Parameters of the oral fluid in children with different level of mental health

Authors

  • Валерія Валеріївна Дац
  • Олег Миколайович Міщенко

DOI:

https://doi.org/10.33295/1992-576X-2020-1-74

Keywords:

oral fluid, oral pH, saliva viscosity, pediatric dentistry

Abstract

In the 21st century, there is a significant increase in the incidence of psychiatric pathology in children, which is why dentists are increasingly having to perform diagnostic and therapeutic manipulations in children with different levels of mental health. Thus, according to WHO, every 160 children have autism or autism spectrum disorders; oligophrenia and attention deficit hyperactivity disorder are also widespread diseases - according to various studies, their representation in the population is 1–2 %.
Laboratory parameters of saliva and oral fluid are one of the important markers of oral health. Although data on the sialological features in children with PRRS remain poorly understood in the global practice of pediatric dentistry, oral fluid should be taken into account when prescribing treatment and prophylactic measures in children belonging to this contingent.

The purpose of the study: The purpose of the study: to determine the parameters of the oral fluid in children with DLMH.

Contingents and methods. On the basis of Regional Clinical Dental Hospital, under the conditions of informed consent of parents and according principles of bioethics, 100 children with a variety of dental diseases with different levels of mental health, with odontophobic reactions were examined. They were divided into the following four groups: the first group (G1) consisted 30 patients with autism, the second group (G2) consisted 30 patients with oligophrenia of the mild degree, the third group (G3) consisted 20 patients with ADHD, the fourth group (G4) consisted mentally healthy children.
Determination of dental status was carried out by calculating laboratory values of saliva parameters.

Research results. In G1 the average pH level in the oral cavity was 5.85±0.09. Among them, 18 patients (60 %) showed a strong decrease in pH, 9 patients (30 %) had oral cavity acidosis, 3 - normal saliva acidity (10 %). Saliva in the vast majority patients from G1 is transparent, colorless (29 people, 96.67 %). However, 1 patient had a slight opacification of the oral fluid (3.33 %). In G2 the average pH in the oral cavity was 6.02±0.09. Among them, 21 patients (70 %) had moderate oral acidosis, 6 had significant oral acidosis (20 %), and the remaining 3 had normal saliva (10 %). Saliva in patients from G2 is mostly transparent and colorless (27 patients, 90 %), but in 3 children (10 %) there was a slight opacification of the mouth fluid. In G3, the average pH in the oral cavity was 6.41±0.04. Among them, 14 patients (70 %) had moderate oral acidosis, 2 more patients (10 %) had severe acidosis, and 4 patients had normal saliva (20 %). Saliva in patients from G3 is transparent, colorless (20 patients, 100 %). In G4, the average oral pH was 7.01±0.19. Among them, 4 patients (20 %) had acidosis of the oral cavity, 16 - normal salivation (80 %). Saliva in patients from G4 is transparent, colorless (20 patients, 100 %).

Key words: oral fluid, oral pH, saliva viscosity, pediatric dentistry.

Author Biographies

Валерія Валеріївна Дац

Дац Валерія Валеріївна – очний аспірант кафедри терапевтичної, ортопедичної та дитячої стоматології
Запорізького державного медичного університету.. Адреса: проспект Маяковського, 26, м. Запоріжжя, 69035.
Тел.: (066) 741-34-46. E-mail: dr.dats@ukr.net

Олег Миколайович Міщенко

Міщенко Олег Миколайович – доцент, Запорізький державний медичний університет (Запоріжжя, Україна).
Тел.: (098)-388-05-50. E-mail: dr.mischenko@icloud.com

References

1. Bauman SS, Turchina KV, Mosiienko AS, Padalka AI, Sheshukova OV. Porivnialna otsinka urazhenosti kariiesom zubiv ditei m. Poltava. Visnyk problem biolohii i medytsyny. 2017; 3. [In Ukrainian].
2. Bezvushko EV, Lahoda LS. Stan tverdykh tkanyn zubiv u ditei mista Lutska. Aktualni problemy suchasnoi medytsyny: Visnyk ukrainskoi medychnoi stomatolohichnoi akademii. 2017; 2 (58). [In Ukrainian].
3. Musii-Sementsiv KhH. Otsinka navychok hihiieny porozhnyny rota u ditei rannoho viku za rezultatamy anketuvannia batkiv. Aktualni problemy suchasnoi medytsyny: Visnyk ukrainskoi medychnoi stomatolohichnoi akademii. 2016; 2 (54). [In Ukrainian].
4. Fakroon S, Arheiam A, Omar S. Dental caries experience and periodontal treatment needs of children with autistic spectrum disorder // European Archives of Paediatric Dentistry. 2015; Т. 16. (2): 205–209.
5. Manoharan S, Krishnamoorthy K. Dental Caries and Children with Attention Deficit Hyperactivity Disorder (ADHD)-A Review. Journal of Pharmaceutical Sciences and Research. 2016; 8. (7): 613.
6. Morales-Chбvez MC. Oral Health Assessment of a Group of Children with Autism Disorder. Journal of Clinical Pediatric Dentistry. 2017; 41. (2): 147–149.
7. Skrypnyk YuV, Yakubova II. Efektyvnist likuvalno-profilaktychnoho kompleksu dlia profilaktyky zakhvoriuvan tverdykh tkanyn zubiv u ditei iz zatrymkoiu psykhichnoho rozvytku. Sovremennaia stomatolohyia. 2014; 5: 46–51. [In Ukrainian].

Published

2020-03-24

Issue

Section

CHILDREN’S AND PREVENTIVE DENTISTRY