://www.elibrary.ru/item.asp?id=42364569
4. Danilova M.A., Aleksandrova L.I. Kachestvo zhizni detey s vrozhdennoy rasschelinoy guby i neba. Stomatologiya detskogo vozrasta i profilaktika. 2018;17(3):54-57. [M.A. Danilova, L.I. Alexandrova. Quality of life in children with congenital cleft lip and palate. Pediatric dentistry and prevention. 2018;17(3):54-57. (In Russ.)]. https://www.elibrary.ru/item.asp?id=36347137
5. Medvedickova A.I. Kliniko-anamnesticheskie osobennosti stomatologicheskogo statusa u detey s chastichnymi defektami zubnyh ryadov v vozrastnyh periodah formirovaniya okklyuzii zubov. Institut stomatologii. 2021;3(92):60-62. [A.I. Medveditskova. Clinical and anamnestic features of the dental status in children with partial defects in the dentition in the age periods of the formation of dental occlusion. Institute of Dentistry. 2021;3(92):60-62. (In Russ.)]. https://www.elibrary.ru/item.asp?id=46652202
6. Usmanova I.N., Al' Kofish M.A.M., Kuznecova L.I., Shangareeva A.I., Kashina S.M., Usmanov I.R., Tkachenko E.V., Osipenko A.G. Osobennosti klinicheskogo sostoyaniya tkaney parodonta u lic molodogo vozrasta. Problemy stomatologii. 2021;17(3):58-63. [I.N. Usmanova, M.A.M. Al Kofish, L.I. Kuznetsova, A.I. Shangareeva, S.M. Kashina, I.R. Usmanov, E.V. Tkachenko, A.G. Osipenko. Features of the clinical state of periodontal tissues in young people. Actual problems in dentistry. 2021;17(3):58-63. (In Russ.)]. https://www.elibrary.ru/item.asp?id=47176556
7. Rozakova L.Sh., Hamadeeva A.M., Avraamova O.G., Stepanov G.V., Filatova N.V. Epidemiologicheskoe obosnovanie kommunal'nyh programm profilaktiki kariesa postoyannyh zubov dlya detey Samary. Stomatologiya. 2020;99(1):66-69. [L.Sh. Rozakova, A.M. Hamadeeva, O.G. Avraamova, G.V. Stepanov, N.V. Filatova. Epidemiological substantiation of communal programs for the prevention of dental caries for children in Samara. Dentistry. 2020;99(1):66-69. (In Russ.)]. https://www.elibrary.ru/item.asp?id=42479507
8. Olesov E.E., Reva V.V., Glazkova E.V., Pechenihina V.S., Yarilkina S.P., Grishkov M.S. Analiz sostoyaniya zubov i parodonta i potrebnost' v stomatologicheskom lechenii u detey v period smennogo prikusa. Rossiyskiy stomatologicheskiy zhurnal. 2019;23(1):10-13. [E.E. Olesov, V.V. Reva, E.V. Glazkova, V.S. Pechenikhina, S.P. Yarilkina, M.S. Grishkov. Analysis of the condition of teeth and periodontal disease and the need for dental treatment in children during the period of mixed bite. Russian dental journal. 2019;23(1):10-13. (In Russ.)]. https://www.elibrary.ru/item.asp?id=38537716
9. Lukichev M.M., Ermolaeva L.A. Sovremennye predstavleniya o roli mikroflory v patogeneze zabolevaniy parodonta. Institut stomatologii. 2018;1(78):92-94. [M.M. Lukichev, L.A. Ermolaeva. Modern ideas about the role microflora in the pathogenesis of periodontal disease. Institute of Dentistry. 2018;1(78):92-94. (In Russ.)]. https://www.elibrary.ru/item.asp?id=34964799
10. Shapiro K.I., Belyakova L.A. Profilaktika zabolevaniy polosti rta u detey v poliklinike i v sem'e. Institut stomatologii. 2018;2(79):28-29. [K.I. Shapiro, L.A. Belyakova. Prevention of oral diseases in children in the clinic and in the family. Institute of Dentistry. 2018;2(79):28-29. (In Russ.)]. https://www.elibrary.ru/item.asp?id=35340558
