Modern features of dynamics of the prevalence and course of dental caries among pregnant women, enhancing the efficiency of preventive measures

The objective was to identify trends in the incidence of dental caries among pregnant women for 2000 - 2013 on the example of the Rostov region, to examine the course-for the disease and to determine prognostic factors for an unfavorable course of dental caries during pregnancy. In the first phase of the study the prevalence of dental caries was studied among 890 pregnant women for the period 2003 - 2013 in Rostov region. At the second stage in the clinical group of 207pregnant women with dental caries consistently in all 3 trimeter pregnancy by ELISA determined the concentration in ro-quantum fluid of three antimicrobial peptides (AMP) - lactoferrin, cathelicidin LL-37 and a-defensin, and then assessed the causal relationship between the level ofpeptides and for dental caries. In 2003 to 2013 trend 10-year dynamics ofprevalence of dental caries among pregnant women was characterized by a steady increase in the frequency of the disease (from 90.7% in 2003 to 98% in 2013) and the annual increase in the frequency of recurrent caries. With the recurrence of dental caries in pregnant women involves reducing the secretion of ILA cathelicidin LL-37 and a-defensins. Definition of risk groups among pregnant women in relation to recurrent course of dental caries is one of the optimization methods of monitoring the women of this ka-categories with dental diseases.

pregnancy, dental caries, recurrent caries, antimicrobial peptides, forecasting