Use of principles of pathogenetic treatment of decompensated form of early childhood caries in preschool children

Aim. To ground the individualized pathogenetic approach to treatment of dental caries in preschool children.

Materials and methods. We carried out the controlled randomized retrospective study, which included 111 children aged 12 to 72 months with decompensated form of caries course. Patients of the main group received pathogenetic treatment of dental caries, patients of the comparison group received symptomatic treatment and a complex of preventive measures. Patients of both groups were monitored after 6, 12 and 24 months.

Results. The analyzed changes in caries intensity from the onset of performing individualized pathogenetic treatment of early childhood caries detected that 6 months later, a mean quantity of newly damaged surfaces was thrice as less in patients of the main group than in the comparison group. The data received one year after the onset of treatment, demonstrate a significant decrease in the growth of caries intensity of surfaces on average by one surface in persons of the main group compared to the comparison group (0.35 ± 0.12 and 1.57 ± 0.87, respectively, p = 0.05).

Conclusions. The choice of rational approaches to the treatment of early childhood caries should be substantiated by histomorphological status of temporary teeth hard tissues, physicochemical parameters of oral fluid and pathogenetic protocols, adapted to specificity of early childhood caries course.