PREVALENCE OF MALOCCLUSION IN CHILDREN WITH MONONUCLEOSIS

Abstract

Purpose of the study. To date, there is a tendency to increase the prevalence of diseases caused by Epstein-Barr virus, including infectious mononucleosis. Pathological changes caused by this disease arwe found in various organs and systems of the child’s body, including the dentalmaxillary area. This is manifested by the development of dental caries, periodontal disease, pathology of the oral mucosa, the formation of dental anomalies. The aim of the study was to study the prevalence and features of the clinical course of dental anomalies in children with persistent Epstein-Barr virus infection. Research methods. 226 children aged 6, 9, 12 years were examined. Of these, 104 children diagnosed with infectious mononucleosis were included in the main group, 122 children who were almost healthy were in the comparison group. Jaw anomalies (DAS) were determined according to the classifications of Engl E. and Calvelis DA. It was found that among children of the main group malocclusions were revealed in 83,85 ± 2,34%, while among almost healthy children this mean did not exceed 58,18 ± 2,48%. With age, the prevalence of malocclusion increases in both study groups, but among children of the main group the dynamics of growth is more pronounced – from 78,94 ± 2,13% among children 6 years to 88,23 ± 2,24% among children 12 years of age, i.e., 1,12 times. On the contrary, in children who were practically healthy, the prevalence of malocclusion at 6 years was 56,41 ± 1,98%, which is 1,4 times less than in children of the main group, and up to 12 years increased by 1,08 times (60,97 ± 2,15%), but was lower than in children of the main group by 44,71%. Conclusions. Thus, a high prevalence of malocclusin in children with mononucleosis, with increasing prevalence of various nosological forms with age. Among the nosological forms of USA, anomalies of the dentition predominate, which is obviously due to the peculiarities of the underlying disease. The obtained results indicate the need for orthodontic treatment of children with mononucleosis, consultations with dentists along with the treatment of the underlying disease.