DOI:

10.37988/1811-153X_2022_4_14

Caries activity dependence on the oral ion balance in children

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Authors

  • V.V. Kruzhilin 1, postgraduate at the Pediatric dentistry Department
    ORCID: 0000-0002-6099-9501
  • I.N. Chechina 1, PhD in Medical Sciences, associate professor of the Pediatric dentistry Department
    ORCID: 0000-0001-6243-7003
  • O.G. Zhilenko 1, PhD in Medical Sciences, associate professor of the Pediatric dentistry Department
    ORCID: 0000-0003-2664-3875
  • E.A. Podzorova 1, PhD in Medical Sciences, associate professor and head of the Pediatric dentistry Department
    ORCID: 0000-0001-9618-3611
  • L.R. Sarap 1, PhD in Medical Sciences, full professor of the Pediatric dentistry Department
    ORCID: 0000-0001-6599-1683
  • N.Yu. Dmitrienko 1, PhD in Medical Sciences, associate professor of the Pediatric dentistry Department
    ORCID: 0000-0002-0180-1526
  • 1 Altai State Medical University, 656038, Barnaul, Russia

Abstract

Caries is one of the major problems of modern dentistry. Gradual destruction of the hard tissues of the tooth, eventually complicated by the lesion of the pulp and periapical tissues, can cause the loss of permanent teeth, even at childhood age, and it can also provoke the development of somatic pathology in a child. The continuous development of the carious process is a consequence of the imbalance between the processes of re-mineralization and demineralization in the oral cavity, arising from the activity of microflora, whose metabolism is based on the consumption of sugars that come with the food. An important role in the processes of re- and demineralization of enamel is played by saliva, which has buffer properties — it helps to normalize oral homeostasis and increase resistance to caries. The study of the characteristics of oral homeostasis in children with varying degrees of carious process activity can help to optimize the preventive role of modern dentistry. The aim of the investigation is to study the interrelation between the change of oral liquid ionic balance in children and activity of carious process at period of changeable bite. >. Research of 100 schoolchildren of Barnaul city from 7 till 12 years old was carried out in which OHI-S, PMA index, pH of an oral liquid, concentration of Ca2+ in an oral liquid were determined. >. In children with the 1st degree of carious process activity (n=30) the OHI-S averaged 0.5; in children with the 2nd degree of carious process activity (n=30) — 1.0; in children with the 3rd degree of carious process activity (n=30) — 2.50. In the group with degree I caries activity the PMA index averaged 2.8%, in the group with degree II — 13.9% and in the group with degree III — 23.61%. In healthy children (n=10) oral fluid pH averaged 7.22; in group with degree I caries activity, 7.07; in group with degree II caries activity, 6.97; in group with degree III caries activity, 6.88. Average concentration of Ca2+ in oral liquid of healthy children made up 0.04—0.05 g/l; in children with I degree of caries activity — 0,07 g/l; with II degree of caries activity — 0,08 g/l; with III degree of caries activity — 0,09 g/l. >. Correlation between pH and Ca2+ concentration in an oral liquid, a level of hygiene of an oral cavity, and also a degree of caries activity and damage of periodontium at children has been revealed.

Key words:

homeostasis of the oral cavity, ion balance of the oral cavity, assessment of the oral cavity, caries in children

For Citation

[1]
Kruzhilin V.V., Chechina I.N., Zhilenko O.G., Podzorova E.A., Sarap L.R., Dmitrienko N.Yu. Caries activity dependence on the oral ion balance in children. Clinical Dentistry (Russia).  2022; 25 (4): 14—19. DOI: 10.37988/1811-153X_2022_4_14

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Received

August 6, 2022

Accepted

October 26, 2022

Published on

December 21, 2022