State of oral hygiene and identification of the main risk factors for inflammatory diseases of periodontal tissues in young people

expert consensus statement: European Association of Echocardiography (a registered branch of the ESC). Eur. J. Echocard. 2008;9(4):415-37.

11. Evangelista A, Flachskampf F, Lancellotti P, Ba-dano L, Aguilar R, Monaghan M. European Association of Echocardiography. European Association of Echo-cardiography recommendations for standardization of performance, digital storage and reporting of echocardio-graphic studies. Eur. J. Echocardiogr. 2008;9(4):438-48.

12. Grigioni F, Enriquez-Sarano M, Zehr KJ, Bailey KR, Tajik AJ. Ischemic mitral regurgitation: long-term

Chauvel ɋ, Pierard Ⱥ. Prognostic importance of quantitative exercise Dopper echocardiography in asymptomatic valvular aortic stenosis. Circulation. 2005;112(9):1377-82.

14. Enriquez-Sarano M, Avierinos JF, Messika-Zei-toun D, Detaint D, Capps M, Nkomo V, et al. Quantita-tive determinants of the outcome of asymptomatic mitral regurgitation. N. Engl. J. Med. 2005;352(9):875-83.

15. Task Force of the European Society of Cardiology the North American Society of Pacing Electrophysiology. Heart rate variability: Standards of measurement, physiological in-terpretation, and clinical use. Circulation. 1996;93(5):1043-65.

ɍȾɄ 616.31-083:616.314.17-002-037-053.81

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ɤɚɮɟɞɪɚ ɞɢɬɹɱɨʀ ɫɬɨɦɚɬɨɥɨɝɿʀ

(ɡɚɜ. – ɞ.ɦɟɞ.ɧ.,ɩɪɨɮ.ȱ.ȼ.Ʉɨɜɚɱ)

ɩɪ.Ƚɚɡɟɬɢ «ɉɪɚɜɞɚ», 42, Ⱦɧɿɩɪɨɩɟɬɪɨɜɫɶɤ, 49000, ɍɤɪɚʀɧɚ SE “Dnipropetrovsk medical academy of Health Ministry of Ukraine” Department of Pediatric Dentistry

Nespaper “Pravda” avenue, 42, Dnipropetrovsk, 49000, Ukraine e-mail: [email protected]

Ʉɥɸɱɨɜɿ ɫɥɨɜɚ:ɝɿɝɿɽɧɚ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ,ɯɪɨɧɿɱɧɢɣ ɤɚɬɚɪɚɥɶɧɢɣ ɝɿɧɝɿɜɿɬ,ɦɨɥɨɞɢɣ ɜɿɤ,ɮɚɤɬɨɪɢ ɪɢɡɢɤɭ

ɡɚɩɚɥɟɧɧɹ ɹɫɟɧ

Key words: oral cavity hygiene, chronic catarrhal gingivitis, young age, risk factors of gum inflammation

Ɋɟɮɟɪɚɬ. ɋɨɫɬɨɹɧɢɟ ɝɢɝɢɟɧɵ ɩɨɥɨɫɬɢ ɪɬɚ ɢ ɨɩɪɟɞɟɥɟɧɢɟ ɨɫɧɨɜɧɵɯ ɮɚɤɬɨɪɨɜ ɪɢɫɤɚ ɜɨɡɧɢɤɧɨɜɟɧɢɹ ɜɨɫɩɚɥɢɬɟɥɶɧɵɯ ɡɚɛɨɥɟɜɚɧɢɣ ɬɤɚɧɟɣ ɩɚɪɨɞɨɧɬɚ ɭ ɥɢɰ ɦɨɥɨɞɨɝɨ ɜɨɡɪɚɫɬɚ. Ɇɚɤɚɪɟɧɤɨ Ɇ.ȼ. ȼɵɫɨɤɢɣ ɩɪɨɰɟɧɬ ɪɚɫɩɪɨɫɬɪɚɧɟɧɧɨɫɬɢ ɜɨɫɩɚɥɢɬɟɥɶɧɵɯ ɡɚɛɨɥɟɜɚɧɢɣ ɩɚɪɨɞɨɧɬɚ ɜ ɦɨɥɨɞɨɦ ɜɨɡɪɚɫɬɟ ɨɛɭɫɥɨɜɥɢɜɚɟɬ ɚɤɬɭɚɥɶɧɨɫɬɶ ɩɪɨɛɥɟɦɵ ɥɟɱɟɧɢɹ ɢ ɩɪɨɮɢɥɚɤɬɢɤɢ ɜɨɫɩɚɥɢɬɟɥɶɧɵɯ ɡɚɛɨɥɟɜɚɧɢɣ ɬɤɚɧɟɣ ɩɚɪɨɞɨɧɬɚ ɜ ɦɨɥɨɞɨɦ ɜɨɡɪɚɫɬɟ. ɉɨɷɬɨɦɭ ɰɟɥɶɸ ɞɚɧɧɨɝɨ ɢɫɫɥɟɞɨɜɚɧɢɹ ɫɬɚɥɨ ɢɡɭɱɟɧɢɟ ɝɢɝɢɟɧɢɱɟɫɤɨɝɨ ɫɨɫɬɨɹɧɢɹ ɢ ɨɩɪɟɞɟɥɟɧɢɟ ɨɫ

-ɧɨɜɧɵɯ ɮɚɤɬɨɪɨɜ ɪɢɫɤɚ ɜɨɡɧɢɤɧɨɜɟɧɢɹ ɝɢɧɝɢɜɢɬɚ ɭ ɩɚɰɢɟɧɬɨɜ 18-30 ɥɟɬ. ȼ ɩɪɨɜɟɞɺɧɧɨɦ ɢɫɫɥɟɞɨɜɚɧɢɢ

ɧɚɛɥɸɞɚɥɢ ɜɫɟɝɨ 286 ɱɟɥɨɜɟɤ ɜ ɜɨɡɪɚɫɬɟ ɨɬ 18 ɞɨ 30 ɥɟɬ.Ⱦɥɹ ɨɰɟɧɤɢ ɝɢɝɢɟɧɢɱɟɫɤɨɝɨ ɫɨɫɬɨɹɧɢɹ ɩɨɥɨɫɬɢ ɪɬɚ ɢ

ɨɩɪɟɞɟɥɟɧɢɹ ɬɨɥɳɢɧɵ ɡɭɛɧɨɝɨ ɧɚɥɟɬɚ ɢɫɩɨɥɶɡɨɜɚɥɢ ɢɧɞɟɤɫɵ OHI-S (ɭɩɪɨɳɟɧɧɵɣ ɢɧɞɟɤɫ ɝɢɝɢɟɧɵ ɩɨɥɨɫɬɢ ɪɬɚ

Ƚɪɢɧ-ȼɟɪɦɢɥɶɣɨɧɚ) ɢ Silness Loe. ɂɫɫɥɟɞɨɜɚɧɢɹ ɝɢɝɢɟɧɢɱɟɫɤɨɝɨ ɫɨɫɬɨɹɧɢɹ ɩɨɥɨɫɬɢ ɪɬɚ ɫɜɢɞɟɬɟɥɶɫɬɜɭɸɬ ɨ

