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Aspects of management of the carious process in children with nephrot¬ic syndrome


Conditions of common health disorders afflict upon functional, prophylactic and aesthetic aspects of oral dental complex. Proper professional health cares and support for patients, especially in child’s age, exceed the scales of routine dental medicine practice and are related to implementation of specific skills and abilities, multi aspect specialized knowledge and high adaptation capacity. Not to neglect the role and significance of concrete, strictly personalized preventive and therapeutic approaches in the context of individually oriented behavioural patterns based on the interrelations patient, respectively child, physician, dental medicine doctor. The aim of the study is to investigate and analyze different aspects of management of the carious process in children with nephrotic syndrome. The subject of the study is represented by 24 patients and a control group of 41 healthy children. A combination of clinical, epidemiological, statistical and sociological methods was applied. A considerable ratio of 92, 68% of the healthy participants utilize products for exogenous fluoride pro­phylaxis. In comparison, the share of children with nephrotic syndrome applying this method of prophylaxis is equals to 62, 50%. A portion of 75, 00% of the patients are characterized with incessant intake of sugars in comparison to 53, 66% of the healthy controls who consume sugars only as a dessert. A significant ratio of 12, 50% of the children with nephrotic syndrome have never brushed their teeth till the moment. The average val­ue of the indicator number of cavitated carious lesions is greater among the patients (8, 21) and considerably lower among the healthy representatives (4, 85). The maximal value of PLI among the children with nephrotic syndrome is amounts to 2, 68. In parallel, PLI=2, 14 was established in the healthy participants. The disturbed common health status of children suffering from nephrotic syndrome is related to the necessity of frequent, complex and prolonged therapeutic cares which concentrates parents’ and children’s attention thoroughly upon the systemic disease.