Complicated caries of permanent teeth in children: status of the problem and modern solution ways

N.S. Proshchenko; H.V. Sorochenko; O.I. Ostapko; O.M. Plyska; Yu.V.  Trokhimets

doi:10.26641/2307-0404.2023.3.289211

Authors

N.S. Proshchenko O.O. Bogomolets National Medical University, Zoologichna str., 1, Kyiv, 03057, Ukraine https://orcid.org/0000-0001-7317-6590
H.V. Sorochenko O.O. Bogomolets National Medical University, Zoologichna str., 1, Kyiv, 03057, Ukraine https://orcid.org/0000-0002-0559-6080
O.I. Ostapko O.O. Bogomolets National Medical University, Zoologichna str., 1, Kyiv, 03057, Ukraine https://orcid.org/0000-0001-6777-5116
O.M. Plyska O.O. Bogomolets National Medical University, Zoologichna str., 1, Kyiv, 03057, Ukraine https://orcid.org/0000-0002-3843-5582
Yu.V. Trokhimets O.O. Bogomolets National Medical University, Zoologichna str., 1, Kyiv, 03057, Ukraine https://orcid.org/0009-0004-2936-9263

DOI:

https://doi.org/10.26641/2307-0404.2023.3.289211

Keywords:

permanent teeth, caries, children, hard tooth tissues, tooth restoration, endodontic treatment, digital dentistry

Abstract

The issue of improving dental care protocols for children with multiple (decompensated) and complicated caries of permanent teeth, their full rehabilitation is particularly relevant, especially in periods of social cataclysms (the COVID-19 pandemic, martial law, etc.). The purpose of this study was an assessment of the dental caries experience, analysis of modern approaches to diagnosis, treatment, prevention and rehabilitation of complicated caries of permanent teeth among children in Kyiv. The material of the study was data from medical histories of 236 children aged 7-18 years. During the analysis of the obtained data, the dental caries experience, % of cases of toothache complaints and part of the need for replacement or correction of restorations after the treatment of complicated caries were calculated. The prevalence of caries of permanent teeth among 7-18-year-old children (n=236) in the period 2020-2023 was 42-95%, the dental caries experience – 1.73-6.4, the frequency of diagnosis of complicated caries – 4.8-37,1%, the prevalence of toothache – 31%, the part of the need for replacement of restorations after treatment of complicated caries – 62%. The obtained indicators confirm the absence of a downward trend compared to similar data for more than 15 years of observation. Diagnosis, treatment and full rehabilitation of complicated caries of permanent teeth in children is complex, multi-stage and requires the practical experience and patience of a dentist and the usage of the most modern materials and technologies. To date, there are no clear scientifically based protocols for the restoration of permanent teeth, in particular with incomplete root formation, after endodontic treatment. The usage of modern technologies of orthopedic dentistry and materials science (3D scanner, 3D printer, T-scan, polymers) will allow to significantly improve the quality of comprehensive treatment and rehabilitation of children with complications of caries of permanent teeth.

References

Rechmann P, Chaffee B, Rechmann B, et al. Caries Management by Risk Assessment: Results from a Practice-Based Research Network Study. J Calif Dent Assoc. 2019 Jan;47(1):15-24. doi: https://doi.org/10.1080/19424396.2019.12220742

Horokhivskyi VV, Dienha OV. [Dental status of children with dental caries under the influence of developed preventive measures including mineralol]. Innovatsii v stomatolohii. 2022;1:39-42. Ukrainian. doi: https://doi.org/10.35220/2523-420X/2022.1.6

Mandziuk TB, Goncharenko VA, Kaskova LF. Comparative characteristics of dental caries indices in children at the first period of changeable occlusion. The scientific heritage. 2018;23(Р 2):31-4.

Hodovanets OI, Kotelban AV. [Caries incidence rates of permanent teeth in children aged 12 and 15]. Visnyk stomatolohii. 2020;2(111),36:80-4. Ukrainian. doi: https://doi.org/10.35220/2078-8916-2020-36-2-80-84

Danyltsiv LO, Rozhko MM. [Dental status of 15-year-old schoolchildren in the Ivano-Frankivsk region]. Klinichna Stomatolohiia. 2022;4:39-43. Ukrainian. doi: https://doi.org/10.11603/2311-9624.2021.4.12660

Savychuk NO. [Innovative approaches to the prevention of dental caries in children and pregnant women]. Sovremennaia stomatolohyia. 2013;5:50-4. Ukrainian.

Kaskova LF, Mandziuk ТB, Ulasevych LP, et al. Correlation relations of caries and socio-hygienic factors. Problemy ekolohii ta medytsyny. 2019;23(3-4):9-12. doi: https://doi.org/10.31718/mep.2019.23.3-4.03

Hryhorenko HM, Khomenko LO, Sorochenko HV. [In vitro study of the enamel surface layer of permanent teeth in the period of secondary mineralization]. Ukrainskyi stomatolohichnyi almanakh. 2015;1:11-5. Ukrainian.

Al-Halabi M, Salami A, Alnuaimi E, Kowash M, Hussein I. Assessment of paediatric dental guidelines and caries management alternatives in the post COVID-19 period. A critical review and clinical recommendations. European Archives of Paediatric Dentistry [Internet]. 2020Jun.16;21(5):543-56. Available from: https://link.springer.com/10.1007/s40368-020-00547-5

Khomenko LO, Ostapko OI, Trachuk YuM, [The main indicators of dental morbidity in 12-15-year-old children in Kyiv]. Aktualni problemy medytsyny ta byolohyy. 2005;1(33):200-6. Ukrainian.

Sorochenko HV, Ishutko IF, Karachevska KO. [Condition of hard tissues of permanent teeth in children of Kyiv]. Visnyk problem biolohii i medytsyny. 2016;1,2(127):267-9. Ukrainian.

Hruzieva TS, Lekhan VM, Ohniev VA, Haliienko LI, Kriachkova LV, Palamar BI, et al. [Biostatistics]. Vinnytsia: New Book; 2020. 384 p. Ukrainian.

Pavlenko OV, Lystopad OP. [In vitro study of the enamel surface layer of permanent teeth in the period of secondary mineralization]. Sovremennaia stomatolohyia. 2014;2:100-3. Ukrainian.

Borysenko AV, Nespriadko VP, Klitynskyi YV, et al. [Computer simulation of stresses in mandibular incisors with different restoration designs]. Sovremennaia stomatolohyia. 2013;2:90-2. Ukrainian.

Chua DR, Tan BL, Nazzal H, et al. Outcomes of preformed metal crowns placed with the conventional and Hall techniques: A systematic review and meta‐analysis. International Journal of Paediatric Dentistry. 2022;33,2:141-57. doi: https://doi.org//10.1111/ipd.13029

Ayedun O, Oredugba F, Sote E. Comparison of the treatment outcomes of the conventional stainless steel crown restorations and the hall technique in the treatment of carious primary molars. Nigerian Journal of Clinical Practice [Internet]. 2021Jan.1;24(4):584. Available from: https://journals.lww.com/10.4103/njcp.njcp_460_20

Vamshi NS, Agarwal A, Sachanandani HM, et al. Revolution in Pediatric Dentistry: A Review. Journal of Advanced Medical and Dental Sciences Research. 2021;9,11:47-51. doi: https://doi.org//10.21276/jamdsr