Improving the effectiveness of secondary prevention caries in women during pregnancy
https://doi.org/10.36377/1683-2981-2020-18-3-4-9
Abstract
Aim. To evaluate the clinical efficacy of long-acting remineralizing medical means in the complex prevention of caries in pregnant women.
Materials and methods. The study was conducted on the basis of the Department of Therapeutic Dentistry of the Kuban State Medical University of the Ministry of Health of Russia. A total of 87 people were examined, aged 24 to 37 years, with different levels of oral hygiene 84 patients confirmed their consent to the treatment and prophylactic measures, after which three working groups were formed depending on the long-acting remineralizing agents used “Clinpro-XTVarnish” manufactured by 3MESPE, “Schmelz-versiegelungsliquid” manufactured by HUMANCHEME, “InnoDent Repair” manufactured by InnoDent LLP respectively) and 1 control group. The assessment of the dental status of pregnant women was carried out using indices: CFE, Fedorov-Volodkina oral hygiene index (HI), gingivitis index GI (Loe H., Silness J.).
Results. According to the data of a clinical study, it was determined that a high quality oral cavity sanitation with concomitant use of long-acting therapeutic and prophylactic agents increases the effectiveness of preventive measures in pregnant women.
Conclusions. The data obtained indicate the achievement of a long-term preventive result, which makes it possible to recommend the investigated fluorine-containing agents for remineralization of hard dental tissues in order to control the state of the oral cavity of women during pregnancy.
About the Authors
Zh. V. Solovyeva
Kuban State Medical University
Russian Federation
Russian Federation
Assistant at the Department of Therapeutic Dentistry
Krasnodar
E. S. Zaporozhskaya-Abramova
Kuban State Medical University
Russian Federation
Russian Federation
PhD, Assistant of the Department of Therapeutic Dentistry
Krasnodar
A. A. Adamchik
Kuban State Medical University
Russian Federation
Russian Federation
Doctor of Medical Sciences, Associate Professor, Head of the Department of Therapeutic Dentistry
Krasnodar
T. F. Kosyreva
Peoples' Friendship University of Russia” (RUDN University)
Russian Federation
Russian Federation
MD, professor, Head of Department of Pediatric Dentistry and Orthodontics
Moscow
T. V. Shkirya
Kuban State Medical University
Russian Federation
Russian Federation
IT Programmer
Krasnodar
References
1.
2. Rabinovich, S. A., and V. F. Dmitrieva-Nosova. Features of dental care for pregnant and lactating women (Part III). Institute of Dentistry. 2005; 26 (1): 85-87.
3. Kiselnikova, L. P., and N. S. Popova. Dental status and prevention of dental diseases in pregnant women. Institute of Dentistry. 2011; 1: 86-87.
4. Bakhmudov, Murad Bakhmudovich, Z.B. Alieva, and B.R.Bakhmudov. The incidence of dental caries in pregnant women according to a five-year follow-up. "Russian Dental Journal 4. 2010; 4: 29-33.
5. Svirin V.V., Bogdanova V.O., Ardatskaya M.D. The state of the microbiocenosis of the oral cavity in inflammatory periodontal diseases and the possibility of its correction. Kremlin medicine. Clinical Bulletin. 2010; 1: 1-7.
6. Lepilin A.V., Dubrovskaya M.V. Immunological disorders in the formation of periodontal diseases in pregnant women. Saratov Journal of Medical Scientific Research. 2010; 6 (2): 392–396.
7. Ippolitov Yu.A., Plotnikova Ya.A., Alyoshina E.O. and others. The use of mineral complexes in endogenous and exogenous methods of prevention in order to prevent the development of primary demineralization of hard tooth tissues. Bulletin of new medical technologies. 2016; 23 (2): 164-170.
8. Zharkova OA Prevention of dental diseases during pregnancy. Vestnik VSMU. 2008; 7 (4): 94-101.
9. Pollick H. The role of fluorde in the prevention of tooth decay. Pediatr Clin North Am. 2018; 65 (5): 923-940.
10. Kirschneck C, Christl JJ, Reicheneder C, et al., Efficacy of fluoride varnish for preventing white spot lesions and gingivitis during orthodontic treatment with fixed appliances a prospective randomized controlled trial. Clin Oral Investig. 2016; 20: 2371-2378.
11. Belenova I.A., Mitronin A.V., Sushchenko A.V. and others. Formation of prognostic criteria for the detection of caries-susceptible contingent as a stage of predicting and preventing the pathology of dental hard tissues. Department. Dental education. 2018; 63: 42.
12. Belenova I.A., Mitronin A.V., Kunin A.A. and other Organizational foundations and methodological principles of predication and personified prophylaxis in dentistry. Department. Dental education. 2018; 65: 62.
13. Solovyova, J. V. et al. The effectiveness of deep fluoridation and low-intensity laser radiation in the prevention of enamel caries. Endodontics today. 2018; 1: 8-12.
14. Uspenskaya O.A., Trefilova O.V., Levkovich E.N. Comparative characteristics of the effectiveness of toothpastes containing calcium and fluoride. Endodontics Today. 2019; 17 (4): 8-11.
15. Article R. Professorial session “Cariesology and endodontics. Features of modern diagnostics, treatment, prevention ”. Endodontics Today. 2018; 16 (1): 62-64.
16. Golovanenko A.L. Review of remineralizing drugs used for the prevention and treatment of early enamel caries. Pacific Medical Journal. 2018; 2: 37–43.
17. Ivanov V.N., Ulitovsky S.B. Adhesive nanosystem for remineralization of tooth enamel. Institute of Dentistry. 2013; 59 (2): 66–67.
18. Kuzmina E.M. Possible ways to implement the strategy of the Alliance for a Caries-Free Future in Russia. Institute of Dentistry. 2014; 65 (4): 12-15.
19. Leus P.A. Long-term results of the medical effectiveness of communal programs for the prevention of dental caries. Dentist. Minsk. 2015; 13 (2): 8-14.
20. Lukashevich IK, Skripkina GI, Kravchenko EN et al. Assessment of remineralization of the tooth enamel of pregnant women against the background of caries-preventive measures. Pediatric dentistry and prevention. 2018.66 (3): 23–27.
21. Maslak E.E. The prevalence of dental caries and modern trends in the prevention of caries. Medical alphabet. 2015; (1) 1: 28-31.
22. Du, Minquan, et al. Randomized controlled trial on fluoride varnish application for treatment of white spot lesion after fixed orthodontic treatment. Clinical oral investigations. 2012; 16 (2): 463-468.
23.
Review
For citations:
Solovyeva Zh.V., Zaporozhskaya-Abramova E.S., Adamchik A.A., Kosyreva T.F., Shkirya T.V. Improving the effectiveness of secondary prevention caries in women during pregnancy. Endodontics Today. 2020;18(3):4-9. (In Russ.) https://doi.org/10.36377/1683-2981-2020-18-3-4-9
Email this article 