EIJMRMS ISSN: 2750-8587
VOLUME04 ISSUE06
145
OPTIMIZATION OF THE PREVENTION OF DENTAL DISEASES IN MECHANICAL
ENGINEERING WORKERS
Narziyeva Nigora
Samarkand State Medical University, Uzbekistan
Burxonova Zarafruz Kobilovna
Samarkand State Medical University, Uzbekistan
AB O U T ART I CL E
Key words:
Myocardial infarctions, cerebral
strokes, as significant physical.
Received:
20.06.2024
Accepted
: 25.06.2024
Published
: 30.06.2024
Abstract:
In the process of intensive industrial
development, the study of the role of harmful and
health-related factors of the production
environment is timely and very important. After
all, unfavorable working conditions contribute to
the formation of various pathological processes in
the human div (Amirov N.H., 2016). The long-
term influence of a complex of production factors
simultaneously with the deterioration of the
health of workers, as a rule, can lead to
pathological changes in the mucous membrane of
the oral cavity, periodontal diseases, hard tissues
of teeth (Galiullin A.N., 2014).
INTRODUCTION
One of the most numerous contingents exposed to the harmful effects of working environment factors
are mechanical engineering workers. The intensity of the impact of factors of the working environment
and the labor process causes a high risk of health disorders for workers in this sector of the economy.
According to research data, employees of these enterprises are affected by a complex of factors of the
working environment and the labor process: industrial noise, vibration, unfavorable microclimate
parameters, air pollution of the working area with dust and harmful substances, lack of natural lighting,
as well as significant physical exertion (Teregulova Z.S. et al., 2013; Shaikhlislamova E.R. et al., 2017).
VOLUME04 ISSUE06
https://doi.org/10.55640/eijmrms-04-06-22
Pages: 145-151
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
VOLUME04 ISSUE06
146
It has been established that harmful working conditions have a negative impact on the health of
mechanical engineering, and cause them to outstrip the growth of diseases of the musculoskeletal and
peripheral nervous system, cardiovascular system, the development of myocardial infarctions, cerebral
strokes, as well as osteopenia (Nurgaleev N.V. et al., 2013; Kudasheva A.R. and et al., 2013; Teregulova
Z.S. et al., 2019).
According to recent studies, an excess of toxic compounds, including heavy metals, has been revealed
in the div of workers (Farshatova E.R. et al., 2014; Semenova I.N., 2015).
At the same time, there is still no reliable information about the structure of dental morbidity of
mechanical engineering workers, depending on the degree and duration of contact with harmful
production factors. There is insufficient information about the impact of harmful factors of the working
environment on dental tissues, periodontal tissues and oral mucosa, and there are no clear
recommendations for the prevention of dental diseases in such enterprises. All of the above confirms
the need to study the dental status of workers engaged in the extraction and processing of copper-zinc
ores exposed to harmful factors of the working environment.
To optimize the treatment process, with the development of dental technologies, new progressive
techniques are emerging to improve the quality of life of patients with inflammatory periodontal
diseases. Modern methods of complex etiopathogenetic treatment of inflammatory periodontal
diseases, including conservative, orthopedic, orthodontic and surgical measures, are presented. The
inclusion of systemic and local drugs in the treatment regimen of chronic generalized periodontitis is
justified. Dental procedures are proposed (in particular, professional oral hygiene with the new Vector
ultrasound machine) aimed at preventing and stabilizing the inflammatory process in periodontal
tissues while observing the rules of rational individual oral hygiene at home.
Recently, periodontal diseases have become increasingly the reason for going to the dentist, due to
premature tooth loss, decreased quality of life due to bad breath, bleeding gums and dental
hyperosthesia. Therefore, inflammatory periodontal diseases (VZD) are attracting increasing attention
from doctors. Their high prevalence in the population, exceeding 85-98% according to various authors,
significant degenerative transformations in the maxillofacial system require optimization and
improvement of methods for detecting and treating this pathology [9, 13, 43].
Chronic generalized periodontitis of moderate severity is the most common form of periodontal disease
detected in patients over 40 years of age. Its high prevalence is largely due to the lack of necessary
monitoring for young people (19-24 years old), who most often have the initial stages of inflammatory
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
VOLUME04 ISSUE06
147
periodontal lesions that do not cause serious complaints and a complete understanding of the problem.
