DOI:

10.37988/1811-153X_2024_4_23

Evaluation of the effectiveness of a caries prevention programme in children using a remineralising gel

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Authors

  • S.N. Gromova 1, PhD in Medical Sciences, associate professor and head of the Dentistry Department, dean of the Faculty of Dentistry
    ORCID: 0000-0001-8709-131X
  • M.S. Medvedeva 1, assistant at the Dentistry Department
    ORCID: 0009-0009-3493-7698
  • E.P. Kolevatykh 1, PhD in Medical Sciences, associate professor and head of the Microbiology and virology Department
    ORCID: 0000-0001-6147-3555
  • A.V. Elikov 1, PhD in Medical Sciences, associate professor of the Biochemistry Department
    ORCID: 0000-0002-3042-8556
  • V.A. Kreneva 1, senior lecturer of the Dentistry Department
    ORCID: 0000-0002-1596-2697
  • A.A. Sychugova 1, 5th year student at the Faculty of Dentistry
    ORCID: 0009-0008-0635-6063
  • 1 Kirov State Medical University, 610998, Kirov, Russia

Abstract

Prevention of dental caries in children has been practised since the middle of the XIX century, but to this day this topic remains actual. The aim of the study — to determine the most acceptable scheme of group caries prevention in preschool children with controlled and uncontrolled tooth brushing followed by application of remineralizing gels.
Materials and methods.
 Two groups of 6-year-old children from the same preschool were formed for the study. Both groups were given toothbrushes and R.O.C.S. Kids toothpaste and R.O.C.S. Medical Minerals remineralising gel for tooth brushing. In Group I, children (n=21) brushed their teeth 3 times a day: in the morning and evening under parental supervision, and in the afternoon under the supervision of caregivers. In group II children (n=23) brushed their teeth only in the morning and evening under parental supervision. In both groups, remineralising gel was applied to the teeth after brushing. Before the study, as well as after 1, 2 and 3 months, the OHI-S hygiene index was assessed, the total microbial number of cariesogenic microorganisms and the calcium and phosphorus concentration in tooth enamel were measured.
Results.
Oral hygiene improved in both groups during the observation period. According to the OHI-S hygiene index, the scores in the controlled hygiene group were twice as good. The reduction in total microbial count was 43.4% higher in group I, where children were helped to brush their teeth by students. In group I, there is a uniform increase in calcium and phosphate ions in tooth enamel. And in group II, where parents controlled the brushing, there is a sharp increase in the content of ions in the tooth enamel in the first month. Then a decrease in results by month 2, and a rise again by month 3, but not to month 1 values.
Conclusion.
 Controlled oral hygiene shows the great effectiveness of hygiene and remineralizing procedures in the oral cavity of children. These measures can be supervised by a dental hygienist, trained parents and teachers in preschool.

Key words:

oral hygiene, caries prevention, remineralization, tooth enamel hydroxyapatite

For Citation

[1]
Gromova S.N., Medvedeva M.S., Kolevatykh E.P., Elikov A.V., Kreneva V.A., Sychugova A.A. Evaluation of the effectiveness of a caries prevention programme in children using a remineralising gel. Clinical Dentistry (Russia).  2024; 27 (4): 23—28. DOI: 10.37988/1811-153X_2024_4_23

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Received

October 11, 2024

Accepted

November 6, 2024

Published on

December 17, 2024