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PREVENTION OF DENTAL DISEASES IN PREGNANT AND LACTATING WOMEN
Qurbonov D.F.
Bukhara state medical institute
Relevance.In this regard, it is necessary to further study the factors
determining the effectiveness of dental prevention in pregnant women.
In the last two decades, an urgent scientific direction has been actively
developed - the concept of resistance (resistance) of hard tooth tissues to
demineralization processes, according to which a change in the resistance of tooth
enamel leads to an increase in the activity of the carious process (Drozdov V.A.,
Gorbunova I.L., Nedoseko V.B., 2002; Gorbunova I.L., Mikheikina N.I., Drozdov
V.A., 2014; Gorbunova I.L., Mikheikina N.I., 2014). The resistance of teeth to caries
is determined by the physico-chemical features of the enamel structure, which, in
turn, are fixed genetically (Gorbunova I.L., 2006; Liu J., et al., 2011; Tu S.J., et al.,
2013; Qu Y., et al., 2015).
The implementation of this dissertation work is planned according to the
plan and topics of research works of the Bukhara State Medical Institute named
after Abu Ali ibn Sino for 2022-2024: "Medical and social aspects of the
prevention of dental diseases in pregnant and lactating women".
Purpose. The aim was to identify and evaluate the effectiveness of medical
and social aspects of the prevention of dental diseases in pregnant and lactating
women.
Material and methods
For the first time, an individual etiopathogenetic complex of therapeutic
and preventive measures has been proposed to improve the dental level of health
in pregnant women, as well as antenatal prevention of dental caries in children.
The available works sanctify certain aspects of this problem. A number of
dissertation studies in recent years have been aimed at considering some aspects
of the organization of dental services. Among them are the problems of improving
the organization of dental care in sanatorium-resort institutions, dental care for
patients in multi-specialty hospitals, as well as large I contingents of the child
population.
In these works, the solution of such urgent problems of the organization and
management of the dental service as the optimization of the reception of a dentist
by introducing a four-handed work system was proposed, and fundamentally new
models of standardization of admission and its unification were proposed,
including the development of new dental standards.
A significant part of the research was directed during these years to the
development of an optimal model of economic management of the dental service.
Topical issues of the organization of dental care at the level of public and private
dental institutions were also considered, optimal models of their improvement
and development were proposed.

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At the same time, issues related to the provision of dental care and the need
for it simultaneously in all districts of the Stavropol Territory, especially in areas
with unfavorable environmental conditions, have not been studied to date. In
addition, the number of scientific papers in the field of organization and
management of dental care provided to the population of this region is very small,
and the need to develop this problem is very great. The developed complex of
individual therapeutic and preventive measures contributes to the improvement
of the dental status and quality of life in pregnant women, as well as the
implementation of antenatal prevention of caries in children.
The obtained results of the research work will be used in clinical practice
for the prevention of dental diseases in pregnant and lactating women.
An algorithm for the diagnosis and prevention of dental diseases will be
developed based on the study of the mechanism of development of damage to
hard tissues of teeth.
Conclusions
1. Stavropol region's readiness to receive dental care and to prevent oral
diseases in the age groups 35-44, 45-54 and 55-64 years is 2.2, 2.5 and 2.1 times
higher than in men of the corresponding age.
2. Diseases of the oral cavity and receiving specialized care, regardless of
the area of residence, age and gender of the patient, is the general educational
level of the population and the quality of dental care provided. The level of 181
dental care provided in the groups of examined persons aged 6, 12, 15 years is
average (56,9-74,8%), 25-34, 35-44, 45-55 insufficient age (45.7-39.4%), in the
group of examined persons 55-64, 65 years and older - poor (8.5% and 6.3%).
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