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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ymj</journal-id><journal-title-group><journal-title xml:lang="ru">Якутский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Yakut Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1813-1905</issn><issn pub-type="epub">2312-1017</issn><publisher><publisher-name>ЯНЦ КМП</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25789/YMJ.2019.65.16</article-id><article-id custom-type="elpub" pub-id-type="custom">ymj-852</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>МЕТОДЫ ДИАГНОСТИКИ И ЛЕЧЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>METHODS OF DIAGNOSIS AND TREATMENT</subject></subj-group></article-categories><title-group><article-title>Дополнительные методы диагностики для планирования профилактики кариеса зубов и его осложнений у детей</article-title><trans-title-group xml:lang="en"><trans-title>Additional diagnostic methods for planning the prevention of dental caries and its complications in children</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Антонова</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Antonova</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Антонова Александра Анатольевна – д.м.н., проф., зав. Кафедрой</p><p>г. Хабаровск</p></bio><bio xml:lang="en"><p>Antonova Aleksandra Anatolyevna - the head of the department of Children Stomatology</p><p>the doctor of medical sciences, professor</p><p>680021, Khabarovsk, Vladivostokskaya Str., 22 - 49. Cell phone: +7962-586-29-37</p></bio><email xlink:type="simple">alex.antonova@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стрельникова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Strelnikova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Стрельникова Наталья Викторовна – к.м.н., доцент</p><p>г. Хабаровск</p></bio><bio xml:lang="en"><p>Strelnikova Natalya Viktorovna - the associate professor of department of microbiology, virology and immunology</p><p>the PhD of medical sciences</p><p>680020, Khabarovsk, Sheronov Str., 3 - 89. Cell phone: +7924-925-89-85</p></bio><email xlink:type="simple">jpdom@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Старовойтова</surname><given-names>Е. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Starovoytova</surname><given-names>E. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Старовойтова Елена Леонидовна – ассистент кафедры</p><p>г. Хабаровск</p></bio><bio xml:lang="en"><p>Starovoytova Elena Leonidovna - the assistant of department of Children Stomatology</p><p>680510, village of Topolevo, Lugovaya Str., 7 - 12 Cell phone: +7914-543-82-98</p></bio><email xlink:type="simple">doc-el@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шевченко</surname><given-names>О. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Shevchenko</surname><given-names>O. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шевченко Ольга Леонидовна – ассистент кафедры</p><p>г. Хабаровск</p></bio><bio xml:lang="en"><p>Shevchenko Olga Leonidovna - the assistant of department of Children Stomatology</p><p>680054, Khabarovsk, Strelnikov Str., 27 - 11. Cell phone: +7924-201-69-50</p></bio><email xlink:type="simple">olgash.1985@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Туркутюков</surname><given-names>В. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Turkutyukov</surname><given-names>V. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Туркутюков Вячеслав Борисович – д.м.н., проф., зав. Кафедрой</p></bio><bio xml:lang="en"><p>Turkutyukov Vyacheslav Borisovich - the head of the epidemiology and military epidemiology department</p><p>the doctor of medical sciences, professor</p><p>690002, Vladivostok, Ave Ostryakov, 2. Cell phone: + 7914-734-75-00</p></bio><email xlink:type="simple">vyach.12593@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жмеренецкий</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhmerenetsky</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Жмеренецкий Константин Вячеславович – д.м.н., член-корр. РАМН, ректор, доцент</p><p>г. Хабаровск</p></bio><bio xml:lang="en"><p>Zhmerenetsky Konstantin Vyacheslavovich - the rector</p><p>the doctor of medical sciences, the member correspondent of RAS</p><p>680000, Khabarovsk, M. Amursky Str., 35. Tel.; +74212-30-53-11</p></bio><email xlink:type="simple">rec@mail.fesmu.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Федорченко</surname><given-names>Ю. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedorchenko</surname><given-names>Yu. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Федорченко Юрий Леонидович – д.м.н., проф.