DOI:

10.37988/1811-153X_2022_1_32

Supervision of children with Down syndrome at the stages of dental care

Downloads

Authors

  • T.N. Modina 1, PhD in Medical Sciences, full professor of the Maxillofacial dentistry Department
    ORCID ID: 0000-0002-2063-9464
  • D.A. Tsinekker 2, PhD in Medical Sciences, associate professor of the Pediatric dentistry Department
    ORCID ID: 0000-0002-8366-5731
  • A.A. Kartashov 3, director
  • E.V. Mamaeva 2, PhD in Medical Sciences, full professor of the Pediatric dentistry Department
    ORCID ID: 0000-0002-4087-2212
  • R.I. Valiev 2, head of the Research Division
    ORCID ID: 0000-0003-0799-1698
  • D.T. Tsinekker 2, assistant at the Pediatric dentistry Department
    ORCID ID: 0000-0001-6635-0941
  • A.R. Mingaleeva 4, pediatric dentist
    ORCID ID: 0000-0001-7483-3804
  • 1 Pirogov National Medical & Surgical Center, 105203, Moscow, Russia
  • 2 Kazan State Medical University, 420012, Kazan, Russia
  • 3 “Your Dentist+” Dental Clinic, 420039, Kazan, Russia
  • 4 “Avesta” Family Dental Clinic, 142100, Podolsk, Russia

Abstract

To date, the issues of the diversity of the symptom complex of hereditary pathology are being actively discuss, while the most common pathology includes Down’s syndrome, which was distinguish by very bright ordental symptoms. Therefore, children with Down syndrome require an integrated approach to treatment, with the participation of a general practitioner and dentist at all stages of dental care. The aim of the study is to determine the options for the supervision of children with Down syndrome at the stages of dental care.
Materials and methods.
A comprehensive examination and treatment in 11 patients with Down syndrome was carried out.
Results.
The study determined the stages of curation of children with Down syndrome and the introduction of a personalized program in the provision of dental care — primary pre-hospital health care, primary specialized and specialized dental care. The implementation of a three-stage personalized program dictates the need to create a team of local professionals who are able to provide high-quality dental care and conduct systematic monitoring.
Conclusions.
The treatment of patients with Down syndrome requires an integrated approach, depends on the correct diagnosis, planning of complex treatment, its implementation and the motivation of the patient and his parents.

Key words:

Down syndrome, hereditary diseases, pediatric dentistry, medical genetics

For Citation

[1]
Modina T.N., Tsinekker D.A., Kartashov A.A., Mamaeva E.V., Valiev R.I., Tsinekker D.T., Mingaleeva A.R. Supervision of children with Down syndrome at the stages of dental care. Clinical Dentistry (Russia).  2022; 25 (1): 32—38. DOI: 10.37988/1811-153X_2022_1_32

