COMPARATIVE ANALYSIS OF CARIES TREATMENT OVER 9-YEAR PERIOD IN REGIONS OF RUSSIA

Abstract

Aim: to reveal changes in dental visiting and caries treatment in two regions of the Russian Federation over a 9- year period.

Methods: The retrospective study consisted of analysis of data from 2004 (n=203) and 2013 (n=180). The total number of patients: Kaliningrad 2004 year - 69 patients, Tambov 2004 year - 134 patients, Kaliningrad 2013 year - 73 patients, Tambov 2013 year - 107 patients. Patient records data using age groups 18-20, 21- 30, 31-40, 40 years and older were analysed (CI - 0.95%, p<0.05). The study was conducted in Kaliningrad and Tambov regional dental clinics. Patients signed informed consent. Our study was approved by the Ethics Committee MSMDU. Note that dental amalgam is not used in the Russian Federation currently.

Results: A frequency of attendance to a dentist declined from 1 per year in 2004 in Kaliningrad (37.6%, 26 patients) and Tambov (44.0%, 59 patients) to less than once a year in 2013 (Kaliningrad 53.4%, 39 patients; Tambov - 61.6%, 66 patients). The main reason for visiting dentist in 2004 was toothache in Kaliningrad 47.6% (41 cases), in Tambov 47.3% (70 cases). However in 2013 the commonest reason was filling loss in Kaliningrad 54% (87 cases), the Tambov 52.9% (82 cases). In Tambov chemical curing composite was the most common material and amounted 37.3% (50 cases) in 2004 and 77.5% (83 cases) in 2013. In Kaliningrad in 2004 the most common material was also chemical curing composite 49.3% (34 cases), light-cured composite wasn`t used. However, in 2013 the use of light-cured composite increased to 86.9% (73 cases) and chemical curing composite wasn`t used. The main reason for tooth extraction was “the destruction of the tooth crown” (Kaliningrad 2004 - 48.9% (46 cases), 2013 44.4% (56 cases); Tambov 2004 - 42.1% (72 cases), 2013 55.2% (79 cases)).

Conclusions: the frequency of dental visits had decreased over this 9 year period. The main reason for a dental visit changed from “toothache” to “filling loss”; the use of light-curing composites has replaced chemical cured composite. The main reason for tooth extraction remained destruction of the tooth crown.