Actual problems in dentistry Actual problems in dentistry Проблемы стоматологии 2077-7566 2412-9461 89397 10.18481/2077-7566-2024-20-3-14-20 ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ LITERATURE REVIEW ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ FLUOROSIS OF PRIMARY TEETH: A LITERATURE REVIEW ФЛЮОРОЗ ВРЕМЕННЫХ ЗУБОВ: ОБЗОР ЛИТЕРАТУРЫ https://orcid.org/0000-0003-2095-9473 Кисельникова Лариса Петровна Kisel'nikova Larisa P. lpkiselnikova@mail.ru

доктор медицинских наук;

doctor of medical sciences;

 Худр Диана Ибрагимовна Khudr Diana I. diana260397@yandex.ru Российский университет медицины Москва Россия Russian University of Medicine Moskow Russian Federation Российского университета медицины Москва Россия Russian University of Medicine Moscow Russian Federation 31 10 2024 31 10 2024 20 3 14 20 05 10 2024 https://dental-press.ru/en/nauka/article/89397/view

Предмет. Зарубежные и отечественные исследования по флюорозу временных зубов. Флюороз — порок развития, при котором структура твердых тканей зубов в период их формирования изменяется из-за избыточного поступления фторидов. Имеется большое количество работ, касающихся флюороза постоянных зубов. Проблемы, связанные с флюорозом временных зубов, освещаются гораздо реже. Анализ таких исследований представлен в данном обзоре. Цель. Анализ зарубежных и отечественных исследований по флюорозу временных зубов. Методология. Поиск публикаций проводился на платформе PubMed, в электронной библиотеке eLibrary и в базах данных MEDLINE по заданным ключевым словам. В ходе исследования был осуществлен независимый поиск и анализ научных статей, а также их систематизация и упорядочивание в пристатейных списках литературы. Результаты. В ходе анализа литературных источников выявлено, что во временных зубах также встречается флюороз, определена распространенность заболевания в некоторых странах, обозначены особенности поражения флюорозом временных зубов и факторы его возникновения. Установлены основные проблемы в виде отсутствия данных о методах профилактики кариеса временных зубов и особенности его лечения у детей, проживающих в эндемической зоне флюороза. Выводы. Проведенный анализ показывает, что тема флюороза временных зубов недостаточно освещена. В очагах эндемического флюороза, наряду с флюорозом постоянных зубов, также встречается и флюороз временных. Во временных зубах чаще наблюдается легкая и очень легкая степень тяжести флюороза. Наиболее выраженные изменения визуализируются на зубах жевательной группы, особенно на временных вторых молярах, формирующихся на более поздних стадиях развития. Эта закономерность, возможно, свидетельствует о том, что флюороз временных зубов, в основном, обусловлен постнатальным воздействием фторида. Флюороз временных зубов может быть предиктором поражения флюорозом постоянных зубов. Флюороз является важной медико-социальной проблемой, требующей дальнейшего изучения и актуализации лечебно-профилактических мероприятий.

Subject. Foreign and domestic studies on fluorosis of primary teeth. Dental fluorosis is a malformation in which the structure of hard dental tissues of the teeth changes during their formation due to excessive fluoride intake. There are many studies on fluorosis of permanent teeth. Problems associated with fluorosis of primary teeth are covered much less frequently. An analysis of such studies is presented in this review. Objectives. Analysis of foreign and domestic studies on fluorosis of primary teeth. Methodology. The search for publications was carried out on the PubMed platform, in the eLibrary electronic library and in the MEDLINE databases, according to the specified keywords. In the course of the research, an independent search and analysis of scientific articles was carried out, as well as their systematization and ordering in the reference lists of literature. Results. During the analysis of literary sources it was revealed that fluorosis also occurs in prinary teeth, the prevalence of the disease in some countries was determined, the features of fluorosis in prinary teeth and the factors of its occurrence were identified. The main problems have been identified in the form of a lack of data on methods of prevention of caries of primary teeth and features of its treatment in children living in the endemic zone of fluorosis. Conclusion. The analysis of the available literature sources shows that the topic of fluorosis of primary teeth is insufficiently covered. In foci of endemic fluorosis, along with fluorosis of permanent teeth, fluorosis of temporary teeth is also found. In primary teeth, a mild and very mild degree of fluorosis is more often observed. The most pronounced changes are visualized on the teeth of the chewing group, especially on the primary second molars, which are formed at later stages of development. This pattern may indicate that fluorosis of primary teeth is mainly due to postnatal exposure to fluoride. Fluorosis of primary teeth can be a predictor of fluorosis of permanent teeth. Dental fluorosis is an important medical and social problem that requires further study and updating of treatment and preventive measures.

 флюороз временных зубов эндемические зоны флюороза дети дошкольного возраста кариес временных зубов профилактика кариеса временных зубов fluorosis of primary teeth endemic zones of fluorosis preschool children caries of primary teeth prevention of caries of primary teeth

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