ɬɨɦ, ɱɬɨ ɭ ɩɚɰɢɟɧɬɨɜ ɫ ɪɚɡɥɢɱɧɵɦɢ ɷɬɢɨɥɨɝɢɱɟɫɤɢɦɢ ɮɚɤɬɨɪɚɦɢ ɜɨɫɩɚɥɟɧɢɹ ɬɤɚɧɟɣ ɩɚɪɨɞɨɧɬɚ ɝɢɝɢɟɧɢ

-ɱɟɫɤɨɟ ɫɨɫɬɨɹɧɢɟ ɩɨɥɨɫɬɢ ɪɬɚ ɤɨɥɟɛɚɥɨɫɶ ɨɬ "ɭɞɨɜɥɟɬɜɨɪɢɬɟɥɶɧɨɝɨ" ɞɨ "ɩɥɨɯɨɝɨ". ɉɨɷɬɨɦɭ ɪɟɡɭɥɶɬɚɬɵ

ɢɡɭɱɟɧɢɹ ɝɢɝɢɟɧɢɱɟɫɤɢɯ ɢ ɩɚɪɨɞɨɧɬɚɥɶɧɵɯ ɢɧɞɟɤɫɨɜ ɢ ɩɪɨɛ ɨɛɴɟɤɬɢɜɧɨ ɩɨɞɬɜɟɪɞɢɥɢ ɧɚɥɢɱɢɟ ɧɟɪɟɡɤɨ ɜɵ

ɄɅȱɇȱɑɇȺ ɆȿȾɂɐɂɇȺ

ɝɢɧɝɢɜɢɬ, ɨɩɪɟɞɟɥɹɥɢ ɭ ɩɚɰɢɟɧɬɨɜ ɫ ɤɨɧɫɬɪɭɤɰɢɹɦɢ ɧɟɫɴɟɦɧɵɯ ɩɪɨɬɟɡɨɜ ɜ ɩɨɥɨɫɬɢ ɪɬɚ ɢɥɢ ɩɪɢ ɧɚɪɭɲɟɧɢɢ

ɩɪɢɤɭɫɚ, ɤɨɬɨɪɵɟ ɨɬɧɨɫɹɬɫɹ ɤ ɨɫɧɨɜɧɵɦ ɮɚɤɬɨɪɚɦ ɪɢɫɤɚ ɜɨɡɧɢɤɧɨɜɟɧɢɹ ɡɚɛɨɥɟɜɚɧɢɣ ɩɚɪɨɞɨɧɬɚ,

ɜɨɡɧɢɤɚɸɳɢɯ ɭ ɥɢɰ ɦɨɥɨɞɨɝɨ ɜɨɡɪɚɫɬɚ ɨɬ 18 ɞɨ 30 ɥɟɬ.

Abstract. State of oral hygiene and identification of the main risk factors for inflammatory diseases of periodontal tissues in young people. Makarenko M.V.A high percentage of prevalence of inflammatory periodontal diseases in young age causes urgency of treatment and prevention of inflammatory diseases of periodontal tissue in young age. Therefore, the research purpose was to investigate the hygienic condition and identification of the main risk factors for gingivitis in patients aged 18-30 years. 286 people aged from 18 to 30 years were observed in the study. To assess hygienic condition of the oral cavity and to determine the thickness of plaque indices OHI-S (simplified oral hygiene index Green Vermilyona) and Silness Loe were used. Studies of oral hygiene status suggests that in patients with different etiologies of periodontal tissue inflammation, oral hygienic condition ranged from "satisfactory" to "poor." Therefore the results of study of hygiene and periodontal indices and samples confirmed presence of moderately expressed inflammation in the gums in young adults with chronic catarrhal gingivitis. Most often inflammation in the gums, namely, chronic catarrhal gingivitis was determined in patients with fixed prosthesis designs in the mouth or in violation of the bite, related to the major risk factors for periodontal disease occurring in young adults aged from 18 to 30 years.

Ɂ ɩɪɨɝɪɟɫɨɦ ɰɢɜɿɥɿɡɚɰɿʀ ɩɨɲɢɪɟɧɿɫɬɶ ɡɚɩɚɥɶ

-ɧɢɯ ɡɚɯɜɨɪɸɜɚɧɶ ɩɚɪɨɞɨɧɬɚ ɪɿɡɤɨ ɩɿɞɜɢɳɢɥɚɫɹ.

Ɂɚ ɨɫɬɚɧɧɿ 20-25 ɪɨɤɿɜ ɡɚɩɚɥɶɧɿ ɡɚɯɜɨɪɸɜɚɧɧɹ

ɩɚɪɨɞɨɧɬɚ ɧɟ ɬɿɥɶɤɢ ɜ ɧɚɲɿɣ ɤɪɚʀɧɿ, ɚɥɟ ɣ ɭ

ɜɫɶɨɦɭ ɫɜɿɬɿ ɩɨɦɿɬɧɨ «ɩɨɦɨɥɨɞɲɚɥɢ». ɐɟ ɜɫɬɚ

-ɧɨɜɥɟɧɨ ɜ ɯɨɞɿ ɟɩɿɞɟɦɿɨɥɨɝɿɱɧɢɯ ɨɛɫɬɟɠɟɧɶ ɧɚ

-ɫɟɥɟɧɧɹ, ɦɟɬɨɞɢɤɚ ɹɤɢɯ ɩɟɪɟɞɛɚɱɚɽ ɰɿɥɟɫɩɪɹ

-ɦɨɜɚɧɟ ɜɢɡɧɚɱɟɧɧɹ ɩɨɤɚɡɧɢɤɿɜ, ɳɨ ɯɚɪɚɤɬɟɪɢ

-ɡɭɸɬɶ ɫɬɚɧ ɬɤɚɧɢɧ ɩɚɪɨɞɨɧɬɚ [1, 5, 7, 9, 10, 13].

Ɂɝɿɞɧɨ ɡ ɟɩɿɞɟɦɿɨɥɨɝɿɱɧɢɦɢ ɞɚɧɢɦɢ ɜɿɬɱɢɡ

-ɧɹɧɢɯ ɿ ɡɚɪɭɛɿɠɧɢɯ ɚɜɬɨɪɿɜ, ɩɚɬɨɥɨɝɿɽɸ ɩɚɪɨ

-ɞɨɧɬɚ, ɳɨ ɧɚɣɛɿɥɶɲ ɱɚɫɬɨ ɡɭɫɬɪɿɱɚɽɬɶɫɹ ɜ

ɦɨɥɨɞɨɦɭ ɜɿɰɿ, ɽ ɝɿɧɝɿɜɿɬ, ɩɨɲɢɪɟɧɿɫɬɶ ɹɤɨɝɨ

ɫɹɝɚɽ ɦɚɣɠɟ 100% [6, 8]. ɑɚɫɬɨɬɚ ɭɪɚɠɟɧɧɹ ɡɚ

-ɯɜɨɪɸɜɚɧɧɹɦɢ ɩɚɪɨɞɨɧɬɚ ɠɢɬɟɥɿɜ ɍɤɪɚʀɧɢ ɧɟ ɡɧɢɠɭɽɬɶɫɹ,ɚ ɦɚɽ ɬɟɧɞɟɧɰɿɸ ɞɨ ɡɪɨɫɬɚɧɧɹ,ɨɫɨɛ

-ɥɢɜɨ ɫɟɪɟɞ ɞɿɬɟɣ-ɩɿɞɥɿɬɤɿɜ ɿ ɥɸɞɟɣ ɦɨɥɨɞɨɝɨ ɜɿɤɭ 18-30ɪɨɤɿɜ [2, 4].

