CLINICAL AND MORPHOLOGICAL STATE OF THE DENTAL ORGANS IN CHILDREN AND ADOLESCENTS WITH CEREBRAL PALSY

Background: According to the results of the study, an increase in the incidence of infantile cerebral palsy (ICP) in Uzbekistan was noted, and the authors studied the morphometric parameters and deformities of the teeth and dental rows in children and adolescents with ICP. The patients studied were found to be at very high risk of developing dental and dentition deformities and their association with morphometric growths of the bony elements of the dental-alveolar system (DAS) was proven. Aim: To study the clinical and morphometric dimensions of the head bones and the DAS, and to determine the incidence of dental and dentition deformities in children and adolescents with cerebral palsy. Material and methods. A comprehensive clinical and morphometric study was carried out in 299 children and adolescents, including; 6-9 years old -102; 10-13 years old -100; and 14-18 years old -97; by gender - 168 boys and 131 girls: Of these, 143 patients with cerebral palsy (main group - MG), 156 patients (control group - CG) without somatic pathology. The parameters of the head, face, DAS, bone and tooth age of children with cerebral palsy were assessed. Results. It was found that the morphometric height of the face (MV/L) and the physiognomic height of the face (PV/L) in children and adolescents are smaller in the MG compared to the CG. The growth rate of morphometric parameters of the face in MG, in most cases, has a jump-like character, in connection with that the ratio of parts of the face does not correspond to the Fibonacci number. Also the patients of the MG have been diagnosed with: distal occlusion - 49.6%; crossed occlusion -37.8%; neutral occlusion -31.6%; deep incisal occlusion -29.9%; deep incisaldysocclusion -25.9%; narrowing of the lower dentition - 54.5%; crowded teeth on the lower jaw - 43.3%; diastema-26.6%; trema-23.8%. Conclusion: Thus, in children and adolescents with cerebral palsy, the proportions of the facial parts do not match the Fibonacci number, which leads to deformities in the bones of the DAS, resulting in the development of numerous pathologies of the teeth and bones of the face.