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Stomatologiya 2020

[Analysis of the leading pathogenetic factors of dental caries in children with celiac disease]

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The aim: To identify the leading pathogenetic factors of dental caries in children with celiac disease.

Material and methods: The study included 48 children with a confirmed diagnosis of celiac disease at the age of 8-16 years. All the children were examined by a dentist, the oral cavity was sanitized, recommendations for oral care were given. All children followed a gluten-free diet and brushed their teeth at least once a day. The control group consisted of children (27 people) at the same age who did not have celiac disease. It was found that children with celiac disease have high rates of dental caries in comparison with children without this disease.

Results and conclusion: The leading pathogenetic factors affecting the hard tissues of the teeth is a lack of vitamin D, a high titer of Streptococcus mutans in saliva and a low salivation rate.

Цель исследования: Выявление основных патогенетических факторов кариеса зубов у детей с целиакией.

Материал и методы: Обследованы 48 детей с подтвержденным диагнозом целиакии в возрасте 8—16 лет. Все дети были осмотрены стоматологом, была проведена санация полости рта, даны рекомендации по уходу за полостью рта. Все дети соблюдали безглютеновую диету и чистили зубы не менее одного раза в день. Контрольную группу составили 27 детей аналогичного возраста без целиакии.

Результаты и заключение: У детей с целиакией выявлены высокие показатели кариеса зубов по сравнению с детьми, не имеющими данного заболевания. Ведущими патогенетическими факторами поражения твердых тканей зубов являются недостаток витамина D, высокий титр Streptococcus mutans в слюне и низкая скорость саливации.

Keywords: Streptococcus mutans; caries; celiac disease; salivation rate; vitamin D.

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