ȼɢɫɨɤɢɣ ɜɿɞɫɨɬɨɤ ɩɨɲɢɪɟɧɨɫɬɿ ɡɚɩɚɥɶɧɢɯ ɡɚɯɜɨɪɸɜɚɧɶ ɩɚɪɨɞɨɧɬɚ ɜ ɦɨɥɨɞɨɦɭ ɜɿɰɿ,ɧɚɜɿɬɶ ɭ

ɤɪɚʀɧɚɯ ɡ ɜɢɫɨɤɢɦ ɪɿɜɧɟɦ ɤɭɥɶɬɭɪɢ,ɞɟ ɞɨɫɬɭɩɧɿ ɣ

ɜɚɪɿɚɛɟɥɶɧɿ ɡɚɫɨɛɢ ɝɿɝɿɽɧɢ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ,

ɡɭɦɨɜɥɸɽ ɚɤɬɭɚɥɶɧɿɫɬɶ ɩɪɨɛɥɟɦɢ ɥɿɤɭɜɚɧɧɹ ɬɚ ɩɪɨɮɿɥɚɤɬɢɤɢ ɡɚɩɚɥɶɧɢɯ ɡɚɯɜɨɪɸɜɚɧɶ ɬɤɚɧɢɧ ɩɚɪɨɞɨɧɬɚ ɜ ɦɨɥɨɞɨɦɭ ɜɿɰɿ ɿ ɦɚɽ ɫɨɰɿɚɥɶɧɟ ɡɧɚ

-ɱɟɧɧɹ [11, 14].

Ɍɨɦɭ ɦɟɬɨɸ ɰɶɨɝɨ ɞɨɫɥɿɞɠɟɧɧɹ ɫɬɚɥɨ ɜɢ

-ɜɱɟɧɧɹ ɝɿɝɿɽɧɿɱɧɨɝɨ ɫɬɚɧɭ ɬɚ ɜɢɡɧɚɱɟɧɧɹ ɨɫɧɨɜ

-ɧɢɯ ɮɚɤɬɨɪɿɜ ɪɢɡɢɤɭ ɜɢɧɢɤɧɟɧɧɹ ɝɿɧɝɿɜɿɬɭ ɭ ɩɚɰɿɽɧɬɿɜ 18-30 ɪɨɤɿɜ.

ɆȺɌȿɊȱȺɅɂ ɌȺ ɆȿɌɈȾɂ ȾɈɋɅȱȾɀȿɇɖ ɇɚɦɢ ɛɭɥɨ ɨɛɫɬɟɠɟɧɨ ɜɫɶɨɝɨ 286 ɨɫɿɛ ɭ ɜɿɰɿ

ɜɿɞ 18 ɞɨ 30 ɪɨɤɿɜ. ȼɫɿ ɨɛɫɬɟɠɟɧɿ ɦɨɥɨɞɿ ɥɸɞɢ

ɛɭɥɢ ɫɬɭɞɟɧɬɚɦɢ ɧɚɜɱɚɥɶɧɢɯ ɡɚɤɥɚɞɿɜ ɚɛɨ ɡɜɟɪ

-ɧɭɥɢɫɶ ɡɚ ɤɨɧɫɭɥɶɬɚɰɿɽɸ ɿ ɥɿɤɭɜɚɧɧɹɦ ɞɨ ɫɬɨ

-ɦɚɬɨɥɨɝɿɱɧɨʀ ɤɥɿɧɿɤɢ.

ɋɟɪɟɞ ɧɢɯ – 172 ɠɿɧɤɢ, ɳɨ ɫɬɚɧɨɜɢɬɶ 60,1%,

ɬɚ 114 ɱɨɥɨɜɿɤɿɜ,ɿ ɰɟ ɜɿɞɩɨɜɿɞɚɽ 39,9%. ȼɫɿ ɨɛɫɬɟ

-ɠɟɧɿ ɩɚɰɿɽɧɬɢ ɛɭɥɢ ɪɨɡɞɿɥɟɧɿ ɧɚ 3 ɩɿɞɝɪɭɩɢ

ɡɚɥɟɠɧɨ ɜɿɞ ɩɟɪɟɞɛɚɱɭɜɚɧɨɝɨ ɟɬɿɨɥɨɝɿɱɧɨɝɨ ɮɚɤ

-ɬɨɪɚ, ɳɨ ɫɩɪɢɱɢɧɢɜ ɜɢɧɢɤɧɟɧɧɹ ɡɚɩɚɥɟɧɧɹ ɜ

ɬɤɚɧɢɧɚɯ ɩɚɪɨɞɨɧɬɚ: 1 ɩɿɞɝɪɭɩɚ – ɰɟ 128 ɯɜɨɪɢɯ (44,8%) ɡ ɞɟɮɟɤɬɚɦɢ ɤɨɪɨɧɤɨɜɨʀ ɱɚɫɬɢɧɢ ɡɭɛɚ, ɭ

ɞɟɹɤɢɯ ɩɚɰɿɽɧɬɿɜ ɜɿɞɡɧɚɱɚɥɢ ɩɨ 2 ɿ ɛɿɥɶɲɟ ɞɟ

-ɮɟɤɬɿɜ; 2 ɩɿɞɝɪɭɩɚ ɫɬɚɧɨɜɢɥɚ 56 ɯɜɨɪɢɯ (19,6%) ɡ

ɧɟɡɧɿɦɧɢɦɢ ɨɪɬɨɞɨɧɬɢɱɧɢɦɢ ɬɚ ɨɪɬɨɩɟɞɢɱɧɢɦɢ ɤɨɧɫɬɪɭɤɰɿɹɦɢ (ɿɡ ɲɬɭɱɧɢɦɢ ɤɨɪɨɧɤɚɦɢ ɜ ɬɨɦɭ

ɱɢɫɥɿ)ɜ ɩɨɪɨɠɧɢɧɿ ɪɨɬɚ,ɚ ɞɨ 3 ɩɿɞɝɪɭɩɢ ɭɜɿɣɲɥɢ 102ɯɜɨɪɢɯ (35,7%) ɡ ɨɪɬɨɞɨɧɬɢɱɧɨɸ ɩɚɬɨɥɨɝɿɽɸ

ɬɚ ɧɟɩɪɚɜɢɥɶɧɢɦ ɩɪɢɤɪɿɩɥɟɧɧɹɦ ɜɭɡɞɟɱɨɤ.

