Prevention of dental caries

Based on our experimental data Century A. Kosovska applied vitamins B1 and B6 and glycyrrhizinate calcium for the prevention of dental caries in preschool children. To do this, were elected three kindergartens. One group of children were given glycyrrhizinate calcium 0.5 g and vitamin B1 0,002 grams per child per day for one month.
The second group of children gave glycyrrhizinate calcium 0.5 g and vitamin B6 0,005 grams per child per day during one month every six months. The third group was a control one. The dosage of these drugs is selected in accordance with daily treatment-and-prophylactic doses approved by the Pharmacological Committee. Only under the supervision were 2606 children within 3-4 years.
All the drugs were injected directly into the diet before serving of food. Glycyrrhizinate calcium introduced in the first and second courses (except milk), and vitamins - cooled compote or pudding in an amount which was designed for a group of children who were in preventive treatment.
The introduction of drugs produced nurses kindergartens, as a rule, in the period of the planned reorganization of the mouth under the supervision of doctors. With nurses, doctors and kindergarten teachers have been held talks about the importance and value of dental caries prevention and organization of rational nutrition, and was reinforced control on observance of rules of care of teeth. Along with these children were forbidden to bring into kindergarten and eat candy and other sweets, so as to eliminate their consumption between meals. The medications were registered, as well as their consumption in the process of applying.
The results of dental caries prevention were assessed by the CPU, and the growth of carious teeth and cavities on average, one child, as well as on the prevalence of caries process.
Observations of specified groups of children showed that the introduction of preventive supplementation had no major impact on the development of caries in milk teeth (decreased only the intensity of lesions). Meanwhile, the prevalence and intensity of caries in these children was significantly less. So, in children who received 3-4 years glycyrrhizinate calcium and vitamin B1; it was only 10.8% of decayed permanent teeth. In children who received glycyrrhizinate calcium and vitamin B6, the number of children suffering from permanent teeth was 9.6%, while in children of the control group with carious permanent teeth were identified 28,0% of people.
The number of permanent teeth affected by caries (in total for all years of prevention) was also significantly lower in comparison with the control group. At introduction in a diet of vitamin B1 and glycerol calcium identified 4.6% of carious teeth, with the introduction of vitamin B6 and glycerol calcium identified 3.8% of carious teeth. Meanwhile in children of the control group, their number reached 7.1.
The study of the total growth rates of caries in the 6 - and 7-year-old revealed that in children who received prophylactic anticariogenic Supplement, the number of newly appeared caries in permanent teeth (on average, one child) was considerably lower (0,13 - 0,20)than in children of the control of the kindergarten (0,30)not receiving prophylactic drugs .
The results of clinical observations in these kindergartens also suggest that much, at 20 - 25%, decreased need in a planned reorganization of the mouth, however, much work still remains very high due to the treatment of caries of milk teeth.
It is characteristic that the number of superimposed fillings in permanent teeth in preschool children receiving preventive additives decreased about 6 -7 times. So, if before the introduction anticariogenic additives when sanation of oral cavity preschoolers, in all three kindergartens imposed on 0,6 - 0,7 seals on average per person, who needs treatment, after 2 - 3 years - only 0.04 - 0.1 seal.
It is significant comparative evaluation of methods used to prevent tooth decay by their General effect on the organism. It turned out that the children treated in the diet preventive additives, within 2 to 3 years less often (in 1.5 times) was ill physical illness than children in the control group (average of 4.4 diseases per child) while in children of the control group , the incidence of an average 7.5 diseases per child. This is explained, apparently, by the fact that preventive additives reinforce the processes of tissue regeneration, have anti-allergic and anti-inflammatory effect, increases the resistance of the organism as a whole. Along with this by reducing the number of decayed teeth reduced the number of foci odontogenic infections in the oral cavity. Besides, it was noted that the indices of physical development of children treated anticariogenic additives, can be attributed to the "middle" and "above average".
Thus, in the result of four years of prevention of dental caries in preschool children, we can conclude that glycyrrhizinate calcium and vitamins b, and b(1, introduced in the basic diet, reduce on average 50% of the increase caries in permanent teeth, increase total body resistance to diseases, to a certain extent, contribute to the physical development of children.
Obtained in experiment and clinic served as a basis for further clinical observations. They were held Yu. A. and B. Fedorov A. Kosovskoj in Odessa in two boarding schools on a large group of children for seven years. These preventive measures were organized so that in parallel with the planned reorganization of the mouth every six months during the month in the diet of children was introduced glycyrrhizinate calcium and sea Kale at the rate of 0.5 g per child per night. The dosage of these drugs is selected in accordance with daily prophylactic doses for children approved by the Pharmacological Committee. Along with this were carried out organizational work with the staff of the orphanage and students to ensure the regular upkeep of a mouth.
During the monitoring conducted comparative analysis of susceptibility caries all studied groups of children, including the control, to perform preventive maintenance, and then after 1, 2, 3, 4 years and more, using key indicators: prevalence, intensity and the growth of dental caries. This did not only register the carious teeth, but the number of cavities, as well as their location. Accounting incidence of caries conducted annually.

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