Complicated caries of permanent teeth in children: status of the problem and modern solution ways

The issue of improving dental care protocols for children with multiple (decompensated) and complicated caries of permanent teeth, their full rehabilitation is particularly relevant, especially in periods of social cataclysms (the COVID-19 pandemic, martial law, etc.). The purpose of this study was...

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Main Authors: N.S. Proshchenko, H.V. Sorochenko, O.I. Ostapko, O.M. Plyska, Yu.V. Trokhimets
Format: Article
Language:English
Published: Dnipro State Medical University 2023-09-01
Series:Medičnì Perspektivi
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Online Access:https://journals.uran.ua/index.php/2307-0404/article/view/289211
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author N.S. Proshchenko
H.V. Sorochenko
O.I. Ostapko
O.M. Plyska
Yu.V. Trokhimets
author_facet N.S. Proshchenko
H.V. Sorochenko
O.I. Ostapko
O.M. Plyska
Yu.V. Trokhimets
author_sort N.S. Proshchenko
collection DOAJ
description The issue of improving dental care protocols for children with multiple (decompensated) and complicated caries of permanent teeth, their full rehabilitation is particularly relevant, especially in periods of social cataclysms (the COVID-19 pandemic, martial law, etc.). The purpose of this study was an assessment of the dental caries experience, analysis of modern approaches to diagnosis, treatment, prevention and rehabilitation of complicated caries of permanent teeth among children in Kyiv. The material of the study was data from medical histories of 236 children aged 7-18 years. During the analysis of the obtained data, the dental caries experience, % of cases of toothache complaints and part of the need for replacement or correction of restorations after the treatment of complicated caries were calculated. The prevalence of caries of permanent teeth among 7-18-year-old children (n=236) in the period 2020-2023 was 42-95%, the dental caries experience – 1.73-6.4, the frequency of diagnosis of complicated caries – 4.8-37,1%, the prevalence of toothache – 31%, the part of the need for replacement of restorations after treatment of complicated caries – 62%. The obtained indicators confirm the absence of a downward trend compared to similar data for more than 15 years of observation. Diagnosis, treatment and full rehabilitation of complicated caries of permanent teeth in children is complex, multi-stage and requires the practical experience and patience of a dentist and the usage of the most modern materials and technologies. To date, there are no clear scientifically based protocols for the restoration of permanent teeth, in particular with incomplete root formation, after endodontic treatment. The usage of modern technologies of orthopedic dentistry and materials science (3D scanner, 3D printer, T-scan, polymers) will allow to significantly improve the quality of comprehensive treatment and rehabilitation of children with complications of caries of permanent teeth.
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spelling doaj-art-b46d06d041ac4216891574e19a135f842025-02-03T11:15:28ZengDnipro State Medical UniversityMedičnì Perspektivi2307-04042023-09-0128312813610.26641/2307-0404.2023.3.289211327485Complicated caries of permanent teeth in children: status of the problem and modern solution waysN.S. Proshchenko0https://orcid.org/0000-0001-7317-6590H.V. Sorochenko1https://orcid.org/0000-0002-0559-6080O.I. Ostapko2https://orcid.org/0000-0001-6777-5116O.M. Plyska3https://orcid.org/0000-0002-3843-5582Yu.V. Trokhimets4https://orcid.org/0009-0004-2936-9263O.O. Bogomolets National Medical University, Zoologichna str., 1, Kyiv, 03057O.O. Bogomolets National Medical University, Zoologichna str., 1, Kyiv, 03057O.O. Bogomolets National Medical University, Zoologichna str., 1, Kyiv, 03057O.O. Bogomolets National Medical University, Zoologichna str., 1, Kyiv, 03057O.O. Bogomolets National Medical University, Zoologichna str., 1, Kyiv, 03057The issue of improving dental care protocols for children with multiple (decompensated) and complicated caries of permanent teeth, their full rehabilitation is particularly relevant, especially in periods of social cataclysms (the COVID-19 pandemic, martial law, etc.). The purpose of this study was an assessment of the dental caries experience, analysis of modern approaches to diagnosis, treatment, prevention and rehabilitation of complicated caries of permanent teeth among children in Kyiv. The material of the study was data from medical histories of 236 children aged 7-18 years. During the analysis of the obtained data, the dental caries experience, % of cases of toothache complaints and part of the need for replacement or correction of restorations after the treatment of complicated caries were calculated. The prevalence of caries of permanent teeth among 7-18-year-old children (n=236) in the period 2020-2023 was 42-95%, the dental caries experience – 1.73-6.4, the frequency of diagnosis of complicated caries – 4.8-37,1%, the prevalence of toothache – 31%, the part of the need for replacement of restorations after treatment of complicated caries – 62%. The obtained indicators confirm the absence of a downward trend compared to similar data for more than 15 years of observation. Diagnosis, treatment and full rehabilitation of complicated caries of permanent teeth in children is complex, multi-stage and requires the practical experience and patience of a dentist and the usage of the most modern materials and technologies. To date, there are no clear scientifically based protocols for the restoration of permanent teeth, in particular with incomplete root formation, after endodontic treatment. The usage of modern technologies of orthopedic dentistry and materials science (3D scanner, 3D printer, T-scan, polymers) will allow to significantly improve the quality of comprehensive treatment and rehabilitation of children with complications of caries of permanent teeth.https://journals.uran.ua/index.php/2307-0404/article/view/289211permanent teethcarieschildrenhard tooth tissuestooth restorationendodontic treatmentdigital dentistry
spellingShingle N.S. Proshchenko
H.V. Sorochenko
O.I. Ostapko
O.M. Plyska
Yu.V. Trokhimets
Complicated caries of permanent teeth in children: status of the problem and modern solution ways
Medičnì Perspektivi
permanent teeth
caries
children
hard tooth tissues
tooth restoration
endodontic treatment
digital dentistry
title Complicated caries of permanent teeth in children: status of the problem and modern solution ways
title_full Complicated caries of permanent teeth in children: status of the problem and modern solution ways
title_fullStr Complicated caries of permanent teeth in children: status of the problem and modern solution ways
title_full_unstemmed Complicated caries of permanent teeth in children: status of the problem and modern solution ways
title_short Complicated caries of permanent teeth in children: status of the problem and modern solution ways
title_sort complicated caries of permanent teeth in children status of the problem and modern solution ways
topic permanent teeth
caries
children
hard tooth tissues
tooth restoration
endodontic treatment
digital dentistry
url https://journals.uran.ua/index.php/2307-0404/article/view/289211
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AT hvsorochenko complicatedcariesofpermanentteethinchildrenstatusoftheproblemandmodernsolutionways
AT oiostapko complicatedcariesofpermanentteethinchildrenstatusoftheproblemandmodernsolutionways
AT omplyska complicatedcariesofpermanentteethinchildrenstatusoftheproblemandmodernsolutionways
AT yuvtrokhimets complicatedcariesofpermanentteethinchildrenstatusoftheproblemandmodernsolutionways