</p><p>г. Хабаровск</p></bio><bio xml:lang="en"><p>Fedorchenko Yuryi Leonidovich - the professor of the department of Faculty Therapy with a course of endocrinology</p><p>the doctor of medical sciences, professor</p><p>680000, Khabarovsk, M. Amursky Str., 35. Cell phone: +7914-776-19-16</p></bio><email xlink:type="simple">ulfedmed@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зайцева</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zaitseva</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зайцева Елена Александровна – д.м.н., доцент, в.н.с.</p></bio><bio xml:lang="en"><p>Zaitseva Elena Aleksandrovna - the Doctor of Medical Sciences, Full Professor, Leading Researcher of the Central Research Laboratory</p><p>690002, Vladivostok, Prospekt Ostryakova, 2. Cell phone: + 7902-524-57-20</p></bio><email xlink:type="simple">elza200707@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО ДВГМУ Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Far Eastern State Medical University of the Russian Ministry of Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Тихоокеанский государственный медицинский университет» Минздрава России (ТГМУ)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pacific State Medical University of Russian Ministry of Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ВО ДВГМУ Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Far Eastern State Medical University of Russian Ministry of Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Тихоокеанский государственный медицинский университет» Минздрава России (ТГМУ)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education “Pacific State Medical University” of the Ministry of Healthcare of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>16</day><month>08</month><year>2025</year></pub-date><volume>0</volume><issue>1</issue><fpage>52</fpage><lpage>54</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Антонова А.А., Стрельникова Н.В., Старовойтова Е.Л., Шевченко О.Л., Туркутюков В.Б., Жмеренецкий К.В., Федорченко Ю.Л., Зайцева Е.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Антонова А.А., Стрельникова Н.В., Старовойтова Е.Л., Шевченко О.Л., Туркутюков В.Б., Жмеренецкий К.В., Федорченко Ю.Л., Зайцева Е.А.</copyright-holder><copyright-holder xml:lang="en">Antonova A.A., Strelnikova N.V., Starovoytova E.L., Shevchenko O.L., Turkutyukov V.B., Zhmerenetsky K.V., Fedorchenko Y.L., Zaitseva E.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://ymj.elpub.ru/jour/article/view/852">https://ymj.elpub.ru/jour/article/view/852</self-uri><abstract><p>Обследование детей 3 и 6 лет хабаровского края показало высокую распространённость кариеса зубов. Определена плотность обсеменения бактериями Streptococcus mutans зубного налёта с четырёх поверхностей зубов, слизистой спинки языка и слюны микробиологическим методом с применением «Dentocult SM Strip Mutans». Выявлена высокая обсеменённость зубного налёта с язычной поверхности зуба и межзубного промежутка, наименьшая – слюны. Микроскопическое исследование нативного соскоба с корня языка выявило признаки хронической обезвоженности СОПр и её прямую сильную корреляционную связь с показателем кпу. Также проведена оценка микрокристаллизации. дополнительные инновационные микробиологические и микроскопические методы персонифицируют подход к диагностике, профилактике и лечению кариеса у детей раннего и дошкольного возраста, имеют прогностическое значение и позволяют учитывать региональные особенности.</p></abstract><trans-abstract xml:lang="en"><p>A survey of 3 and 6 years children of the Khabarovsk Territory revealed a high prevalence of dental caries. The density of Streptococcus mutans contamination of the dental plaque from the four surfaces of the teeth, the mucous membrane of the tongue and saliva by the microbiological method using Dentocult SM Strip Mutans was determined. There was revealed a high contamination of dental plaque from the lingual surface of the tooth and the interdental space, the smallest - saliva. A microscopic examination of the native scraping from the root of the tongue revealed signs of chronic dehydration of the oral mucous membrane and its direct strong correlation with the CFR index. Microcrystallization was also evaluated. Additional innovative microbiological and microscopic methods personify the approach to the diagnosis, prevention and treatment of caries in children of early and preschool age, have prognostic value and allow taking into account regional features.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>эпидемиологические</kwd><kwd>микробиологические и микроскопические исследования</kwd><kwd>кариес временных зубов</kwd><kwd>пульпиты</kwd><kwd>дети</kwd><kwd>кариесогенные бактерии</kwd><kwd>хроническая обезвоженность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>epidemiological</kwd><kwd>microbiological and microscopic studies</kwd><kwd>caries of temporary teeth</kwd><kwd>pulpitis</kwd><kwd>children</kwd><kwd>cariogenic bacteria</kwd><kwd>chronic dehydration</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Леонтьев В.К. 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