Klitynska Oksana V, Stishkovskyy Andriy V, Hasiuk Natalia V, Avetikov David S, Ivaskevych Viktoria Z
Department of Paediatric Dentistry, State Higher Educational Establishment Uzhhorod National University, Uzhhorod, Ukraine.
Faculty of Dentistry, State Higher Educational Establishment Uzhhorod National University, Uzhhorod, Ukraine.
Wiad Lek. 2020;73(3):434-440.
The aim: Determining the influence of cluster factors on the emergence and progression of caries in first- and second-grade children is appropriate in terms of determining the most significant ones.
Materials and methods: The dental status of 73 children, residents of Uzhhorod, who study in the first grades of secondary schools, has been assessed, three groups have been singled (the control group 26 healthy children). The indices of essential micro- and macronutrients in the hair, saliva, serum and urine, as well as anxiety level have been determined and the statistical analysis has been performed.
Results: Decreased magnesium and calcium content in hair, serum, urine and mouth fluid, iodine is absent. Children of the third group have high levels of anxiety (80%), high rates of caries (14,8) and significantly reduced levels of magnesium relative to normal.
Conclusions: In the patients of the main groups, a direct correlation was found between the presence of somatic pathology and the level of anxiety. In 80% of children of the third group (CSPS≥3) the level of anxiety is high In the main group patients, a direct correlation was found between the presence of somatic pathology, the level of anxiety, and the decrease in magnesium; The intensity of caries only interacts with a high level of anxiety (1.00), that is, in children who are in constant stress, the intensity of caries increases.
确定聚类因素对一、二年级儿童龋齿发生和进展的影响，对于确定最重要的因素而言是恰当的。
材料与方法：对73名就读于乌日霍罗德中学一年级的儿童（当地居民）的牙齿状况进行了评估，分为三组（对照组26名健康儿童）。测定了头发、唾液、血清和尿液中必需的微量和常量营养素指标以及焦虑水平，并进行了统计分析。
结果：头发、血清、尿液和口腔液中镁和钙含量降低，缺碘。第三组儿童焦虑水平高（80%），龋齿发生率高（14.8），镁水平相对于正常水平显著降低。
结论：在主要组患者中，发现躯体病理学的存在与焦虑水平之间存在直接相关性。在第三组80%的儿童（儿童状态特质焦虑量表评分≥3）中，焦虑水平较高。在主要组患者中，发现躯体病理学的存在、焦虑水平与镁含量降低之间存在直接相关性；龋齿的严重程度仅与高焦虑水平相关（1.00），也就是说，处于持续应激状态的儿童，龋齿的严重程度会增加。
