Evaluation of dental anomalies in pupils of educational institutions of the Ministry of Defense of Russia and its impact on the level of anxiety

Relevance. Distoclusion is the most common anomaly of occlusion in childhood. Genetic predisposition, bad habits, premature loss of teeth, somatic pathologies are predisposing factors for impaired growth and development of the maxillofacial region. Pupils of general educational organizations of the Russian Ministry of Defense serve as a personnel reserve for law enforcement agencies and services, and their health, including dental health, is a priority for its preservation and strengthening Intention – To assess effects of distoclusion on the child’s social and psychological adaptation.

Methodology. 50 children of 11–12 years with distoclusion (К07.20 by ICD-10) who were enrolled in the 1st year of study underwent survey along with their legal representatives to identify complaints and somatic pathology, as well as an assessment of the psychological status using the Children’s Form of Manifest Anxiety Scale (CMAS); clinical examination; photo protocol; calculation of 3D control and diagnostic models by the method of Pont, Ton, Korkhaus.

Results and Discussion. When being taken anamnesis, children and their parents complained of aesthetic and functional disorders. A significant correlation was found between the narrowing of the upper jaw in the area of the premolars by (5.4 ± 0.)7 mm, in the area of the molars by (5.7 ± 1.3) mm; narrowing of the lower jaw in the area of premolars by (6.0 ± 0.3) mm and molars by (4.1 ± 0.7) mm and the psychological state of the examined children. The average CMAS level was (7.3 ± 2.3), which indicates increased anxiety in the children. 8 (16 %) pupils had a high level of anxiety and required measures of psychological correction and psychoprophylaxis.

Conclusion. In pupils with distoclusion, there is a pronounced narrowing of the dentition in the area of premolars and molars, significant overjet, protrusion of the anterior group of teeth, which affects the aesthetic perception by others and is reflected in the psychological state of the examined children.

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