ɍ ɤɨɠɧɿɣ ɩɿɞɝɪɭɩɿ ɭ ɩɚɰɿɽɧɬɿɜ ɜɢɜɱɚɥɢ ɩɨ

-ɤɚɡɧɢɤɢ ɝɿɝɿɽɧɢ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ. Ⱦɥɹ ɨɰɿɧɤɢ

ɝɿɝɿɽɧɿɱɧɨɝɨ ɫɬɚɧɭ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ ɬɚ ɜɢɡɧɚɱɟɧɧɹ ɬɨɜɳɢɧɢ ɡɭɛɧɨɝɨ ɧɚɥɶɨɬɭ ɜɢɤɨɪɢɫɬɨɜɭɜɚɥɢ ɿɧ

-ɞɟɤɫɢ OHI-S (ɫɩɪɨɳɟɧɢɣ ɿɧɞɟɤɫ ɝɿɝɿɽɧɢ ɩɨɪɨɠ

-ɧɢɧɢ ɪɨɬɚ ɡɚ Ƚɪɿɧ-ȼɟɪɦɿɥɶɣɨɧɨɦ) [12] ɿ Silness Loe ɡɚ ɡɚɝɚɥɶɧɨɩɪɢɣɧɹɬɨɸ ɦɟɬɨɞɢɤɨɸ [15]. Ⱦɥɹ

ɫɬɚɬɢɫɬɢɱɧɨʀ ɨɛɪɨɛɤɢ ɰɢɯ ɞɨɫɥɿɞɠɟɧɶ ɜɢɤɨɪɢɫɬɨ

-ɜɭɜɚɥɢ ɤɪɢɬɟɪɿɣ ɋɬɶɸɞɟɧɬɚ [3].

ɊȿɁɍɅɖɌȺɌɂ ɌȺ Ȳɏ ɈȻȽɈȼɈɊȿɇɇə

ɉɪɢ ɚɧɚɥɿɡɿ ɝɿɝɿɽɧɿɱɧɨɝɨ ɫɬɚɧɭ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ ɡɜɟɪɧɭɥɢ ɭɜɚɝɭ ɧɚ ɯɚɪɚɤɬɟɪ ɧɚɥɶɨɬɭ ɧɚ ɡɭɛɚɯ.Ʉɪɿɦ ɦ’ɹɤɢɯ ɡɭɛɧɢɯ ɜɿɞɤɥɚɞɟɧɶ ɜɿɞɡɧɚɱɚɥɢ

ɬɜɟɪɞɿ: ɡɭɛɧɢɣ ɤɚɦɿɧɶ ɿ ɳɿɥɶɧɢɣ ɩɿɝɦɟɧɬɨɜɚɧɢɣ

ɡɭɛɧɢɣ ɧɚɥɿɬ. Ɋɨɡɬɚɲɨɜɭɜɚɜɫɹ ɜɿɧ ɧɚɣɱɚɫɬɿɲɟ ɧɚ

ɲɢɣɤɚɯ ɡɭɛɿɜ ɡ ɜɟɫɬɢɛɭɥɹɪɧɨʀ ɿ ɨɪɚɥɶɧɨʀ ɩɨ

-ɜɟɪɯɨɧɶ. ɋɥɿɞ ɡɚɡɧɚɱɢɬɢ, ɳɨ ɞɿɚɝɧɨɫɬɨɜɚɧɢɣ

ɧɚɥɿɬ ɧɚ ɡɭɛɚɯ ɧɟ ɛɭɜ ɦɨɧɨɯɪɨɦɧɢɦ,ɜɿɞɡɧɚɱɚɥɚɫɹ

ɪɿɡɧɢɰɹ ɜ ɤɨɥɶɨɪɿ:ɜɿɞ ɠɨɜɬɨɝɨ ɞɨ ɤɨɪɢɱɧɟɜɨɝɨ ɬɚ

ɫɿɪɨ-ɱɨɪɧɨɝɨ. ȼɿɞɡɧɚɱɚɥɢ ɬɚɤɨɠ ɬɜɟɪɞɿ ɜɿɞɤɥɚ

-ɞɟɧɧɹ ɭ ɜɢɝɥɹɞɿ ɧɚɞ’ɹɫɟɧɟɜɨɝɨ ɡɭɛɧɨɝɨ ɤɚɦɟɧɸ.

ɐɿ ɿɧɞɟɤɫɢ ɲɢɪɨɤɨ ɜɢɤɨɪɢɫɬɨɜɭɸɬɶɫɹ ɜ ɫɬɨɦɚ

-ɬɨɥɨɝɿɱɧɿɣ ɩɪɚɤɬɢɰɿ ɡ ɞɿɚɝɧɨɫɬɢɱɧɨɸ ɦɟɬɨɸ ɩɪɢ ɪɿɡɧɢɯ ɡɚɩɚɥɶɧɢɯ ɡɚɯɜɨɪɸɜɚɧɧɹɯ ɬɤɚɧɢɧ ɩɚɪɨ

-ɞɨɧɬɚ. ȼɜɚɠɚɽɬɶɫɹ ɞɨɜɟɞɟɧɢɦ, ɳɨ ɩɨɪɭɲɟɧɧɹ

ɉɪɢ ɚɧɚɥɿɡɿ ɿɧɞɟɤɫɧɨʀ ɨɰɿɧɤɢ ɝɿɝɿɽɧɿɱɧɨɝɨ ɫɬɚ

-ɧɭ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ ɛɭɥɨ ɜɫɬɚɧɨɜɥɟɧɨ, ɳɨ ɩɨ

-ɤɚɡɧɢɤ ɿɧɞɟɤɫɭ OHI-S ɫɬɚɧɨɜɢɜ 1,44±0,08 ɛɚɥɚ ɭ

ɩɚɰɿɽɧɬɿɜ 18-24 ɪɨɤɿɜ ɡ ɞɟɮɟɤɬɚɦɢ ɤɨɪɨɧɤɨɜɨʀ ɱɚ

-ɬɟɧɞɟɧɰɿɹ ɫɩɨɫɬɟɪɿɝɚɥɚɫɶ ɿ ɜ ɩɚɰɿɽɧɬɿɜ 25-30 ɪɨɤɿɜ

ɡ ɰɢɦ ɠɟ ɟɬɿɨɥɨɝɿɱɧɢɦ ɮɚɤɬɨɪɨɦ ɡɚɩɚɥɟɧɧɹ ɹɫɟɧ

(1,66±0,09 ɛɚɥɚ).

ɉɨɤɚɡɧɢɤɢ ɫɬɚɧɭ ɪɿɜɧɹ ɝɿɝɿɽɧɢ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ ɭ ɩɚɰɿɽɧɬɿɜ ɦɨɥɨɞɨɝɨ ɜɿɤɭ ɡ ɝɟɧɟɪɚɥɿɡɨɜɚɧɢɦ ɯɪɨɧɿɱɧɢɦ ɤɚɬɚɪɚɥɶɧɢɦ ɝɿɧɝɿɜɿɬɨɦ (Ɇ±m)

ȼɿɤ (ɪɨɤɢ) 18-24 25-30

ɉɨɤɚɡɧɢɤɢ Ɉɇȱ – S (ɛɚɥ) ɋɿɥɧɟɫ-Ʌɨɟ (ɛɚɥ) Ɉɇȱ – S (ɛɚɥ) ɋɿɥɧɟɫ-Ʌɨɟ (ɛɚɥ)

