CLINICAL AND RADIOLOGICAL DIAGNOSIS OF ANOMALIES OF DENTITION IN CHILDREN WITH PSYCHONEUROLOGICAL DISORDERS

Аннотация

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Background. Dental morbidity in children with psycho-neurological disorders (PNR) is much higher than in children without comorbid pathology. Aim. Dental disturbances in the studied category of patients can be considered as a direct consequence of the perinatal pathology of the nervous system. Material and Methods. In the survey, 267 children of the main group aged 7-17 years with psycho-neurological disorders of varying severity participated. Control group - healthy children of similar age. X-ray examination in children of the main group with deviant forms of behavior (70.5%) was performed on an outpatient basis under anesthesia. Results and Discussion. Analysis of computer tomography and orthopantomograms of jaws revealed a high percentage (43.7%) of congenital pathology (primary adentia, true follicular cysts and superfine permanent teeth) in children with PNR in comparison with the control group (8.3%). Perhaps, this is due to factors acting at different stages of development, especially in the period of histoorganogenesis of the neural tube and oral cavity (from 5-6 weeks of embryonic development). Conclusions. Systematization of dentition anomalies will allow standardizing and unifying surgical care for children with PNR congenital pathology and optimizing the planning of orthodontic and prosthetic treatment. Children who have a history of pre-, intra-and postnatal factors in the development of central nervous system pathology are recommended to be included at the risk of developing major dental diseases at birth.