Annual full mouth debridement reduces the need for dental treatment in personnel working in hazardous conditions

Abstract

BACKGROUND: Relevant data on the need for dental treatment, including differentiated parameters of treatment needs in various groups of patients enrolled in care, are essential for the justification of compulsory health insurance financing and adequate staffing of the dental service.

AIM: To compare the need for dental treatment in personnel of the Kalinin Nuclear Power Plant working in hazardous conditions, depending on the presence or absence of previous full mouth debridement.

MATERIALS AND METHODS: A clinical and X-ray examination of the teeth and periodontal tissue was performed in two groups of personnel of the Kalinin Nuclear Power Plant working in hazardous conditions. One year prior to the examination, subjects in the first group voluntarily declined the proposed full mouth debridement, while subjects in the second group received therapeutic and surgical debridement according to the compulsory health insurance plan.

RESULTS: The need for treatment of dental caries and its complications decreased by 27.8% following full mouth debridement. In particular, the need for single and double dental filling decreased by 46.0% and 53.5%, respectively; the need for primary and revision root canal therapy decreased by 48.0% and 43.3%, respectively; and the need for tooth extraction decreased by 81.1%. The need for flap surgery and periodontal pocket curettage decreased by 32.8% and 38.8%, respectively, while the requirement for calculus removal and local drug therapy increased by 7.1%.

CONCLUSION: Personnel of the Kalinin Nuclear Power Plant working in hazardous conditions showed a high need for treatment of dental caries and periodontal diseases. There was a significant decrease in the need for dental filling, root canal therapy, and tooth extraction in subjects with previous full mouth debridement, with a shift toward less invasive periodontal disease treatment options. Specific data on dental treatment needs in personnel working in hazardous conditions can be used for financial planning and staffing of the dental service.

Keywords

hazardous production personnel / dentistry / morbidity / treatment needs / full mouth debridement

References

[1] Berezin VA. Improvement of stomatological aid to the working contingent at industrial and production enterprises [dissertation]. Perm’; 2023. (In Russ.) EDN: MNMNPM

[2] Березин В.А. Совершенствование стоматологической помощи работающему контингенту на промышленно-производственных предприятиях: дис. … канд. мед. наук. Пермь, 2023. EDN: MNMNPM

[3] Semenov AD. Clinical and physiological substantiation of improvement of dental care for the population of industrial areas of the Republic of Sakha (Yakutia) [dissertation abstract]. Moscow; 2017. (In Russ.) EDN: ZQDBDB

[4] Семенов А.Д. Клинико-физиологическое обоснование совершенствования стоматологической помощи населению промышленных районов Республики Саха (Якутия): автореф. дис. … канд. мед. наук. Москва, 2017. EDN: ZQDBDB

[5] Novozemtseva TN. Dental morbidity and treatment needs in individuals with occupational stressors [dissertation]. Moscow; 2021. (In Russ.) EDN: PWVGVF

[6] Новоземцева Т.Н. Стоматологическая заболеваемость и потребность в лечении у лиц с профессиональными стрессогенными нагрузками: дис. … док-ра мед. наук. Москва, 2021. EDN: PWVGVF

[7] Olesov EE. Experimental-clinical and economic substantiation of prevention of dental diseases in young workers of city-forming enterprises with hazardous conditions [dissertation abstract]. Moscow; 2014. (In Russ.) EDN: ZPNOHZ

[8] Олесов Е.Е. Экспериментально-клиническое и экономическое обоснование профилактики стоматологических заболеваний у молодых работников градообразующих предприятий с опасными условиями: автореф. дис. … д-ра мед. наук. Москва, 2014. EDN: ZPNOHZ

[9] Chuyanova EYu. Long-term results of dental check-up of workers of industrial enterprises with hazardous conditions [dissertation abstract]. Moscow; 2016. (In Russ.) EDN: ZQBSMR

[10] Чуянова Е.Ю. Отдаленные результаты стоматологической диспансеризации работников промышленных предприятий с опасными условиями: автореф. дис. … канд. мед. наук. Москва, 2016. EDN: ZQBSMR

[11] Dmitrieva LA. Therapeutic dentistry: a national guideline. Dmitrieva LA, Maksimovskij YuM. 2 nd edition. Moscow: GEOTAR-Media; 2021. (In Russ.)

[12] Дмитриева Л.А. Терапевтическая стоматология: национальное руководство / под ред. Л.А. Дмитриевой, Ю.М. Максимовского. 2-е издание. Москва: ГЭОТАР-Медиа, 2021.

RIGHTS & PERMISSIONS

Eco-Vector