Browsing by Author "Oleksii Potapenko"

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    Analysis of Risk Factors in Children with Autism Spectrum Disorders in the Ukraine Associated with Early Childhood Caries
    (Journal of International Dental and Medical Research, 2024-06-02) Inessa Yakubova; Sergii Tsypan; Oleksii Potapenko; Tetiana Zhdanova; Volodymyr Ostrianko; Andrii Biben
    The number of children with ASD is growing in Ukraine. At the same time, the prevalence of caries in children under 6 years of age is increasing every year. There is no consensus in the scientific literature on the potential relationship between ASD, ECC in children and related factors. The main purpose is to study and evaluate the risk factors for ECC in children with ASD. 92 children aged 5 to 6 years were under observation. The main group included 69 children with ASD, and the control group included 23 healthy children without ASD. The study was conducted by using a questionnaire of parents' sanitary and hygienic knowledge and assessing children's manual skills. The hygiene index of Yu. A. Fedorov and V.V. Volodkina was used to assess the quality of oral hygiene in children aged 5-6 years. The state of the acid-base balance of mixed saliva was assessed using the pH index and for this purpose, test strips with a graduated scale of 5.2 - 7.4 (ISO 13485) were used. We found that the oral hygiene was maintained twice a day only in 33.33% of children in the main group with ASD. The average value of the hygiene index in children of the main group with ASD is 2.70±0.13 points, which indicates poor hygiene. In children with ASD pH of the oral fluid averaged 5.96±0.07 and it was interpreted as slightly acidic. Based on the on the results above, the sanitary and hygienic behavior, the nature of nutrition, food preferences, and the quality of hygienic care analyzed in this study are directly related to the development of ECC in children 5-6 years old with ASD and are the important risk factors. In addition, risk factors in children with and without ASD differ and are elevated in children with the autistic spectrum. Thus, nutrition correction and the development of preventive oral hygiene programs are considered especially important for children with ASD.
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    PREVALENCE OF GINGIVITIS IN CHILDREN WITH AUTISM SPECTRUM DISORDERS ASD
    (Wiadomości Lekarskie Medical Advances, 2023-01) Inessa Yakubova; Sergii Tsypan; Tetiana Zhdanova; Oleksii Potapenko; Ganna Viun
    The aim: To evaluate and compare the prevalence of gingivitis according to the PMA index in children aged 5 to 6 years in preschool with ASD and without disorders (Kyiv, Ukraine). Materials and methods: Oral assessment was conduct on 69 children with ASD and 23 children without ASD aged 5 to 6 years. To determine the periodontal status it was used the papillary-marginal-alveolar index – PMA (according to Schour, Massler, in the modification of Parma). Results: Children with ASD (18.84%) were 3.7 times less likely to have a clinically healthy periodontium than children without disorders (69.57%). The average PMA index among the main group was 6.8 times higher (15.31 ± 1.49%) than in the control group (2.25. ± 0.73%), but this difference was not statistically confirmed (p> 0.05). The most common pathology of periodontal tissues was chronic catarrhal gingivitis. 49.28% of children in main group with ASD had mild catarrhal gingivitis, while just 30.47% of children in control group without ASD had this pathology. Catarrhal moderate gingivitis was diagnosed in 31.88% of children from main group, symptoms of moderate gingivitis were not detected in the control group without disorders. Conclusions: ASD children 5-6 years old may have major risk of developing such periodontal lesions as mild and moderate gingivitis. Further investigations need to be done to clarify prevalence of other oral pathologies in ASD individuals to understand the effect of the disorder on oral health.