11. Puhova O.S., Chernenko S.V. Osobennosti stomatologicheskogo statusa detey s vrozhdennymi rasschelinami verhney guby i neba v postoyannom prikuse. Stomatologiya detskogo vozrasta i profilaktika. 2004;3(3-4):34-36. [O.S. Pukhova, S.V. Chernenko. Features of the dental status of children with congenital clefts of the upper lip and palate in a permanent bite. Pediatric dentistry and prevention. 2004;3(3-4):34-36. (In Russ.)]. https://www.elibrary.ru/item.asp?id=9284441
12. Rogozhina Yu.S., Blohina S.I., Bimbas E.S. K voprosu detalizacii klassifikaciy vrozhdennoy rasscheliny verhney guby i neba. Problemy stomatologii. 2019;15(4):162-169. [Yu.S. Rogozhina, S.I. Blokhina, E.S. Bimbas. On the issue of detailing the classifications of the congenital cleft of the upper lip and palate. Actual problems in dentistry. 2019;15(4):162-169. (In Russ.)]. https://www.elibrary.ru/item.asp?id=42364573
13. Haleckaya V.N., Kovach I.V. Sostoyanie tverdyh tkaney zubov i parodonta u detey s rasschelinoy myagkogo i tverdogo neba v rannem smennom prikuse. Vestnik stomatologii. 2016;4(97):38-42. [V.N. Khaletskaya, I.V. Kovach. Condition of hard tissues of teeth and periodontium in children with a cleft of the soft and hard palate in an early replaceable bite. Dentistry Bulletin. 2019;15(4):162-169. (In Russ.)]. https://www.elibrary.ru/item.asp?id=30541554
14. Chuykin S.V., Akat'eva G.G., Chuykin O.S., Grin' E.A., Kuchuk K.N. Stomatologicheskaya zabolevaemost' u detey s vrozhdennoy rasschelinoy verhney guby i neba v regione s ekotoksikantami. Stomatologiya detskogo vozrasta i profilaktika. 2019;19(4):15-19. [S.V. Chuikin, G.G. Akateva, O.S. Chuikin, E.A. Grin, K.N. Kuchuk. Dental morbidity in children with congenital cleft of the upper lip and palate in the region with ecotoxicants. Pediatric dentistry and prevention. 2019;19(4):15-19. (In Russ.)]. https://www.elibrary.ru/item.asp?id=42490586
15. Chuykin S.V., Akat'eva G.G., Makusheva N.V., Chuykin O.S., Egorova E.G., Kuchuk K.N., Bayburina E.K. Osobennosti stomatologicheskogo statusa detey s vrozhdennoy rasschelinoy guby i neba v regione s neftehimicheskimi ekotoksikantami. Problemy stomatologii. 2020;16(4):147-154. [S.V. Chuikin, G.G. Akateva, N.V. Makusheva, O.S. Chuikin, E.G. Egorova, K.N. Kuchuk, E.K. Bayburina. Features of the dental status of children with congenital cleft lip and palate in the region with petrochemical ecotoxicants. Actual problems in dentistry. 2020;16(4):147-154. (In Russ.)]. https://www.elibrary.ru/item.asp?id=44667791
16. Chuykin S.V., Davletshin N.A., Kuchuk K.N., Chuykin O.S., Grin' E.A., Muratov A.M. Analiz rezul'tatov i oslozhneniy uranoplastiki u detey s vrozhdennoy rasschelinoy guby i neba. Problemy stomatologii. 2020;16(1):133-138. [S.V. Chuikin, N.A. Davletshin, K.N. Kuchuk, O.S. Chuikin, E.A. Grin, A.M. Muratov. Analysis of the results and complications of uranoplasty in children with congenital cleft lip and palate. Actual problems in dentistry. 2020;16(1):133-138. (In Russ.)]. https://www.elibrary.ru/item.asp?id=42817262
17. Chuykin S.V., Andrianova Yu.V., Makusheva N.V., Chuykin O.S., Kuchuk K.N., Gil'manov M.V. Analiz chastoty rozhdeniya detey s vrozhdennymi porokami razvitiya v gorode s neftehimicheskoy promyshlennost'yu. Problemy stomatologii. 2020;16(1):139-142. [S.V. Chuikin, Yu.V. Andrianova, N.V. Makusheva, O.S. Chuikin, K.N. Kuchuk, M.V. Gilmanov. Analysis of the birth rate of children with congenital malformations in a city with a petrochemical industry. Actual problems in dentistry. 2020;16(1):139-142. (In Russ.)]. https://www.elibrary.ru/item.asp?id=42817263