Ɂ ɞɟɮɟɤɬɚɦɢ ɤɨɪɨɧɤɨɜɨʀ ɱɚɫɬɢɧɢ ɡɭɛɚ

n=128 1,44 ± 0,08 1,73 ± 0,09 1,59 ± 0,08 1,81 ± 0,10

Ɂ ɨɪɬɨɞɨɧɬɢɱɧɢɦɢ ɬɚ ɨɪɬɨɩɟɞɢɱɧɢɦɢ ɤɨɧɫɬɪɭɤɰɿɹɦɢ

n=56

2,25 ± 0,12 2,73 ± 0,15 2,51 ± 0,13 2,89 ± 0,16

Ɂ ɨɪɬɨɞɨɧɬɢɱɧɨɸ ɩɚɬɨɥɨɝɿɽɸ ɬɚ ɧɟɩɪɚɜɢɥɶɧɢɦ ɩɪɢɤɪɿɩɥɟɧɧɹɦ ɜɭɡɞɟɱɨɤ

n=102

1,51 ± 0,08 1,76 ± 0,09 1,69 ± 0,09 1,87 ± 0,10

Ɉɞɧɚɤ ɧɚɣɛɿɥɶɲ ɜɢɪɚɠɟɧɿ ɡɦɿɧɢ ɩɨɤɚɡɧɢɤɿɜ ɿɧɞɟɤɫɭ ɝɿɝɿɽɧɢ OHI-S ɜɫɬɚɧɨɜɥɟɧɨ ɭ ɩɚɰɿɽɧɬɿɜ ɡ

ɪɿɡɧɢɦɢ ɧɟɡɧɿɦɧɢɦɢ ɨɪɬɨɩɟɞɢɱɧɢɦɢ ɬɚ ɨɪɬɨɞɨɧ

-ɬɢɱɧɢɦɢ ɤɨɧɫɬɪɭɤɰɿɹɦɢ. Ɍɚɤ, ɰɢɮɪɨɜɿ ɡɧɚɱɟɧɧɹ

ɿɧɞɟɤɫɭ, ɳɨ ɜɢɜɱɚɽɬɶɫɹ, ɫɬɚɧɨɜɢɥɢ ɜɿɞ 2,25±0,12

ɛɚɥ. ɞɨ 2,51±0,13 ɛɚɥ., ɳɨ ɜɿɞɩɨɜɿɞɚɥɨ ɧɟɡɚɞɨ

-ɜɿɥɶɧɿɣ ɬɚ ɩɨɝɚɧɿɣ ɝɿɝɿɽɧɿ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ. ɍ

ɩɚɰɿɽɧɬɿɜ, ɹɤɿ ɦɚɥɢ ɨɪɬɨɞɨɧɬɢɱɧɭ ɩɚɬɨɥɨɝɿɸ ɬɚ

ɧɟɩɪɚɜɢɥɶɧɟ ɩɪɢɤɪɿɩɥɟɧɧɹ ɜɭɡɞɟɱɨɤ, ɝɿɝɿɽɧɿɱɧɢɣ

ɿɧɞɟɤɫ ɫɬɚɧɨɜɢɜ 1,51±0,08 ɛɚɥɚ ɭ ɜɿɤɨɜɿɣ ɝɪɭɩɿ 18-24ɪɨɤɢ ɬɚ 1,69±0,09 ɛɚɥɚ ɜ 25-30 ɪɨɤɿɜ ɜɿɞɩɨ

-ɜɿɞɧɨ,ɳɨ ɜɿɞɩɨɜɿɞɚɽ “ɡɚɞɨɜɿɥɶɧɨɦɭ”ɡɚ ɝɪɚɞɚɰɿɽɸ

ȼɈɈɁ.

ɉɪɨɜɟɞɟɧɢɣ ɚɧɚɥɿɡ ɞɚɧɢɯ ɩɪɢ ɜɢɜɱɟɧɧɿ ɩɨ

-ɤɚɡɧɢɤɿɜ ɿɧɞɟɤɫɭ ɋɿɥɧɟɫ–Ʌɨɟ ɩɨɤɚɡɚɜ,ɳɨ ɡ ɜɿɤɨɦ

ɬɨɜɳɢɧɚ ɡɭɛɧɨɝɨ ɧɚɥɶɨɬɭ ɧɟɡɧɚɱɧɨ ɡɛɿɥɶɲɭɽɬɶɫɹ.

Ɉɞɧɚɤ ɭ ɩɚɰɿɽɧɬɿɜ ɡ ɞɟɮɟɤɬɚɦɢ ɤɨɪɨɧɤɨɜɨʀ ɱɚɫɬɢɧɢ ɡɭɛɿɜ ɧɚɥɿɬ ɜɿɡɭɚɥɶɧɨ ɧɟ ɜɢɡɧɚɱɚɜɫɹ, ɚ

ɬɿɥɶɤɢ ɧɚ ɤɿɧɱɢɤɭ ɡɨɧɞɚ, ɤɨɥɢ ɩɪɨɜɨɞɢɥɢ ɛɿɥɹ

ɲɢɣɤɢ ɡɭɛɚ.

Ɋɚɡɨɦ ɡ ɬɢɦ, ɡɦɿɧɚ ɰɢɮɪɨɜɢɯ ɡɧɚɱɟɧɶ ɩɨ

-ɤɚɡɧɢɤɿɜ ɫɚɦɟ ɰɶɨɝɨ ɿɧɞɟɤɫɭ ɛɭɥɚ ɧɚɣɛɿɥɶɲ ɜɢ

-ɪɚɡɧɨɸ ɭ ɩɚɰɿɽɧɬɿɜ ɡ ɪɿɡɧɢɦɢ ɧɟɡɧɿɦɧɢɦɢ ɨɪɬɨɩɟ

-ɞɢɱɧɢɦɢ ɣ ɨɪɬɨɞɨɧɬɢɱɧɢɦɢ ɤɨɧɫɬɪɭɤɰɿɹɦɢ ɿ ɫɬɚɧɨɜɢɥɚ 2,73±0,15 ɛɚɥ.ɭ ɜɿɤɨɜɿɣ ɝɪɭɩɿ 18-24 ɪɨ

-ɤɿɜ ɬɚ 2,89±0,16 ɛɚɥ. ɭ ɩɚɰɿɽɧɬɿɜ 25-30 ɪɨɤɿɜ.

ɋɚɦɟ ɭ ɩɚɰɿɽɧɬɿɜ ɡ ɧɟɡɧɿɦɧɢɦɢ ɨɪɬɨɩɟɞɢɱɧɢɦɢ ɣ ɨɪɬɨɞɨɧɬɢɱɧɢɦɢ ɤɨɧɫɬɪɭɤɰɿɹɦɢ ɜɢɡɧɚɱɚɥɢ ɿɧ

-ɬɟɧɫɢɜɧɟ ɜɿɞɤɥɚɞɟɧɧɹ ɡɭɛɧɨɝɨ ɧɚɥɶɨɬɭ ɧɚ ɩɨ

-ɜɟɪɯɧɿ ɤɨɪɨɧɤɢ ɡɭɛɚ ɿ ɜ ɦɿɠɡɭɛɧɢɯ ɩɪɨɦɿɠɤɚɯ,

ɳɨ ɫɜɿɞɱɢɬɶ ɩɪɨ ɩɨɝɚɧɢɣ ɫɬɚɧ ɝɿɝɿɽɧɢ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ.

Ɉɬɠɟ, ɞɨɫɥɿɞɠɟɧɧɹ ɝɿɝɿɽɧɿɱɧɨɝɨ ɫɬɚɧɭ ɩɨɪɨɠ

-ɧɢɧɢ ɪɨɬɚ ɫɜɿɞɱɚɬɶ ɩɪɨ ɬɟ, ɳɨ ɭ ɩɚɰɿɽɧɬɿɜ ɡ

ɪɿɡɧɢɦɢ ɟɬɿɨɥɨɝɿɱɧɢɦɢ ɮɚɤɬɨɪɚɦɢ ɡɚɩɚɥɟɧɧɹ ɬɤɚɧɢɧ ɩɚɪɨɞɨɧɬɚ ɝɿɝɿɽɧɿɱɧɢɣ ɫɬɚɧ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ ɤɨɥɢɜɚɜɫɹ ɜɿɞ “ɡɚɞɨɜɿɥɶɧɨɝɨ”ɞɨ “ɩɨɝɚɧɨɝɨ”.

