Condition of solid tooth tissues in persons after COVID-19

Authors

  • Т.П. Терешина
  • М.И. Кот
  • В.А. Пахдеванзаде

Keywords:

Patients who were sick with COVID-19; salivary gland function; enamel demineralization; caries intensity; tooth hypersensitivity

Abstract

Relevance. It is believed that the main cause of carious demineralization is microorganisms. However, the deterioration of the process is facilitated by the disruption of mineral metabolism in the oral cavity and, primarily, due to the insufficient supply of minerals naturally, from saliva.
Aim: to study the effect of reduced functional activity of salivary glands on the intensity of the carious process and the sensitivity of teeth to stimuli in persons who have undergone COVID-19.
Materials and methods. The studies involved 27 patients aged 18–42 years, 17 of them suffered from COVID-19. To compare the results, a group of individuals in the same age range who did not have COVID-19 was selected. All studied salivation rate, caries intensity, Green-Vermillon oral hygiene index (G-V), enamel solubility by TER test scale and the sensitivity of teeth to stimul.
Results. In patients with COVID-19, immediately after recovery, pronounced hyposalivation (0.27±0.04 ml/min) was observed. After 1 year, this figure has not changed significantly; the intensity of caries increased by 35 %; the G-V index was at the middle level; the TER test had high rates and most of the patients with COVID-19 developed tooth hyperesthesia, which indicated that demineralization prevailed over remineralization.
Conclusions. 1. In patients who have undergone COVID-19, enamel resistance decreases and the risk of developing a carious process increases and the appearance of hypersensitivity of teeth due to insufficient natural mineralization due to a decrease in the amount of saliva released – the main source of minerals entering the tooth enamel.
2. The microbial cantamination factor of demineralized enamel exacerbating the process is also not excluded. However, with good oral hygiene, the role of this factor is significantly reduced.
3. Persons who have undergone COVID-19 need dispensary supervision by a dentist, as well as medical and preventive measures that reduce the risk of developing a carious process.
Key words: Patients who were sick with COVID-19; salivary gland function; enamel demineralization; caries intensity; tooth hypersensitivity.

 

Author Biographies

Т.П. Терешина

Т.П. Терешина – д-р мед. наук, профессор; профессор кафедры общей стоматологии; Международный гуманитарный университет, г. Одесса, Украина.

М.И. Кот

М.И. Кот – аспирант, Международный гуманитарный университет, г. Одесса, Украина.

В.А. Пахдеванзаде

В.А. Пахдеванзаде – аспирант, Международный гуманитарный университет, г. Одесса, Украина.

References

Tishkov D.S.Vliyanie kariesa zubov na kachestvo zhyzni patsientov / D.S. Tishkov // Regionalnyiy vestnik. – 2020. – № 12. – P. 4–5.

Samedova S.I. Pokazateli kachestva zhyzni u patsientov s kariesom i zabolevaniyami parodonta razlichnoy stepeni intensivnosti i tyazhesti / S.I. Samedova //

Klinicheskaya stomatologiya. – 2020. – № 1. – P. 94–98.

Hashumov A.A. Mikroflora polosti rta u bolnyh kariesom / A.A. Hashumov // Molodoy uchenyi. – 2018. - № 32. – S. 26–28.

Microbiome of Saliva and Plaque in Children According to Age and Dental Caries Experience / Eungyung Lee, Suhyun Park, Sunwoo Um et al. // Diagnostics

(Basel). – 2021. – Vol. 11, № 8. – Р. 1324–1329.

Genes involved in the enamel development are associated with calcium and phosphorous level in saliva / Erika Calvano Kuchler, Giovana Daniela Pecharki, Myrella

Lescio Castro et al. // Caries Res. – 2017. – Vol. 51, 33. – Р. 225–230.

Saliva as a biomarker for dental caries: A systematic review / Mithra N. Hegde, Shruthi H. Attavar, Nireeksha Shetty et al // J. Conserv. Dent. – 2019. – Vol. 22,

№. – Р. 2–6.

Metelitsa K.I. Kserostomiya i ee oslozhneniya v polosti rta / Metelitsa K.I., Manak T.N. // Sovremennaya stomatologiya. – 2021. – № 2. – P. 6-10.

Novitskaya I.K. Sostoyanie rotovoy polosti u lits s zabolevaniyami slyunnyih zhelez / I.K. Novitskaya // Modern Science – Moderni Veda. 2014. – T #2. – P. 142–149.

Milehina S.A. Sostoyanie fosforno-kaltsievogo obmena u detey s kariesom / S.A. Milehina, T.N. Klimkina // Tihookeanskiy meditsinskiy zhurnal. – 2014. –

№ 3. – P. 59–62.

Issledovaniya protsessov demineralizatsii tverdyih tkaney zuba v rezultate razvitiya kariesa emali / Seredin P.V., Goloschapov D.L., Lenshin A.S., Al Zubaydi A.A. //

Biotehnosfera. – 2014. – № 4. – P. 26–31.

Lihorad E.V. Slyuna: znachenie dlya organov i tkaney v polosti rta v norme i pri patologii / E.V. Lihorad, N.V. Shakovets // Voyennaya meditsina. – Minsk: Krasiko-

Print, 2013. – № 2. – P. 118–119.

Pathogenesis, diagnosis and management of dentin hypersensitivity: an evidence-based overview for dental practitioners / Xiu-Xin Liu, Howard C. Tenenbaum,

Rebecca S. Wilder et al. // BMC Oral Health. – 2020; 20: 220. doi: 10.1186/s12903-020-01199-z.

Tereshina T.P. vliyanie covid-19 na funktsionalnuyu aktivnost slyunnyh zhelez /T.P. Tereshina, M.I. Kot // Vestnik stomatologii. – 2020. – № 4. – P. 36–38.

Vavilova T.P. Slyuna. Analiticheskie vozmozhnosti i perspektivy / T.P. Vavilova, O.O. Yanushevich, I.G. Ostrovskaya. – M.: Izd-vo BINOM, 2014. – 312 p.

Kosenko K.N. Profilakticheskaya gigiena polosti rta / K.N. Kosenko, T.P Tereshina. – Odessa: KP OGT. – 2003. – 296 p.

Okushko V.R. Klinicheskaya fiziologiya emali zuba / V.R. Okushko. – K.: Zdorov’ya, 1984. – P. 64.

The efficacy of a newly designed toothbrush to decrease tooth sensitivity / Schiff T., Wachs G.N., Petrone D.M. et al. // Compend. Contin. Educ. Dent. – 2009. –

Vol. 30, № 4. – P. 234–240.

Montsevichute-Eringene E.V. Uproschennyie matematiko-statisticheskie metody v meditsinskoy issledovatelskoy rabote / E.V. Montsevichute-Eringene // Patol.

fiziologiya i eksperim. terapiya. – 1964. – № 4. – P. 71–78.

Published

2022-01-22

Issue

Section

PREVENTIVE DENTISTRY