Prevenirea cariei dentare la copiii cu sindromul Down

Movileanu Alexandrin; Spinei Aurelia

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MOVILEANU, Alexandrin, SPINEI, Aurelia. Prevenirea cariei dentare la copiii cu sindromul Down. In: Medicina stomatologică , 2022, nr. 1(61), pp. 47-53. ISSN 1857-1328. DOI: https://doi.org/10.53530/1857-1328.22.61.06

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Medicina stomatologică

Numărul 1(61) / 2022 / ISSN 1857-1328

Prevenirea cariei dentare la copiii cu sindromul Down

Prevention of dental caries in children with Down syndrome

DOI:https://doi.org/10.53530/1857-1328.22.61.06

CZU: 616.314-084:616.89-056.37

Pag. 47-53

Movileanu Alexandrin, Spinei Aurelia

Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“

Disponibil în IBN: 18 martie 2023

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Obiective: studierea eficienţei prevenirii cariei dentare la copiii cu sindromul Down. În studiul caz-martor au fost incluşi 16 de copii cu sindromul Down (SD) cu vârste cuprinse între 7 şi 16 ani. S-au studiat indicii de prevalenţă a cariei dentare (IF) şi de experienţă carioasă, evaluarea riscului cariogen a fost realizată prin aplicarea software Cariogram. Măsurile de prevenire a cariei dentare (CD) au inclus: educaţia sanitară, igienizarea ghidată a cavităţii orale şi aplicaţii topice a preparatelor fluorurate. La subiecţii din lotul de cercetare (L1, nr=8) a fost aplicat topic preparatul Gluftored, Vladmiva, care conţine nanofluoruri, iar la copiii din lotul martor (L0, nr=8) - lacul fluorat Belak-F, Vladmiva. Studiul a fost aprobat de Comitetul de Etică a cercetării şi a fost realizat după obţinerea acordului scris al părinţilor copiilor sau reprezentanţilor lor legali. Implementarea măsurilor preventive complexe în decurs de 2 ani, la copiii cu SD din L1 a asigurat reducerea semnificativă statistic a indicatorilor de carie dentară şi risc carios în raport cu lotul L0. Concluzii: a fost demonstrată eficienţa superioasă a măsurilor preventive complexe care au inclus aplicaţii topice a nanofluorurilor.

Objectives: to study the effectiveness of dental caries prevention of children with Down syndrome. Sixteen children with Down syndrome (DS) aged 7 to 16 years were included in the case-control study. Indices of dental caries prevalence (DMFT) and caries experience were studied, caries risk assessment was performed by applying Cariogram software. Dental caries (DC) prevention measures included: health education, guided oral cavity hygiene and topical applications of fluoride preparations. To the subjects of the research group (L₁, nr=8) topically was applied solution Gluftored, Vladmiva, that containing nanofluorides, and to the children of the control group (L₀, nr=8) was applied the fluoride varnish Belak-F, Vladmiva. The study was approved by the Research Ethics Committee and was conducted after obtaining written consent from the children’s parents or their legal representatives. Implementation of complex preventive measures over 2 years to children with DS in L₁ provided statistically significant reduction of dental caries and caries risk indicators in comparison with the L₀ group. Conclusions: The superior efficacy of complex preventive measures including topical applications of nanofluoride was demonstrated.

Cuvinte-cheie
nanofluoruri, carie dentară, sindromul Down,

nanofluorides, dental caries, Down syndrome

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