Ɍɨɦɭ ɪɟɡɭɥɶɬɚɬɢ ɜɢɜɱɟɧɧɹ ɝɿɝɿɽɧɿɱɧɢɯ ɬɚ ɩɚɪɨ

-ɞɨɧɬɚɥɶɧɢɯ ɿɧɞɟɤɫɿɜ ɿ ɩɪɨɛ ɨɛ'ɽɤɬɢɜɧɨ ɩɿɞɬɜɟɪ

-ɞɢɥɢ ɧɚɹɜɧɿɫɬɶ ɧɟɪɿɡɤɨ ɜɢɪɚɠɟɧɨɝɨ ɡɚɩɚɥɶɧɨɝɨ ɩɪɨɰɟɫɭ ɜ ɞɿɥɹɧɰɿ ɹɫɟɧ ɭ ɯɜɨɪɢɯ ɧɚ ɯɪɨɧɿɱɧɢɣ ɤɚɬɚɪɚɥɶɧɢɣ ɝɿɧɝɿɜɿɬ ɨɫɿɛ ɦɨɥɨɞɨɝɨ ɜɿɤɭ.

Ʉɪɿɦ ɬɨɝɨ, ɩɪɨɫɬɟɠɭɽɬɶɫɹ ɨɱɟɜɢɞɧɢɣ ɜɡɚɽɦɨ

-ɡɜ'ɹɡɨɤ ɿ ɜɡɚɽɦɨɡɚɥɟɠɧɿɫɬɶ ɦɿɠ ɪɿɜɧɟɦ ɝɿɝɿɽ

-ɧɿɱɧɨɝɨ ɫɬɚɧɭ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚ ɿ ɩɨɲɢɪɟɧɿɫɬɸ ɬɚ ɿɧɬɟɧɫɢɜɧɿɫɬɸ ɡɚɯɜɨɪɸɜɚɧɶ ɩɚɪɨɞɨɧɬɚ, ɚ ɜɿɞɩɨ

-ɜɿɞɧɨ ɿ ɫɬɚɧɨɦ ɫɬɨɦɚɬɨɥɨɝɿɱɧɨɝɨ ɫɬɚɬɭɫɭ.ɍ ɡɜ'ɹɡ

-ɤɭ ɡ ɰɢɦ ɫɟɪɟɞ ɭɫɿɯ ɩɪɨɮɿɥɚɤɬɢɱɧɢɯ ɫɬɨɦɚɬɨ

-ɥɨɝɿɱɧɢɯ ɦɟɬɨɞɿɜ ɜɚɠɥɢɜɭ ɪɨɥɶ ɜɿɞɿɝɪɚɸɬɶ ɿɧɞɢ

-ɜɿɞɭɚɥɶɧɿ ɬɚ ɩɪɨɮɟɫɿɣɧɿ ɝɿɝɿɽɧɿɱɧɿ ɡɚɯɨɞɢ ɜ ɩɨ

-ɪɨɠɧɢɧɿ ɪɨɬɚ. Ɉɫɨɛɥɢɜɨʀ ɡɧɚɱɭɳɨɫɬɿ ɧɚɛɭɜɚɽ

ɤɨɧɰɟɩɰɿɹ ɤɨɧɬɪɨɥɸ ɭɬɜɨɪɟɧɧɹ ɡɭɛɧɨɝɨ ɧɚɥɶɨɬɭ.

ɉɪɨɜɟɞɟɧɿ ɞɨɫɥɿɞɠɟɧɧɹ ɩɨɤɚɡɚɥɢ ɬɚɤɨɠ, ɳɨ

ɧɚɣɛɿɥɶɲɚ ɤɿɥɶɤɿɫɬɶ ɟɬɿɨɥɨɝɿɱɧɢɯ ɱɢɧɧɢɤɿɜ ɜɢɹɜ

-ɥɹɥɚɫɹ ɩɪɢ ɨɞɨɧɬɨɩɪɟɩɚɪɭɜɚɧɧɿ ɞɟɮɟɤɬɿɜ ɬɜɟɪɞɢɯ ɬɤɚɧɢɧ ɡɭɛɿɜ ɬɚ ɩɿɞɝɨɬɨɜɰɿ ʀɯ ɞɨ ɩɪɨɬɟɡɭɜɚɧɧɹ.Ⱦɨ

ɧɢɯ ɦɨɠɧɚ ɜɿɞɧɟɫɬɢ ɦɟɯɚɧɿɱɧɿ, ɬɟɦɩɟɪɚɬɭɪɧɿ

ɮɚɤɬɨɪɢ ɬɚ ɜɿɛɪɚɰɿɸ,ɨɫɨɛɥɢɜɨ ɩɪɢ ɩɪɟɩɚɪɭɜɚɧɧɿ

ɞɟɮɟɤɬɿɜ ɬɜɟɪɞɢɯ ɬɤɚɧɢɧ ɭ ɩɪɢɲɢɣɤɨɜɿɣ ɿ ɚɩ

ɄɅȱɇȱɑɇȺ ɆȿȾɂɐɂɇȺ

ȼɫɬɚɧɨɜɥɟɧɨ, ɳɨ ɩɪɢ ɩɪɟɩɚɪɭɜɚɧɧɿ ɬɜɟɪɞɢɯ

ɬɤɚɧɢɧ ɡɭɛɚ ɬɚ ɩɪɢ ɧɚɹɜɧɨɫɬɿ ɧɟɡɧɿɦɧɢɯ ɨɪɬɨ

-ɞɨɧɬɢɱɧɢɯ ɿ ɨɪɬɨɩɟɞɢɱɧɢɯ ɤɨɧɫɬɪɭɤɰɿɣ ɭ ɩɨ

-ɪɨɠɧɢɧɿ ɪɨɬɚ ɜɿɞɛɭɜɚɽɬɶɫɹ ɯɪɨɧɿɱɧɚ ɬɪɚɜɦɚ ɦɚɪɝɿɧɚɥɶɧɢɯ ɹɫɟɧ (ɫɭɛɝɿɧɝɿɜɚɥɶɧɟ ɪɨɡɬɚɲɭɜɚɧɧɹ

ɤɪɚɸ ɤɨɪɨɧɤɢ ɩɪɢ ɧɟɜɿɞɩɨɜɿɞɧɨɫɬɿ ɞɨɜɠɢɧɢ ʀʀ ɤɪɚɸ, ɹɤɢɣ ɡɚɧɭɪɸɽɬɶɫɹ ɜ ɡɭɛɨɹɫɟɧɟɜɭ ɛɨɪɨ

-ɡɟɧɤɭ). ɉɪɢ ɰɶɨɦɭ ɜɢɧɢɤɚɽ ɪɨɡɩɭɲɟɧɧɹ ɟɩɿɬɟɥɿɸ

ɹɫɟɧ.ɇɚ ɧɚɲɭ ɞɭɦɤɭ,ɫɚɦɟ ɩɿɫɥɹ ɩɪɟɩɚɪɭɜɚɧɧɹ ɬɚ

ɮɿɤɫɚɰɿʀ ɦɟɬɚɥɨɤɟɪɚɦɿɱɧɢɯ ɤɨɪɨɧɨɤ ɿ ɧɟɡɧɿɦɧɢɯ ɨɪɬɨɞɨɧɬɢɱɧɢɯ ɤɨɧɫɬɪɭɤɰɿɣ ɜɢɧɢɤɚɸɬɶ ɭɫ

-ɤɥɚɞɧɟɧɧɹ ɭ ɜɢɝɥɹɞɿ ɩɚɬɨɥɨɝɿɱɧɢɯ ɫɬɚɧɿɜ ɭ ɬɤɚɧɢɧɚɯ ɩɚɪɨɞɨɧɬɚ.