Most middle-aged patients go to the dentist complaining about the appearance of blood when brushing
their teeth and swelling of the gums, swinging teeth and other obvious signs that characterize
inflammatory and destructive changes. All this prompted us to develop a new treatment method
specifically for this population.
The planktonic biofilm contains microorganisms that cause and support periodontal diseases with the
products of their vital activity. In turn, the biofilm is attached to the tooth tissues by means of a matrix
containing bacterial microflora. [1, 7]. Therefore, the therapy of periodontal diseases begins with the
removal of plaque, the removal of mineralized deposits from all surfaces of the tooth and the elimination
of biofilms. For this, periodontists use hand tools and ultrasound devices. On the one hand, the complex
of therapeutic measures for this pathology is diverse and provides therapeutic, orthopedic and, if
necessary, surgical methods; on the other hand, practical experience shows that sometimes only the
removal of dental deposits at the initial stage of the process and normalization of oral hygiene can stop
and bring periodontal structures to a state of normality. However, in the presence of concomitant
pathology or with a more severe course of the disease, this becomes insufficient.
For many years, a minimally invasive hardware complex has been leading in therapy and prevention,
based on ultrasonic grinding and polishing of the root surface with hydroxylapatite (NA) with a particle
size less than 10 microns (BY < 10 microns), since its use is an almost painless treatment due to the
desensitizing effect of the suspension. Through it, it is possible to solve such complex tasks as the
elimination of biofilm, granulation tissue, dental plaque, endotoxins, deepithelization of the inner wall
of the periodontal pocket, polishing of the root without excessive removal of cement, which is important
for the regeneration of tissue structures, as well as the rapid and effective elimination of bacteria
causing the pathological process. Remission of the disease becomes possible due to the gentle treatment
of the dentoalveolar pocket with hydroxylapatite (AT < 10 microns), during which the ultrasonic
vibrations of the instrument are ordered by a resonant ring, and therefore the treated surfaces of the
root and surrounding soft tissues retain their state unchanged for a long time after treatment. All this
is due to the uniqueness of the transmission of the hydrodynamic effect of ultrasound through a hydro
shell from water and a suspension of hydroxylapatite. A wide variety of shapes of the working part of
the tool ensures effective and atraumatic grinding of the root with hydroxylapatite (<10 mm) in
anatomically difficult areas. In addition, it is possible to prevent the spread of infection in a medical
facility. Due to the absence of oscillatory movements of the instruments, the infected aerosol is not
sprayed from the oral cavity into the environment [3, 9,17]. It is important to note that the positive
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
VOLUME04 ISSUE06
148
effect of treatment manifests itself after the first procedure: there is a decrease in pain, bleeding, and
suppuration [2, 6, 9].
However, plaque control measures are effective in combination with conservative treatment, an
important part of which is antibacterial therapy due to the infectious etiology of the disease. Due to the
increased incidence of resistance to antibiotics and antiseptics, the search for new antimicrobial agents
is an urgent problem. As studies have shown, after ultrasonic grinding of the root with hydroxylapatite
(<10 microns), the number of neisseria, peptostreptococcus, propionibacteria decreases in the
periodontal pocket, Corynebacterium spp. almost completely disappear, and the anaerobic flora of the
subgingival region is depleted; Lactobacillus spp., representatives of the convoluted forms of
Spirochetes spp. are not found before treatment.
The purpose of the study:
to increase the effectiveness of prevention and treatment of periodontal
diseases in mechanical engineering workers.
Research objectives
1. To study the dental and hygienic status of mechanical engineering workers.
2. To identify the influence of working environment factors on the state of the microelement
composition of oral fluid in mechanical engineering workers
3. To assess the state of local immunity in mechanical engineering workers.
4. To improve the complex of therapeutic and preventive measures for patients with chronic
generalized periodontitis in mechanical engineering workers and evaluate their effectiveness.
Materials and methods of research. We will select 110 people working in the main workshops of
machine-building production with generalized periodontitis of mild and moderate severity. Among
them, 45 workers will receive traditional (control group), 65
–
the comprehensive advanced treatment
we have proposed.
The following methods will be used:
a)
epidemiological;
b)
clinical and functional;
c)
biochemical;
d)
immunological;
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
VOLUME04 ISSUE06
149
e)
statistical methods.
The results of the study
The influence of production risk factors on the level of dental health of workers will be revealed.
A correlation will be established between harmful factors and the development of periodontal diseases.