References

  1. Iskorostinskaya O.V., Mikulinskaya-Rudich Yu.N., Mysl V.A., Oleinik E.S. Features of clinical manifestations of Down syndrome in dental practice (literature review). Bulletin of Problems Biology and Medicine. 2014; 2 (111): 20—29 (In Russ.). eLIBRARY ID: 23543547
  2. Gulenko O.V., Volobuev V.V., Bykova N.I., Faraponova E.A., Hagurova S.B. Comparative assessment level of compliance and dental status of mentally retarded children. Kuban Scientific Medical Bulletin. 2015; 1 (150): 37—43 (In Russ.). eLIBRARY ID: 23720549
  3. Volkov E.M., Mamaeva E.V., Tsinekker D.A., Valiev R.I., Akhmetova G.M., Salikhova L.I. Dental aspects of medical genetics. Kazan, 2021. 160 p. (In Russ.). eLIBRARY ID: 47290139
  4. Nasrullaeva M.M., Sultanova M.M. Congenital nasolacrimal duct obstruction in children with down syndrome (clinical case). Oftalmologiya. 2013; 2 (12): 91—93 (In Russ.). eLIBRARY ID: 35551089
  5. Avtenuk A.S., Makarov I.V. The conditions of childs mental atony (the review of literature). V.M. Bekhterev Review of Psychiatry and Medical Psychology. 2012; 1: 13—21 (In Russ.). eLIBRARY ID: 17702608
  6. Shmakova O.P., Shmakova A.A. Children and adolescents with Down syndrome: analysis of the features of social functioning. Psychiatry (Moscow). 2012; 1—3 (53—55): 5—12 (In Russ.). eLIBRARY ID: 20872723
  7. Kisel’nikova L.P., Drobot’ko L.N., Miloserdova K.B. Dental care for children with autism spectrum disorders. Autism and Developmental Disorders (Russia). 2017; 3 (56): 9—15 (In Russ.). eLIBRARY ID: 30266857
  8. Belousova E.Yu., Gazhva S.I., Lisenkov M.R., Gazhva Yu.V. Comparative evaluation of dental health of children with disabilities. Medical and pharmaceutical journal Pulse. 2019; 7: 26—31 (In Russ.). eLIBRARY ID: 39289573
  9. Pestryakova I.Yu., Ivanov A.S., Kiselnikova L.P., Kraevskay N.S., Leontieva E.Yu., Babko E.G., Kapitsa A.A. The state of oral hygiene of children with down syndrome and the level of knowledge of their parents on preserving the dental health of children with disabilities. Glavnyi Vrach Uga Russia. 2020; 3 (73): 21—24 (In Russ.). eLIBRARY ID: 43880994
  10. Oleinik E.L., Trifonov B.V., Denisova E.G. Determination of the risk of dental caries in children with genetic pathology. Belgorod State University Scientific bulletin: Medicine, Pharmacy. 2013; 11—1 (154): 52—56 (In Russ.). eLIBRARY ID: 21367942
  11. Lyubchenko A.V., Lyubchenko O.V., Surmina M.R. Efficiency of children’s teeth treatment under general anesthesia. Dentistry bulletin. 2014; 4 (89): 67—71 (In Russ.). eLIBRARY ID: 25767390
  12. Nazarova O.F., Kvitkevich A.A. Experience in the use of general anesthesia in providing dental care for children. Actual Problems in Dentistry. 2013; 6: 46—50 (In Russ.). eLIBRARY ID: 21009704
  13. Kiselnikova L.P., Li W., Shevchenko M.A. Evaluation of the effectiveness of the local remineralizing therapy to regulate the enamel mineralization processes in the temporary teeth. Clinical Dentistry (Russia). 2019; 2 (90): 4—8 (In Russ.). eLIBRARY ID: 37749511
  14. Kiselnikova L.P., Wei L., Shevchenko M.A. Use of sealing methods to regulate the maturation processes of hard tissues in children’s temporary molars. Clinical Dentistry (Russia). 2019; 4 (92): 4—7 (In Russ.). eLIBRARY ID: 41601773
  15. Leous P.A., Kiselnikova L.P., Boyarkina E.S. Longitudinal study of the primary prevention effect on dental caries. Stomatology. 2020; 2: 26—33 (In Russ.). eLIBRARY ID: 42851802
  16. Kiselnikova L.P., Kuznetsova G.I. Photodynamic therapy in treatment of gingivitis at children. Clinical Dentistry (Russia). 2016; 2 (78): 4—8 (In Russ.). eLIBRARY ID: 26134222
  17. Modina T.N., Tsinekker D.A. Photoactivated disinfection in conservative therapy of chronic hypertrophic gingivitis in adolescents. In: Globalization of modern scientific research. Ivanovo: Scientific World, 2018. Pp. 185—190 (In Russ.). eLIBRARY ID: 36732218
  18. Orekhova L.Yu., Loboda E.S. The role of photodynamic therapy in complex treatment of periodontology diseases. Parodontologiya. 2013; 2 (67): 46—52 (In Russ.). eLIBRARY ID: 20678460
  19. Tzerkovsky D.A., Protopovich E.L., Stupak D.S. The basic aspects of the application of photosensitizing agents in photodynamic therapy. Oncological Journal (Minsk). 2019; 2 (50): 79—99 (In Russ.). eLIBRARY ID: 41040502
  20. Blashkova S.L., Fazylova Yu.V., Alferov L.V., Khasanov D.Sh. The choice of tactics of treatment of patients at the endo periodontal defeats with primary defeat of the parodont and secondary involvement of the endodont. Endodontics Today. 2018; 3: 8—12 (In Russ.). eLIBRARY ID: 36499715
  21. Zubkova A.A. The use of the “Vector” device in the complex treatment of chronic generalized periodontitis. Regional bulletin. 2019; 21 (36): 15—16 (In Russ.). eLIBRARY ID: 41351671
  22. Modina T.N., Mamaeva E.V., Tsinekker D.A. Hypertrophic gingivitis in teenagers. Pediatric Dentistry and Profilaxis. 2010; 1 (32): 14—19 (In Russ.). eLIBRARY ID: 14614729
  23. Averyanov SergeyV., Gulyaeva OksanaA., Il’chigulova OlesyaE., Mamatov YunusM. A comparison of the efficacy of non-drug methods in the course of a supportive periodontal therapy programme. Actual Problems in Dentistry. 2017; 1: 51—55 (In Russ.). eLIBRARY ID: 29256722
  24. Slazhneva E.S., Atrushkevich V.G., Orekhova L.Yu., Rumyantsev K.A., Loboda E.S., Zajceva O.S. Comparative evaluation of changes in the periodontal microbiome in patients with chronic generalized periodontitis after Vector-therapy. Parodontologiya. 2020; 3: 190—200 (In Russ.). eLIBRARY ID: 43865432
  25. Tokmakova S.I., Bondarenko O.V., Sgibneva V.A. Comparative evaluation of the effectiveness of methods for removing dental plaque. Parodontologiya. 2018; 3 (88): 75—79 (In Russ.). eLIBRARY ID: 36409049
  26. Shumskyi A.V. The modern ultrasonic technologies in treatment of periodontal diseases. Parodontologiya. 2008; 4 (49): 30—34 (In Russ.). eLIBRARY ID: 11636754

Downloads

Received

December 12, 2021

Accepted

March 8, 2022

Published on

March 1, 2022