ɉɪɢ ɨɛɫɬɟɠɟɧɧɿ ɩɚɰɿɽɧɬɿɜ ɡ ɪɿɡɧɢɦɢ ɜɢɞɚɦɢ ɡɭɛɧɢɯ ɧɟɡɧɿɦɧɢɯ ɤɨɧɫɬɪɭɤɰɿɣ ɭ ɩɨɪɨɠɧɢɧɿ ɪɨɬɚ ɜɫɬɚɧɨɜɥɟɧɨ, ɳɨ ɞɨ ɩɚɬɨɥɨɝɿɱɧɢɯ ɫɬɚɧɿɜ ɬɤɚɧɢɧ

ɩɚɪɨɞɨɧɬɚ ɦɨɠɧɚ ɜɿɞɧɟɫɬɢ ɝɨɫɬɪɿ ɬɚ ɯɪɨɧɿɱɧɿ ɡɚɩɚɥɶɧɿ ɩɪɨɰɟɫɢ ɜ ɹɫɧɚɯ (ɝɨɫɬɪɿ ɬɚ ɯɪɨɧɿɱɧɿ

ɝɿɧɝɿɜɿɬɢ).

ɇɚɣɛɿɥɶɲ ɱɚɫɬɨ ɡɚɩɚɥɶɧɿ ɩɪɨɰɟɫɢ ɜ ɹɫɧɚɯ, ɚ

ɫɚɦɟ ɯɪɨɧɿɱɧɢɣ ɤɚɬɚɪɚɥɶɧɢɣ ɝɿɧɝɿɜɿɬ,ɜɢɡɧɚɱɚɥɢ ɭ

ɩɚɰɿɽɧɬɿɜ ɡ ɤɨɧɫɬɪɭɤɰɿɹɦɢ ɧɟɡɧɿɦɧɢɯ ɩɪɨɬɟɡɿɜ ɭ ɩɨɪɨɠɧɢɧɿ ɪɨɬɚ ɚɛɨ ɩɪɢ ɩɨɪɭɲɟɧɧɿ ɩɪɢɤɭɫɭ.ȼɫɿ

ɰɿ ɹɜɢɳɚ ɦɨɠɧɚ ɜɿɞɧɟɫɬɢ ɞɨ ɮɚɤɬɨɪɿɜ ɪɢɡɢɤɭ ɜɢ

-ɧɢɤɧɟɧɧɹ ɡɚɯɜɨɪɸɜɚɧɶ ɩɚɪɨɞɨɧɬɚ,ɹɤɿ ɜɢɧɢɤɚɸɬɶ

ɜ ɨɫɿɛ ɦɨɥɨɞɨɝɨ ɜɿɤɭ ɜɿɞ 18 ɞɨ 30 ɪɨɤɿɜ (ɪɢɫ.).

Ɏɚɤɬɨɪɢ ɪɢɡɢɤɭ ɜɢɧɢɤɧɟɧɧɹ ɡɚɩɚɥɶɧɢɯ ɡɚɯɜɨɪɸɜɚɧɶ ɩɚɪɨɞɨɧɬɚ ɜ ɨɫɿɛ ɦɨɥɨɞɨɝɨ ɜɿɤɭ ɇɟɡɧɿɦɧɿ ɤɨɧɫɬɪɭɤɰɿʀ

ɡɭɛɧɢɯ ɩɪɨɬɟɡɿɜ ɉɨɪɭɲɟɧɧɹ ɩɪɢɤɭɫɭ ɬɚɚɧɨɦɚɥɿʀ ɨɤɪɟɦɢɯ ɡɭɛɿɜ ɨɪɬɨɞɨɧɬɢɱɧɚ ɚɩɚɪɚɬɭɪɚɇɟɡɧɿɦɧɚ

ɏɪɨɧɿɱɧɚ

ɬɪɚɜɦɚ ɹɫɟɧ ɩɨɪɨɠɧɢɧɢ ɪɨɬɚɉɨɝɚɧɚ ɝɿɝɿɽɧɚ

ɉɿɞɜɢɳɟɧɧɹ ɤɨɧɬɚɤɬɧɨʀ ɬɟɪɦɨɦɟɬɪɿʀ

ɉɨɪɭɲɟɧɧɹ ɦɿɤɪɨɰɢɪɤɭɥɹɰɿʀ ɜ ɬɤɚɧɢɧɚɯ ɩɚɪɨɞɨɧɬɭ

Ɂɚɩɚɥɟɧɧɹ ɹɫɟɧ

ɧɢ ɫɥɢɡɨɜɨʀ ɨɛɨɥɨɧɤɢ ɩɚɪɨɞɨɧɬɚ ɩɪɢ ɨɛɫɬɟɠɟɧɧɿ ɩɚɰɿɽɧɬɿɜ ɡ ɪɿɡɧɢɦɢ ɜɢɞɚɦɢ ɧɟɡɧɿɦɧɢɯ ɡɭɛɧɢɯ ɤɨɧɫɬɪɭɤɰɿɣ ɦɚɸɬɶ ɯɪɨɧɿɱɧɭ ɡɚɩɚɥɶɧɭ ɪɟɚɤɰɿɸ.

2. Ⱦɨɜɟɞɟɧɚ ɧɟɨɛɯɿɞɧɿɫɬɶ ɩɪɨɮɿɥɚɤɬɢɤɢ ɡɚ

-ɩɚɥɶɧɢɯ ɡɚɯɜɨɪɸɜɚɧɶ ɩɚɪɨɞɨɧɬɚ ɭ ɩɚɰɿɽɧɬɿɜ ɡ

3. ɇɨɜɿ ɦɟɬɨɞɢ ɩɪɨɮɿɥɚɤɬɢɤɢ ɡɚɩɚɥɟɧɧɹ ɬɤɚ

-ɧɢɧ ɩɚɪɨɞɨɧɬɚ ɩɨɜɢɧɧɿ ɜɨɥɨɞɿɬɢ ɩɪɨɬɢɡɚɩɚɥɶ

-ɧɨɸ,ɩɪɨɬɢɧɚɛɪɹɤɨɜɨɸ ɞɿɹɦɢ,ɧɨɪɦɚɥɿɡɭɜɚɬɢ ɦɿɤ

-ɪɨɰɢɪɤɭɥɹɰɿɸ ɜ ɬɤɚɧɢɧɚɯ ɩɚɪɨɞɨɧɬɚ ɬɚ ɩɨɥɿɩ

-ɲɭɜɚɬɢ ʀɯ ɬɪɨɮɿɤɭ.

