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PREDICTION OF DENTAL MORBIDITY IN CHEMICAL INDUSTRY WORKERS
Ibragimova F.I.
Bukhara state medical institute
Relevance.Chemicals of industrial air environment are found in oral fluid, hard
tissues of teeth, dental deposits, biopsies of tissue structures. They aggravate the
course of dental caries due to the substitution of calcium ions in hydroxyappatite
crystals, chronic inflammation in periodontal tissues, violation of the integrity of the
epithelium of the oral mucosa.
However, the influence of chemical factors of production on the oral cavity of
workers, the consequences of these effects have not been fully studied. Given this,
the need to continue dental, clinical, functional and microbiological research on this
problem has not lost its relevance.
The purpose of the study The aim is to develop prevention and improve the
prediction of dental diseases based on the proposed conceptual approach in
chemical industry workers.
The object of the study. The study will examine 4,150 chemical industry
workers aged 25 to 60 years who have had direct contact with chemical elements
for several years. All the surveyed will be divided into 3 groups: 1 - group - workshop
workers, these are persons directly exposed to chemical elements; 2-group -
locksmiths, plumbers, installers, cleaners, laboratory assistants, persons who rarely
come into contact with chemical compounds; 3 - group
–
industrial administration,
who have no contact with chemical elements.
Dental examination of workers with harmful chemical working conditions
showed that the intensity of the carious process, the prevalence of periodontal
diseases, pathological erasability, dentin hypersensitivity, the predominance of
precancerous diseases among the diseases of the SOPR, the low level of oral hygiene
is higher compared to the residents of the city. The high level of dental morbidity is
due to the presence of harmful factors of chemical production, the lack of planned
sanitation of the oral cavity, an effective system of prevention and medical
examination at industrial enterprises.
At all three chemical production enterprises, with increasing work experience,
the intensity of the carious process decreases, the number of teeth removed
increases; the number of people with precancerous diseases of the SOPR and
periodontal diseases increases. SOPR diseases at the early stages of diagnosis do not
always have pronounced clinical symptoms, but are characterized by obvious
pathological changes in the epithelium, confirmed morphologically.
A step-by-step method of primary and secondary prevention of dental
diseases in chemical industry workers has been developed and recommended for
dental practice. The indicators of the need for dental treatment among workers of
harmful production factors are determined, and the volume of necessary complex
treatment among workers of the chemical industry is calculated. The results
obtained are planned to be included in the medical practice of institutions
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conducting experimental research, as a methodological recommendation, a patent
for an invention, scientific and innovative work.
Dental morbidity of workers of chemical enterprises, identification of harmful
environmental factors and chemical production, reorganization of the dental care
system, introduction of dental hygienist positions in the staffing of the dental service
of medical units of chemical plants, timely dispensary observation, annual screening
of the condition of the mucous membrane of the cavity for oncopathology,
prevention of dental diseases and active sanitary and educational work and
systematic promotion of a healthy lifestyle. Identify the main risk factors and form
risk groups among the population in need of dynamic monitoring of dental health
and systematic prevention and medical examination. Carrying out planned
prevention of dental diseases, increasing the level of individual oral hygiene of
workers, it is necessary to reorganize dental services of harmful industries and
include dental hygienists in their structure.
In order to reduce the prevalence and intensity of major dental diseases and
improve the hygienic condition of the oral cavity in workers of chemical enterprises,
it is necessary to carry out preventive measures, including dental education,
brushing teeth with multicomponent therapeutic and preventive toothpastes,
promotion of a healthy lifestyle.
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