18. Chuykin S.V., Davletshin N.A., Chuykin O.S., Kuchuk K.N., Dzhumartov N.N., Grin' E.A., Gil'manov M.V., Muratov A.M. Algoritm reabilitacii detey s vrozhdennoy rasschelinoy guby i neba v regione s ekotoksikantami. Problemy stomatologii. 2019;15(2):89-96. [S.V. Chuikin, N.A. Davletshin, O.S. Chuikin, K.N. Kuchuk, N.N. Dzhumartov, E.A. Grin, M.V. Gilmanov, A.M. Muratov. Algorithm for the rehabilitation of children with congenital cleft lip and palate in the region with ecotoxicants. Actual problems in dentistry. 2019;15(2):89-96. (In Russ.)]. https://www.elibrary.ru/item.asp?id=39165968
19. Chuykin S.V., Dzhumartov N.N., Chuykin O.S., Kuchuk K.N., Grin' E.A., Chuykin G.L., Muratov A.M., Gil'manov M.V. Kliniko-anatomicheskie formy vrozhdennoy rasscheliny guby i neba v regione s ekotoksikantami. Problemy stomatologii. 2019;15(3):127-132. [S.V. Chuikin, N.N. Dzhumartov, O.S. Chuikin, K.N. Kuchuk, E.A. Grin, G.L. Chuikin, A.M. Muratov, M.V. Gilmanov. Clinical and anatomical forms of congenital cleft lip and palate in the region with ecotoxicants. Actual problems in dentistry. 2019;15(3):127-132. (In Russ.)]. https://www.elibrary.ru/item.asp?id=41212355
20. Chuykin S.V., Akat'eva G.G., Kuchuk K.N., Chuykin O.S., Makusheva N.V., Gil'manov M.V., Muratov A.M. Soputstvuyuschie zabolevaniya u detey s vrozhdennoy rasschelinoy guby i neba v regione s promyshlennymi ekotoksikantami. Voprosy prakticheskoy pediatrii. 2021;16(5):44-49. [S.V. Chuikin, G.G. Akateva, K.N. Kuchuk, O.S. Chuikin, N.V. Makusheva, M.V. Gilmanov, A.M. Muratov. Concomitant diseases in children with congenital cleft lip and palate in a region with industrial ecotoxicants. Practical issues of pediatrics. 2021;16(5):44-49. (In Russ.)]. https://www.elibrary.ru/item.asp?id=47399245
21. Yackevich E.E., Osokina G.G. Hronicheskiy gingivit u detey s nasledstvennoy i vrozhdennoy somaticheskoy patologiey. Stomatologiya dlya vseh. 2007;1:4-7. [E.E. Yatskevich, G.G. Osokina. Chronic gingivitis in children with hereditary and congenital somatic pathology. Dentistry for everyone. 2007;1:4-7. (In Russ.)]. https://www.elibrary.ru/item.asp?id=12516681
22. Zakirov T.V., Voroshilina E.S., Brusnicyna E.V., Ioschenko E.S., Kantorovich A.Ya., Savchenko G.D. Diagnostika osnovnyh parodontopatogennyh bakteriy pri gingivite u detey v period rannego smennogo prikusa. Ural'skiy medicinskiy zhurnal. 2019;1(169):19-23. [T.V. Zakirov, E.S. Voroshilina, E.V. Brusnitsyna, E.S. Ioshchenko, A.Ya. Kantorovich, G.D. Savchenko. Diagnostics of the main periodontal pathogenic bacteria in gingivitis in children during the period of early bite. Ural Medical Journal. 2019;1(169):19-23. (In Russ.)]. https://www.elibrary.ru/item.asp?id=39538811
23. Funahashi, K., Shiba, T., Watanabe, T., Nakagawa, I., Moriyama, K. Functional dysbiosis within dental plaque microbiota in cleft lip and palate patients // Progress in Orthodontics. - 2019;20(1):11. doihttps://doi.org/10.1186/s40510-019-0265-1
24. Nasretdinova N., Vorozhcova L., Mandra Yu., Sorokoumova D., Gegalina N., Yepishova A. The dynamics of the dental incidence of the child population of Yekaterinburg // Actual Problems in Dentistry. - 2019;15(2):74-78. https://www.elibrary.ru/item.asp?id=39165965