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-ɧɢɤɚ, ɞɢɚɝɧɨɫɬɢɤɚ ɢ ɥɟ-ɱɟɧɢɟ / A.C. Ȼɭɥɚɧɧɢɤɨɜɚ // Ɇɟɞ.ɩɨɦɨɳɶ. – 2005. – ʋ 4. – ɋ.21-24.

2. Ƚɪɢɝɨɪɶɹɧ Ⱥ.ɋ.Ȼɨɥɟɡɧɢ ɩɚɪɨɞɨɧɬɚ / Ⱥ.ɋ. Ƚɪɢ-ɝɨɪɶɹɧ. - Ɇ.:ɆɂȺ, 2004. - 287 ɫ.

3. Ɂɚɣɰɟɜ ȼ.Ɇ.ɉɪɢɤɥɚɞɧɚɹ ɦɟɞɢɰɢɧɫɤɚɹ ɫɬɚɬɢɫ -ɬɢɤɚ / ȼ.Ɇ.Ɂɚɣɰɟɜ, ȼ.Ƚ.Ʌɢɮɥɹɧɞɫɤɢɣ, ȼ.ɂ. Ɇɚɪɢɧ-ɤɢɧ. – ɋɚɧɤɬ-ɉɟɬɟɪɛɭɪɝ: ɈɈɈ «ɂɡɞ-ɜɨ ɎɈɅɂȺɇɌ», 2003. – 432 ɫ.

4. Ʉɚɧɤɚɧɹɧ Ⱥ.ɉ.Ȼɨɥɟɡɧɢ ɩɚɪɨɞɨɧɬɚ:ɧɨɜɵɟ ɩɨɞ -ɯɨɞɵ ɜ ɷɬɢɨɥɨɝɢɢ, ɩɚɬɨɝɟɧɟɡɟ, ɩɪɨɮɢɥɚɤɬɢɤɟ ɢ ɥɟɱɟ -ɧɢɢ / Ⱥ.ɉ.Ʉɚɧɤɚɧɹɧ,ȼ.Ʉ.Ʌɟɨɧɬɶɟɜ – ȿɪɟɜɚɧ:Ɍɢɝɪɚɧ Ɇɟɰ., 2000. – 360 ɫ.

5. Ʉɭɪɹɤɢɧɚ ɇ.ȼ. Ɂɚɛɨɥɟɜɚɧɢɹ ɩɚɪɨɞɨɧɬɚ / ɇ.ȼ.Ʉɭɪɹɤɢɧɚ.—Ɇ.:Ɇɟɞ ɤɧɢɝɚ, 2005. – 43 ɫ.

6. ɋɚɚɝ Ɇ.ɏ. ɋɨɫɬɨɹɧɢɟ ɩɚɪɨɞɨɧɬɚ ɜ ɦɨɥɨɞɨɦ ɜɨɡɪɚɫɬɟ: ɚɜɬɨɪɟɮ. ɞɢɫ. ɧɚ ɫɨɢɫɤɚɧɢɟ ɭɱɟɧ. ɫɬɟɩɟɧɢ ɤɚɧɞ.ɦɟɞ.ɧɚɭɤ / Ɇ.ɏ.ɋɚɚɝ. – Ɇ., 1999 – 18 ɫ.

7. ɍɥɢɬɨɜɫɤɢɣ ɋ.Ȼ. ɐɢɪɤɭɥɹɪɧɚɹ ɡɚɜɢɫɢɦɨɫɬɶ ɪɚɡɜɢɬɢɹ ɡɚɛɨɥɟɜɚɧɢɣ ɩɚ-ɪɨɞɨɧɬɚ / ɋ.Ȼ.ɍɥɢɬɨɜɫɤɢɣ // ɇɨɜɨɟ ɜ ɫɬɨɦɚɬɨɥɨɝɢɢ. – 2000. – ʋ 4. – ɋ.55-64.

8. Ainamo J. New perspectives in epidemioligie and prevention of periodontal diseases / J. Ainamo // Dtsch. Lahnarztl – 2000. – Vol. 43, N. 6 – P. 623-630.

9. Albandar, J.M. Global risk factors and risk indi-cators for periodontal diseases / J.M. Albandar // Perio-dontol-2000. – 2002. – Vol. 29. – P. 177-206.

10. Albandar J.M. Periodontal diseases in North America / J.M. Albandar // Periodontol-2000.–2002.–Vol.29.–P.31-69.

11. Corbet E.F. Oral diagnosis and treatment planning: part 3. Periodontal disease and assessment of risk / E.F. Cor-bet // Br. Dent. J. – 2012. – Vol. 213, N 3. – P. 111-121.

12. Green J.C. The simplified oral hygiene index / J.C. Green, J.R. Vermillion // J. Am. Dent. Assoc. – 1964. – Vol. 68. – P. 7-10.

13. Neely A.L. The natural history of periodontol di-sease in man. Risk factors for progression of attachment loss in individuals receiving no oral health care / A.L. Neely, T.R. Holford, H. Loe // J. Periodontol. – 2001. – Vol. 72, N 28. – P. 1006-1015.

14. Periodontal disease prevalence in different age groups in Japan as assessed according to the CPITN / H. Miyazaki, N. Hanada, M.I. Andoh [et al.] // Commun. Dent. Oral. Epidemiol. – 2000. – Vol. 17. – P. 71-74.

15. Silness J. Periodontal disease in pregnancy II. Correlation between oral hygiene and periodontal con-dition / J. Silness, H. Loe // Acta Odontol. Scand. – 1964. –Vol. 22. – P. 121-135.

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2. Grigoryan AS. [Periodontal diseases]. M. MIA, 2004;287. Russian.

3. Zaitsev VM. [Applied Medical Statistics]. St. Pe-tersburg: LTD "Publ FOLIANT", 2003;432. Russian.

4. Kankanyan AP, Leont'ev VK. [Periodontal disea-ses: new approaches in etiology, pathogenesis, prevention and treatment]. Er.: Tigran Mec., 2000;360. Russian.

5. Kuryakina NV. [Periodontal diseases]. Meditsin-skaya kniga, 2005;43. Russian.

6. Saag MK. [State of periodontium in early life]. Avtoreferat dis. ... kand. med. nauk. 1999;18. Russian.

7. Ulitovskiy SB. [Circular dependence of deve-lopment of periodontal diseases]. Novoe v stomatologii. 2000;4:55-64. Russian.

8. Ainamo J. New perspectives in epidemioligie and prevention of periodontal diseases. 2000;43(6);623-30.

9. Albandar JM. Global risk factors and risk indicators for periodontal diseases. Periodontol-2000. 2002;29:177-206.

10. Albandar JM. Periodontal diseases in North America. Periodontol-2000. 2002;29:31-69.

11. Corbet EF. Oral diagnosis and treatment planning : part 3. Periodontal disease and assessment of risk. Br. Dent. J. 2012;213(3):111-21.

12. Green JC, Vermillion JR. The simplified oral hygiene index. J. Am. Dent. Assoc. 1964;68:7-10.

13. Neely AL. The natural history of periodontol di-sease in man. Risk factors for progression of attachment loss in individuals receiving no oral health care. J. Pe-riodontol. 2001;72(28):1006-15.

14. Miyazaki H, Hanada N. Periodontal disease pre-valence in different age groups in Japan as assessed ac-cording to the CPITN. Commun. Dent. Oral. Epidemiol. 2000;17:71-74.