Risk factors for stomatitis in children undergoing orthodontic treatment with tooth-borne fixed appliances

Relevance. With active orthodontic treatment of children, the use of non-removable devices with dental fixation causes many side effects on the oral mucosa, which receive little attention, leading to the formation of oral dysbiosis, the addition and recurrence of secondary fungal, herpes infection and injury. These conditions lead to great discomfort from the oral cavity, and sometimes require the suspension of orthodontic treatment. Objective: to optimize the methods of prevention and treatment of diseases of the oral mucosa in children undergoing orthodontic treatment on fixed devices with dental fixation. Materials and methods: the study involved 31 children from 6 to 10 years old undergoing orthodontic treatment with devices: HAAS (n=19), Derichsweiler (n=12). After analyzing the survey, the main complaints and symptoms of pathology of the oral mucosa were revealed. After a clinical examination and a thorough analysis of all the elements included in the apparatus, all risk factors for oral mucosa pathology were identified and preventive and curative measures were proposed to eliminate them. Conclusions: early application of preventive measures to eliminate risk factors in the occurrence of various stomatitis in children undergoing orthodontic treatment with fixed devices with dental fixation reduced the risk of recurrence of secondary infection and dysbiosis of the oral cavity and increased the level of dental health, as the indicators of «restriction of function» were 3.4±1.2 points versus 0.7± 0.2 and «psychological discomfort» – 4.9±1.3 points versus 1.85±0.3.