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[接受固定矫治器正畸治疗儿童的营养]

[Nutrition of children undergoing orthodontic treatment with fixed appliances].

作者信息

Tapeshkina M M, Kostritsin A G, Tapeshkina N V, Chernenko S V

机构信息

Kemerovo State Medical University, Kemerovo, Russia.

Novokuznetsk State Institute for Further of Physicians - Branch Campus of Russian Medical Academy for Continuous Professional Education, Novokuznetsk, Russia.

出版信息

Stomatologiia (Mosk). 2020;99(3):74-77. doi: 10.17116/stomat20209903174.

Abstract

To evaluate the actual nutrition of children receiving orthodontic treatment with bracket systems, to develop recommendations for its correction. Nutrition composition was assessed using a software analyzing the frequency of food consumption. Two groups of children were distinguished: the main group (without dentoalveolar anomalies) and the comparison group (with bracket systems). The total sample size was 58 adolescents. It was found that in schoolchildren receiving orthodontic treatment the imbalance in the intake of macro- and micronutrients with diets is much higher than in schoolchildren of the main group. In the daily diet of the main group of children, adequate adequate energy value was noted (94.6% of the physiological requirements), in contrast to schoolchildren in the comparison group (76.7%). Diets in children of the main group are deficient in the content of total protein (90.1%) and carbohydrates (86.4%), and excess in fats (112.2%). In the comparison group, the intake of macronutrients with food averaged 77.7% of the norm. The limited use of certain foods in children with bracket systems has led to a significant deficit in diets of meat (70.0% of the recommended level of consumption), fish and seafood (37.6%), eggs (55.0%), bakery products (44.9%), potatoes (78.7%), vegetables (66.0%), fruits (51.6%). The installation of bracket systems for orthodontic treatment is necessary to eliminate dentoalveolar anomalies in children, but it becomes both a risk factor for the formation of nutritional disorders in patients and a risk factor for tooth enamel demineralization. Therefore, it is necessary to develop recommendations for correcting the nutrition of children during the period of orthodontic treatment.

摘要

为评估接受正畸托槽系统治疗的儿童的实际营养状况,制定营养纠正建议。使用分析食物消费频率的软件评估营养成分。区分出两组儿童:主要组(无牙颌异常)和对照组(佩戴托槽系统)。总样本量为58名青少年。结果发现,接受正畸治疗的学童饮食中宏量营养素和微量营养素摄入的失衡程度远高于主要组的学童。主要组儿童的日常饮食中,能量值充足(达到生理需求的94.6%),而对照组学童则为76.7%。主要组儿童的饮食中总蛋白(90.1%)和碳水化合物(86.4%)含量不足,脂肪含量超标(112.2%)。对照组中,食物中宏量营养素的摄入量平均为标准的77.7%。佩戴托槽系统的儿童对某些食物的摄入量有限,导致肉类(占推荐摄入量的70.0%)、鱼类和海鲜(37.6%)、蛋类(55.0%)、烘焙食品(44.9%)、土豆(78.7%)、蔬菜(66.0%)、水果(51.6%)的饮食摄入显著不足。安装正畸托槽系统对于消除儿童牙颌异常是必要的,但它同时成为患者营养紊乱形成的风险因素以及牙釉质脱矿的风险因素。因此,有必要制定正畸治疗期间儿童营养纠正的建议。

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