STUDY OF MAXILLOFACIAL ABNOMALITIES AND THEIR CORRELATION WITH DENTAL CERVICAL PATHOLOGY AND INDICATORS OF DENTAL HEALTH IN YOUNG PATIENTS
DOI:
https://doi.org/10.35220/2078-8916-2024-53-3.8Keywords:
erosion, wedge-shaped defect, cervical caries, tremas / diastemas.Abstract
Purpose of the study. Determination of prevalence and structure of maxillofacial abnomalities (MFA) in young patients, analysis of correlations between MFA and dental cervical pathology and indicators of dental health. Research methods. The examination of 272 people (174 women and 98 men) aged 18-44 included the collection of anamnesis data, a clinical examination, filling out a questionnaire/survey. Depending on the type and presence of dental cervical pathology, the patients were divided into study groups. Scientific novelty. The prevalence of MFA was 67%, among them abnomalities of the position of the teeth were more common (p>0.05). Abnormalities in the position of the teeth were diagnosed 1.25 times more often in women than in men (p=0.04). In those examined with erosion (E) of the enamel, tremas/ diastemas were determined 8.3 and 2.3 times more often than in those examined with a wedge-shaped defect (WSD) and without dental cervical pathology, respectively (p<0.04). A correlation was observed between the presence of E of the enamel and tremas / diastemas in a patient (p=0.04). A correlation was determined between the development of enamel chips and the patient’s diagnosed tremas / diastemas and abnomalities of the position of the teeth (p<0.05). The presence of tremas / diastemas was in direct correlation with the development of wear facets and bleeding gums (p<0.05). A correlation was identified between the anomalities in the position of the teeth and recession of the gums and bruxism (p<0.05). Pathological bite was diagnosed 1.66 and 1.63 times more often in patients with cervical caries (CC) than in patients with WSD and without cervical caries, respectively (p<0.05). A direct correlation was determined between the presence of CC and the type of bite (р=0.005). With a pathological bite, the probability of multiple WSD lesions increased by 6.57 times (p=0.002). Conclusions. The significant prevalence of MFA in young patients, their correlation with dental cervical pathology and dental health necessitates further research in order to develop comprehensive treatment and prevention measures.
References
Турянська Н. І. Розповсюдженість захворюваності твердих тканин зубів серед студентів. Вісник проблем біології і медицини. 2017. Т. 2 (140), вип. 4. С. 253-256. URL: https://vpbm.com.ua/ua/vipusk- 4-tom-2-(140),-2017/9584.
Дрогомирецька М. С., Мірчук Б. М., Дєньга О. В. Розповсюдженість зубо-щелепних деформацій і захворювань тканин пародонта в дорослих у різні вікові періоди. Український стоматологічний альманах. 2010. № 2 (1). С. 51-57. URL: http://nbuv.gov.ua/UJRN/ Usa_2010_2%281%29__15.
Смаглюк Л. В., Смаглюк В. І. Важливість комплексної стоматологічної допомоги в реабілітації пацієнтів із зубощелепними аномаліями. Український стоматологічний альманах. 2012. № 5. С. 99-102. URL: http://nbuv.gov.ua/UJRN/Usa_2012_5_24.
Peck C.C. Biomechanics of occlusion--implications for oral rehabilitation. J Oral Rehabil. 2016. Vol. 43 (3). Р. 205-214. doi: 10.1111/joor.12345.
Jepsen S., Caton J.G., Albandar J.M., Bissada N.F., Bouchard P., Cortellini P., Demirel K., de Sanctis M., Ercoli C., Fan J., Geurs N.C., Hughes F.J., Jin L., Kantarci A., Lalla E., Madianos P.N., Matthews D., McGuire M.K., Mills M.P., Preshaw P.M., Reynolds M.A., Sculean A., Susin C., West N.X., Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018. Vol. 89 Suppl 1. Р. 237-248. doi: 10.1002/ JPER.17-0733.
Nascimento M., Dilbone D., Pereira P., Duarte,W.R., Geraldeli S., Delgado A.J. Abfraction lesions: etiology, diagnosis, and treatment options. Clin Cosmet Investig Dent. 2016. Vol. 8. Р. 79–87. doi: https://doi.org/10.2147/ CCIDE.S63465.
Borcic J., Anic I., Smojver I., Catic A., Miletic I., Ribaric S.P. 3D finite element model and cervical lesion formation in normal occlusion and in malocclusion. J Oral Rehabil. 2005. Vol. 32 (7). Р. 504-510. doi: 10.1111/j.1365 -2842.2005.01455.x.
Andreaus U., Colloca M., Iacoviello D. Coupling image processing and stress analysis for damage identification in a human premolar tooth. Comput Methods Programs Biomed. 2011. Vol. 103 (2). Р. 61-73. doi: 10.1016/j.cmpb.2010.06.009.
Тріщини та переломи зубів як наслідок неправильного методу лікування дефектів твердих тканин зубів / О. В. Бульбук та ін. Вісник стоматології. 2023. Т. 47, № 1 (122). С. 129-135. doi: https://doi.org/10 .35220/2078-8916-2023-47-1.21.
Шляхи комплексного лікування набутих зубощелепних деформацій на фоні шкідливих звичок / Н. П. Махлинець, З. Р. Ожоган, А. В. Пантус, В. І. Яцинович. Вісник стоматології. 2023. Т. 48, № 2 (123). С. 29-34. doi: https://doi.org/10.35220/2078-8 916-2023-48-2.7.
Zabolotna I.I., Bogdanova Т.L., Potapov Y.О., Genzytska O.S. Сorrelation of dentine hypersensitivity (DH) with manifestations of psycho-emotional stress, its features in patients with cervical teeth pathology. Protet Stomatol. 2023. Vol. 73 (2). Р. 97-110. doi: https://doi. org/10.5114/ps/168064.
Lucas P.W., van Casteren A. The wear and tear of teeth. Med Princ Pract. 2015. Vol. 24 Suppl 1 (Suppl 1). Р. 3-13. doi: 10.1159/000367976.
