ВСТРЕЧАЕМОСТЬ ПРИЗНАКОВ ПОРАЖЕНИЯ ТКАНЕЙ

2012. – . 10,
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616.314.17 – 008.1: 616.31-083-053.2(471.331)
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ВСТРЕЧАЕМОСТЬ ПРИЗНАКОВ ПОРАЖЕНИЯ ТКАНЕЙ
ПАРОДОНТА И ХАРАКТЕР ГИГИЕНЫ ПОЛОСТИ РТА
У ДЕТЕЙ И ПОДРОСТКОВ ТВЕРСКОГО РЕГИОНА
Кафедра стоматологии детского возраста с курсом детской стоматологии ФПДО;
кафедра стоматологии ФПДО ГБОУ ВПО «Тверская ГМА Минздравсоцразвития РФ»
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4–15
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(70,4%).
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FREQUENCY OF OBSERVATION OF SINGS OF PARODONTAL
TISSUES INJURIES AND THE CHARACTER OF ORAL HYGIENE
IN CHILDREN AND ADOLESCENTS IN TVER REGION
O.A. Gavrilova, I. Ya. Piecalnits, E.N. Fedotova, A.S. Hohlova, Yu.V. Ratnicova
The results of investigation devoted to the studies of prevalence and intensity of sings of parodontal tissues injuries
and the level of oral hygiene in children 4–15 years of age residing in Tver region are present in the paper. Pronounced
increase in frequency of gingival bleeding with the increase of children’s age was established. Dental calculus deposits
are seen in senior pupils (70,4%). Average level of oral hygiene in all age groups of schoolchildren is estimated as «satisfactory», however, in a quarter of preschool children oral hygiene is «poor». Unhygienic state of oral cavity, absence
of motivation for hygienic procedures performance is a great problem of dentistry for children. Partial solution of this
problem is possible if dental assistants –hygienist take part in it.
Key words: sings of parodontal tissues injuries, bleeding, dental calculus, oral hygiene, preschool children,
schoolchildren, Tver region.
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12. Albandar J.M. Global epidemiology of periodontal diseases in children and young persons [Text] / J.M. Albandar,
E.M. Tinoco // Periodontol. – 2002. – 29. – P. 153–176.
13. Clerehugh V. Periodontal diseases in children and adolescents: I. Aetiology and diagnosis [Text] / V. Clerehugh, A. Tugnait // Dent Update. – 2001. – 28. – P. 222–232.
14. Jenkins W.M. Epidemiology of periodontal disease in
children and adolescents [Text] / W.M. Jenkins, P.N. Papapanou //
Periodontol. – 2001. – 26. – P. 16–32.
15. Lafaurie G.I. Demographic clinical, and microbial aspects
of chronic and aggressive periodontitis in Colombia: a multicenter
study [Text] /G.I. Lafaurie [et al] // J. Periodontol. – 2007. –
Vol. 78. – 4. – . 629–739.
16. Matsson L. Gingival inflammatory reaction in children at
different ages [Text] / L. Matsson, P. Golderg // J. Clin. Periodontal. – 1985. – Vol. 12. – 2. – P. 98–103. (486).
17. Oh T.J. Periodontal diseases in the child and adolescent
[Text] / T.J. Oh, R. Eber, H.L. Wang // J. Clin. Periodontol. –
2002. – 29. – P. 400–410.
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[email protected]
(
. 8-903-801-60-31; e-mail:
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