CLINICAL INDICATORS OF THE EFFECTIVENESS OF THERAPEUTIC AND PREVENTIVE COMPLEX OF ORTHODONTIC TREATMENT OF ADOLESCENTS WITH GINGIVITIS AND DENTOALVEOLAR ANOMALIES

Abstract

Gingivitis combined with dentoalveolar anomalies (DAAs) in adolescents complicates the course of orthodontic therapy, increasing the risk of enamel demineralisation and periodontal inflammation. Optimising preventive support for such patients is therefore a pressing task of contemporary paediatric dentistry. The purpose of the study was to evaluate the clinical effectiveness of a proposed therapeutic and preventive complex (TPC) in 12–13-year-old adolescents with gingivitis and DAAs during orthodontic treatment.. Materials and methods. The study involved 64 children aged 12-13 years with gingivitis and dentoalveolar anomalies (main group and comparison group). Adolescents from the comparison group underwent oral cavity sanitation and professional hygiene twice a year. Patients of the main group additionally received the developed treatment and prevention complex twice a year. ard-tissue status was evaluated using the DMF-T index; periodontal health was assessed with the PMA% (Parma) and the Mülemann-Son bleeding index. A statistically significant difference between alternative quantitative features with a distribution corresponding to the normal law was evaluated using Student's t-test. The difference was considered statistically significant at p<0.01. Research results. After 24 months, DMF-T increment was 0.17 ± 0.03 in the main group versus 0.24 ± 0.03 in the comparison group; the caries-preventive efficacy of the PTC reached 29.17%. The PMA% index in the main group fell by 10.82% after 6 months and remained 9.32% below baseline at month 24, whereas the comparison group showed only a 4.72% reduction. Bleeding scores in the main group decreased 2.22-fold within six months and remained at 0.14 ± 0.01 points at month 24 (2.21-fold lower than controls). Conclusions. The proposed TPC significantly reduces caries increment and improves periodontal status in adolescents with gingivitis and DAAs undergoing orthodontic treatment, demonstrating clinically meaningful efficacy over a two-year follow-up.