Алексеева Татьяна Васильевна – зав. детским стоматологич. отд.
Alekseeva Tatyana Vasilievna – head of children's dental department
Ушницкий Иннокентий Дмитриевич – д.м.н., проф., зав. кафедрой
Ushnitsky Innokenty Dmitrievich – MD, Professor, head of department of children’s therapeutic, surgical, orthopedic dentistry
Пинелис Иосиф Семенович – д.м.н., проф.
Pinelis Iosif Semenovich – Professor, Academician of the Russian Academy of Natural Sciences
Юркевич Александр Владимирович – д.м.н., проф., зав. ортопедич. стоматологии
Yurkevich Alexander Vladimirovich – MD, Professor, head of Orthopedic Dentistry
Соловьева Марианна Иннокентьевна – к.б.н., доцент
Solovyova Marianna I. – PhD (Biology), Associate Professor of the Institute
Представлены клинические случаи, связанные с сужениями верхнего зубного ряда у обследованных возрастных групп школьников Севера с дисплазией соединительной ткани (ДСТ) при различных ее степенях тяжести, с учетом высоты свода твердого неба. Установлена тенденция повышения показателя распространенности аномалий формы фронтальной группы зубов и сужений зубного ряда верхней челюсти в зависимости от степени тяжести ДСТ у школьников.
The problems of improving complex medical and social rehabilitation of children and adolescents with connective tissue dysplasia due to its degree of severity (DCT) have not been completely solved up to the present time. At the same time, insufficient information on the diagnosis of dentition anatomical changes depending on DCT severity has been identified in the research. Thus, we present clinical cases of upper dentition cconstriction in children and adolescents with connective tissue dysplasia at various degrees of severity, taking into account the arch height of the hard palate. The purpose of the research is to present clinical cases with pronounced upper dentition constriction in children and adolescents with different severity of connective tissue dysplasia based on the clinical and biometric studies. Discussion. We’ve obtained high values of the sum of the four upper incisors width, characterized as macrodentia in the examined children and adolescents with DCT, which has a direct impact on the deformation of the maxillary dentition. Thus, constriction of maxillary dental arches in mild DCT is 19,32+1,47%, moderate - 22,39+0,72 and severe - 28,52+1,70%, which have significant differences (p<0,05), and the average is at the level of 23,41+0,54%. A certain pattern of increased frequency of upper dentition constriction depending on DCT severity has been established. Conclusion. The research clinical results characterize local DCT manifestations of the maxillary dental row in the form of incisor macrodentia as well as its constrictions where the tendency of increasing the incidence> <0,05) , and the average is at the level of 23,41+0,54%. A certain pattern of increased frequency of upper dentition constriction depending on DCT severity has been established. Conclusion. The research clinical results characterize local DCT manifestations of the maxillary dental row in the form of incisor macrodentia as well as its constrictions where the tendency of increasing the incidence rate depending on its severity degree has been established in the examined age groups of schoolchildren of the North. The established data of the anomalies increase of the frontal teeth group shape and upper jaw narrowings depending on DCT severity in schoolchildren may become the basis for the improvement of treatment, prophylactic and rehabilitative measures.
The authors declare that there are no conflicts of interest present.