Title : Aesthetic concept of visualization of crowns on the teeth of the frontal zone of the face in children under 13 years of age
Abstract:
Background: Aesthetic dysfunction of incisor damage in adolescent children (7-13 years old) due to injuries and chronic caries is accompanied not only by the development of a number of complications that predict the risks of developing permanent teeth and low parameters of the hygienic status of the oral cavity, but also forms psychological stress-dependent reactions that bring the problem to the medical, social and psychological level.
Methods and materials: Methods of the British Association for the treatment of dental pulpitis in children (H.D. Rodd, 2006-2022), methods for assessing the anthropometric parameters of teeth for the installation of aesthetic protective crowns (3MESPE), X-ray methods for monitoring the stability of teeth, analysis of the parameters of the increase in the intensity of carious changes based on scanning electron microscopy, vital methods for preparing maryars, water ozonation apparatus (SORP), apparatus "Doctor Smile-D5" (wavelength - l=810 nm, power 5 W), Wilcoxon statistical methods for pre-treatment and post-year follow-up data, U-Mann index for the analysis of three groups. Children of the first group were treated with SORP against the background of treatment of pulpitis and caries, both at the reception and on an outpatient basis (the children were given a working solution of 0.5 liters at home). The course of treatment was 10-12 days, depending on the severity of the process, the area affected by SORP, and the dynamics of the process. Children of the other group received laser illumination (810 nm) of the vital preparation zone from the Doctor Smile-D5 laser system (wavelength 810 nm, power 5 W) against the background of pulpitis and caries treatment. The course of treatment was 10-12 days, depending on the severity of the process, the area affected by SORP, and the dynamics of the process.
Results: all children showed an improvement in dental status by 12 months after thorough, regular sanitation and treatment with the installation of aesthetic protective crowns on the incisors. Particular attention is paid to the use of physiotherapy methods, which have shown higher results in terms of the reduction index of caries intensity increase (after LI – 0.5%, SORRT – 1.0%, without physiotherapy (control) – 1.5%); caries risk index (aHR) from 1.18 (95% CI, 1.12-1.16 - after LI, 1.31-1.72 - after SORRT - 95.0%, 1.5-1.92% - without physiotherapy (????????) - 95,0%); of the quality of life index (QOL) for D5 indicators – by 15 [9.2; 20.8] points: in group 1 – by 24.5 [10.5; 38.5] points, in group 2 – by 9.5 [8.5; 10.5] points, in the control group – by 4.5 [3.5; 5.5] points (for all indicators, p <0.05).
Conclusion: The installation of aesthetic protective crowns on the incisors in adolescent children not only improves the formation of the roots of permanent teeth and dental hygiene indices, but also reduces the degree of stress and psychological stress, forming aesthetic confidence.