It will be revealed that dental caries, generalized periodontitis of various degrees of severity, catarrhal
and ulcerative forms of gingivitis are most common among workers in the main professions.
A medium-strength correlation will be established between harmful substances in the air and the
activity of alkaline and acid phosphatase in saliva.
The conducted research will show the high effectiveness of complex treatment of periodontal tissue
diseases.
CONCLUSION
1.Among the workers of the main specialties exposed to a complex of harmful substances in mechanical
engineering workers, a high prevalence and intensity of major dental diseases were determined: the
YLU index averaged 17.7±1.44, the prevalence of periodontal tissue diseases was 94.5±2.34%, and the
oral mucosa was 95.5±3.2%.
2. According to the results of the evaluation of the coefficient of balance of local immunity factors, it was
revealed that 53.5±1.25% of workers had a pronounced imbalance (p<0.001). The indicators of the
adsorption reaction of microorganisms by epithelial cells of less than 40.0±1.55% indicated an
unsatisfactory functional state of the div (p<0.001).
3. The leading harmful factors of the working environment and the labor process for workers, the main
professions of mechanical engineering workers are: severity and intensity of work, vibration, noise,
unfavorable microclimate.
REFERENCE
1.
Nazhmiddinovich S. N. et al. CORRECTION OF PSYCHOEMOTIONAL ANXIETY IN ADULTS AT
DENTAL APPOINTMENT //Лучшие интеллектуальные исследования.
–
2024.
–
Т. 18. –
№. 4.
–
С. 43
-51.
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
VOLUME04 ISSUE06
150
2.
Nazhmiddinovich S. N. et al. COMBINED USE OF METALLOKERAM AND CHICAL MATERIALS IN
THE TREATMENT OF WEDGE DEFECTS //Лучшие интеллектуальные исследования. –
2024.
–
Т. 18. –
№. 2. –
С. 138
-145.
3.
Садриев Н. Н. и др. АНАЛИЗ ПОЛОВЫХ РАЗЛИЧИЙ В СТРОЕНИИ ЧЕЛЮСЕЙ В ГОРОДЕ
САМАРКАНДЕ ПО ДАННЫМ КОНУСНО
-
ЛУЧЕВОЙ КОМПЬЮТЕРНОЙ ТОМОГРАФИИ
//ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ. –
2024.
–
Т. 41. –
№. 5. –
С.
109-116.
4.
Nazhmiddinovich S. N. et al. CURRENT ASPECTS OF COMPREHENSIVE DENTAL CARE FOR
PATIENTS WITH DEFECTS OF THE MAXILLOFACIAL AREA //ОБРАЗОВАНИЕ НАУКА И
ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ. –
2024.
–
Т. 41. –
№. 5. –
С. 117
-123.
5.
Nizom S. et al. AUTOIMMUNE INFLAMMATION
–
AS A CAUSE-AND-EFFECT RELATIONSHIP
BETWEEN PERIODON
TAL DISEASE AND ATHEROSCLEROSIS //Журнал академических
исследований нового Узбекистана. –
2024.
–
Т. 1. –
№. 1. –
С. 123
-127.
6.
Sadriev N. et al. OPTIMIZATION OF TREATMENT OF PULPITIS OF PERMANENT TEETH IN
ELDERLY AGES //Журнал академических исследований нового Узбекистана. –
2024.
–
Т. 1.
–
№. 1. –
С. 128
-131.
7.
Sadriev N. et al. ROLE OF CLINICAL AND FUNCTIONAL STUDIES IN THE DIAGNOSIS OF
PERIODONTAL DISEASES DURING ORTHOPEDIC TREATMENT //Центральноазиатский
журнал междисциплинарных исследований и исследований в области управления. –
2024.
–
Т. 1. –
№. 1. –
С. 174
-177.
8.
Sadriev N. et al. APPLICATION OF THE DRUG" TRAUMEL WITH" U SICK WITH PURENT-
INFLAMMATORY DISEASES MAXILLOFACIAL AREA //Центральноазиатский журнал
междисциплинарных исследований и исследований в области управления. –
2024.
–
Т. 1.
–
№. 1. –
С. 55
-58.
9.
Sadriev N. et al. ORTHOPEDIC TREATMENT OF PATIENTS WITH MALOCCLUSIONS OF THE
FIRST AND SECOND CLASS ACCORDING TO ENGLE //Журнал академических исследований
нового Узбекистана. –
2024.
