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EVENTS OF COMPREHENSIVE DENTAL EXAMINATIONS IN CHILDREN WITH
CHRONIC PYELONEPHRITIS
Kamalova Lobar Yagmurovna
Bukhara State Medical Institute named after Abu Ali ibn Sina, Uzbekistan
email: Kamolova.lobar@bsmi.uz
Annotation:
One of the urgent problems of dentistry is the prevention and treatment of dental
diseases in children with severe somatic pathology. Currently, chronic pyelonephritis is often
among the severe somatic diseases that lead to disability. According to the Association of
Scientists of Hemodialysis and Renal Pathology (2007), chronic pyelonephritis (CP) is the third
leading cause of chronic renal failure, causing growth and developmental delay, disability and a
significant reduction in the life expectancy of sick children. According to WHO, kidney and
urinary tract diseases account for 3-4%. In recent years, there has been a significant increase in
chronic pyelonephritis in children.
Keywords.
Chronic pyelonephritis, infant, oral cavity, biochemical study, prevention, treatment.
Purpose of the study
. It consists in studying and assessing the dental condition of children with
chronic pyelonephritis and improving their caries prevention.
Materials and research methods.
125 children aged 1 to 7 years.
Results and analysis.
The results of the conducted research are the theoretical basis for the
development of modern dental approaches to the treatment and prevention of major dental
diseases, caries and periodontal diseases in children with chronic pyelonephritis.
Comprehensive treatment and prevention of dental caries, periodontal soft tissue diseases are
evaluated and the expediency of using dental treatment and preventive measures developed
against the background of the treatment of the underlying disease in children with chronic
pyelonephritis is substantiated.
The journalists analyzed patients' complaints of pyelonephritis, studied medical history, imaging
and CP, GI, PMA, ERTKB index, cytological data of patients, as well as recommendations on
professional and individual oral hygiene. The children were checked for compliance with the
standards of dental care in the dental office. During the examination, the patient had the
following complications: dysfunction of the tooth, gastrointestinal tract, mucous membrane of
the labia, oral cavity, periodontal, gums, teeth, gums.in case of occlusion, it is necessary to
follow the rules of oral hygiene, to observe oral hygiene, to observe oral hygiene. During the
examination of the oral mucosa, the hygienic condition of the patient was assessed even in the
case when a standard set of dental instruments was used, the presence and localization of teeth
affected by caries and removed by complex caries, caries damage to the tissues of the hard tooth,
periodontal pathology, tongue defects, upper and lower abnormal lip fixation, malocclusion,
buffering ability of pH and salt, the speed of the solak. To evaluate the dish, a gustometry was
performed. In addition to the basic clinical and laboratory research methods, 125 children with
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chronic pyelonephritis had periodontal disease, prevalence, intensity and acceleration of caries.
In these sick children, as well as in children with impaired oral hygiene, as well as in sick
children and their parents, knowledge was revealed about how to properly maintain oral hygiene.
Extensive preparatory work and appropriate organizational measures made it possible to conduct
dental examinations in the shortest possible time./ In addition to the basic clinical and laboratory
research methods, periodontal disease, prevalence, intensity and acceleration of caries were
studied in 125 children with chronic pyelonephritis. In these sick children, as well as in children
with impaired oral hygiene, as well as in sick children and their parents, knowledge was revealed
about how to properly maintain oral hygiene. A lot of preparatory work and appropriate
organizational measures made it possible to conduct dental examinations in the shortest possible
time. The data of mass dental examinations are included in the "Individual dental examination
Card for sick children with chronic pyelonephritis". The examination of the oral cavity in
children was carried out according to generally accepted clinical methods. The condition of the
teeth in the children's mouths was studied from the upper jaw from right to left, and from the
lower jaw from right to left. The condition of the oral mucosa was consistently studied. The
following dental conditions were taken into account: absence or absence of caries, intact teeth,
caries and its complications. There was a change in skin color and a red lip border, and the
presence of pathological elements in the damaged area. The palpation examination took into
account the size and mobility of the lymph nodes, their pain and symmetry of location, as well as
difficulties with opening the mouth. surface of the teeth is determined as follows: six permanent
dental surfaces are licked with an iodine-containing mixture - the lip surface of the upper central
incisors, the vestibular surface of the first permanent large molar teeth on top, and the tongue
surface of the first permanent large molar teeth on the bottom. The following dental recognition
system is used: 0 - no or not (does not lick); 1 - covers less than 1/3 of the tooth surface; 2 -
covers the. The number of points for each tooth is added to the total amount and divided by six
(the number of teeth). According to the number of examinations on the surface of the teeth, three
degrees of hygiene can be distinguished: good, satisfactory and poor. The condition in which a
"licked look" is detected on the neck of individual teeth can be assessed as good (0.1 points).
Satisfactory condition - the examination covers up to 1/3 of the dental crown and slightly more
than 1/3 of individual teeth (1-2 points). Poor vision covers almost the entire surface of the
crown, that is, more than 2/3 of all examined teeth (2-3 points). This index allows us to draw a
conclusion about the state of oral hygiene in sick children during the period of mixed bites.
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