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All Journal International Journal of Public Health Science (IJPHS)
Damyanova, Dobrinka Mitkova
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Health Professions

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Dental caries management by risk assessment among children Damyanova, Dobrinka Mitkova; Atanasova, Siyana
International Journal of Public Health Science (IJPHS) Vol 13, No 1: March 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i1.21897

Abstract

Dental caries is the highest-frequency oral disease. The purpose of this study is to assess the risk of developing dental caries for groups of children aged three to six in the city of Varna, Bulgaria, taking into account clinical risk factors. The population of this study included 300 children aged 3 to 6 years. Hence, as many 30 children for the experimental and 30 children for the control groups were included in the study with saliva tests. After that, standardized means of decayed, filled surfaces (DFS) index was estimated. The teeth of the children in the experimental group were covered for three months with Clinpro™ White Varnish. The Research Ethics Committee at the MU-Varna University approved the study. We applied the Greene and Vermillion oral hygiene index. Biostatistics was conducted with a specialized package for statistical analyzes was used StatSoft, STATISTICA manual (Software system for data analysis STATISTICA 10.0, 2010. The results in our study show the strong influence of carbohydrate nutrition and poor oral hygiene on the development and progression of the caries process. The results of the study of the frequency of caries lesions on surfaces show a value of 6.35±0.65. Caries lesions on 1 and 2 surfaces predominate (23.75%). Almost 100% of the children in the control group had Streptococcus mutans and a high risk of caries. From the risk assessment results obtained for each child patient, individual prevention programs are prepared for children.
Interdisciplinary diagnostics and dental treatment: clinical case report of a 13-year-old female patient Damyanova, Dobrinka Mitkova; Angelova, Sirma Todorova; Ruseva, Yoana Rumenova
International Journal of Public Health Science (IJPHS) Vol 14, No 3: September 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i3.25253

Abstract

The study was conducted at the Faculty of Dental Medicine, University Medical-Dental Center, Varna, Bulgaria, in 2023, with permission and informed consent from the parents and the patient. Patient K. Vl. Ts., 13 years old from the city of Varna, comes without complaints. The reason for the visit is a desire to consult an orthodontist and start orthodontic treatment. The patient had a hospital stay at the age of 8 due to an operation - adenoidectomy. PLI - Plaque index by Silness and Löe with a value equal to 1.58, which defines oral hygiene as satisfactory to poor. Exogenous prophylaxis was performed. Treatment of plaque-associated gingival inflammation with professional oral hygiene and application of fluoride varnish every 3 months. Treatment of dental caries is operative: Teeth 27, 36, 37, 47 - with caries occlusalis D 2-3, lesions - after minimally invasive operative treatment with a glass-ionomer cement (GIC) placed, a definitive filling was made with photo-composite and sealant application of the healthy pits and fossae of the fissure. Patients and their parents should be trained to practice excellent oral hygiene during orthodontic treatment in order to reduce the risk of developing dental caries.
Co-Authors Angelova, Sirma Todorova Atanasova, Siyana Ruseva, Yoana Rumenova