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Thursday, 24 September 2015

Karton E.A.
Karton E.A.
A.I. Evdokimov Moscow State Medical Stomatological University, Moscow

Contacts: Elena Karton, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Background. Despite numerous studies aimed at revealing intermediaries of the pathological chain of both in-born and acquired dentofacial anomalies, and successful conservative and surgical treatment, prevalence of dentofacial anomalies remains high and tends to growth.

In our opinion, one of the reasons is lack of pre-clinical early diagnostic methods and prediction of dentofacial anomalies which could have served as the necessary condition for early preventive measures aimed at preventing or discontinuing pathology progression.

The study purpose: to develop algorithm and methodology of early prediction of dentofacial anomalies in primary school children.

Results. In the framework of the analysis of dental health in children with malocclusion the author conducted retrospective analysis (269 patients) of their prenatal development using information from antenatal and labor and delivery records. Group of 123 patients without malocclusion served as a control group. At the same time the author studied social hygienic, environmental, medical and biological factors in family where children were born (both with and without malocclusion). Based on the collected data the author developed a prediction matrix for individual prediction of dentofacial anomalies in primary school children.

Conclusions. Retrospective analysis of 269 children showed that the predicted risks were confirmed in 93.6% cases. The remaining 6.4% can be explained by additional unfavorable factors in post-natal period such as bad habits, childrenĺs nutrition patterns and other medical and social factors.

Scope of application. The study results can be used by the Moscow Maternal and Child Health Department and research institutes to develop programs aimed at predicting dentofacial anomalies in primary school children and further development of preventive programs for this cohort group.

Keywords: matrix; individual prediction; dentofacial anomalies; medical and social risk factors.


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