–
Т. 1
.
–
№. 1. –
С. 43
-46.
10.
Sadriev N. et al. MANIFESTATION OF THE ORAL MUCOSA IN COVID-19
//Центральноазиатский журнал междисциплинарных исследований и исследований в
области управления. –
2024.
–
Т. 1. –
№. 1. –
С. 45
-54.
11.
Nizom S. et al. FEATURES OF ETIOPATHOGENETIC TREATMENT INFLAMMATORY
PERIODONTAL DISEASES //European International Journal of Multidisciplinary Research and
Management Studies.
–
2024.
–
Т. 4. –
№. 01. –
С. 178
-184.
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
VOLUME04 ISSUE06
151
12.
Nizom S. et al. RESEARCH OF THE MORPHOFUNCTIONAL STATE OF THE TISSUES OF THE ORAL
CAVITY ORGANS WHEN USING NON-REMOVABLE ORTHOPEDIC STRUCTURES //European
International Journal of Multidisciplinary Research and Management Studies.
–
2024.
–
Т. 4. –
№.
01.
–
С. 197
-203.
13.
Санакулов Ж. О. МАРКЕР ОСТЕОПОРОЗА ПРИ ПЛАНИРОВАНИИ ОРТОПЕДИЧЕСКОГО
ЛЕЧЕНИЯ //Лучшие интеллектуальные исследования. –
2024.
–
Т. 19. –
№. 1. –
С. 214
-221.
14.
Obloberdiyevich S. J. et al. MODERN METHODS PREVENTION AND TREATMENT
POSTOPERATIVE HYPERESTHESIAIN IN ORTHOPEDIC DENTISTRY //ОБРАЗОВАНИЕ НАУКА
И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ. –
2024.
–
Т. 41. –
№. 5. –
С. 80
-87.
15.
Obloberdiyevich S. J. et al. REQUIREMENT FOR ORTHOPEDIC DENTAL CARE OF ADULT URBAN
POPULATION OF THE REPUBLIC OF UZBEKISTAN //ОБРАЗОВАНИЕ НАУКА И
ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ. –
2024.
–
Т. 41. –
№. 5. –
С. 73
-79.
16.
Ахмадов И., Санакулов Ж. НЕДОСТАТКИ И ПРЕИМУЩЕСТВА РАЗЛИЧНЫХ ТЕХНИК
ПОЛУЧЕНИЯ СЛЕПКИ ЗУБОВ //Центральноазиатский журнал образования и инноваций.
–
2024.
–
Т. 3. –
№. 1 Part 3. –
С. 41
-46.
17.
Ахмадов И. Н. и др. ОПРЕДЕЛЕНИЕ ОПТИМАЛЬНОГО ВЕРТИКАЛЬНОГО ИНДЕКСА
//Лучшие интеллектуальные исследования. –
2024.
–
Т. 18. –
№. 2. –
С. 129
-137.
18.
Nizomitdin A. I. et al. DETERMINING THE OPTIMAL VERTICAL INDEX //Лучшие
интеллектуальные исследования. –
2024.
–
Т. 18. –
№. 2. –
С. 120
-128.
19.
Ахмадов И. Н. и др. ЛИЦЕВАЯ ДУГА И БЕЗ НЕЕ //ОБРАЗОВАНИЕ НАУКА И
ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ. –
2024.
–
Т. 41. –
№. 5. –
С. 88
-98.
20.
Nizomitdin A. I. et al. FACE BOW AND WITHOUT IT //ОБРАЗОВАНИЕ НАУКА И
ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ. –
2024.
–
Т. 41. –
№. 5. –
С. 99
-108.
21.
Axmadov I. ORTOPRDIK STOMATOLOGIYADA ISHLATILADIGAN TURLI QOLIP OLUVCHI XOM-
ASHYOLARNING
AFZALLIKLARI
VA
KAMCHILIKLARI
//Журнал
академических
исследований нового Узбекистана. –
2024.
–
Т. 1. –
№. 2. –
С. 126
-131.
22.
Ахмадов И., Санакулов Ж. НЕДОСТАТКИ И ПРЕИМУЩЕСТВА РАЗЛИЧНЫХ ТЕХНИК
ПОЛУЧЕНИЯ СЛЕПКИ ЗУБОВ //Центральноазиатский журнал образования и инноваций.
–
2024.
–
Т. 3. –
№. 1 Part 3. –
С. 41
-46.
