COMPARATIVE ANALYSIS OF CARIES DISEASE INDICATORS IN CHILDREN AND ADOLESCENTS WITH METABOLIC SYNDROME

Dental caries is a biofilm-mediated, sugar-induced, multifactorial, dynamic disease that results in phasic demineralization and remineralization of dental hard tissues. The balance between pathological and protective factors influences the onset and progression of caries, and it is disrupted in metabolic syndrome. The purpose of the study is to assess the impact of metabolic syndrome in children and adolescents on the condition of hard dental tissues by determining the main indicators of caries assessment compared with children of a similar age without metabolic syndrome. Materials and methods. A dental examination was conducted on 330 people of two age groups 6-8 years and 12-14 years, separating two comparison subgroups, children and adolescents with verified metabolic syndrome and without the disease. The dental caries intensity index df(t) and DMF(T) were determined. The International System ICDAS II was used to detect and assess dental caries; The state of oral hygiene was determined according to the Fedorov-Volodkina hygiene index. The results. In the examined children of both age clinical groups, significantly higher caries intensity indicators were determined in individuals with metabolic syndrome (p<0.05); the increase in the index in children with MS is characterized by significantly higher parameters of carious temporary (d) at the age of 68 years and permanent (D) at the age of 12-14 years. Analysis of the intensity of dental caries according to the ICDAS II index [4-6] showed that the average value in children with MS aged 6-8 years was significantly higher than in children without MS (4.27±0.72 teeth; 2.72±0.41 teeth; p<0.05); and at the age of 12-14 years (10.05±1.86 teeth; 2.47±0.84 teeth; p<0.05). Conclusion. During the dental examination of schoolchildren with and without metabolic syndrome, significantly higher caries intensity indicators were determined in individuals with metabolic syndrome (p<0.05); the increase in the index in children with MS is characterized by significantly higher parameters of carious temporary (d) at the age of 6-8 years and permanent (D) at the age of 12-14 years.