Комплексне лікування запальних змін у тканинах пародонту дітей, які проживають в екологічно забруднених зонах Прикарпаття

Mariana Pavlyshyn

doi:10.33295/1992-576X-2026-2-PDEN-4

Authors

Mariana Pavlyshyn Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine

DOI:

https://doi.org/10.33295/1992-576X-2026-2-PDEN-4

Keywords:

stress, ecologically unfavorable conditions, cytomorphometry, breathing type, atypical swallowing, Froggy Mouth appliance

Abstract

Background. Chronic catarrhal gingivitis (CCG) in children is significantly influenced by environmental pollution, psychoemotional stress, as well as functional respiratory and swallowing disorders. These adverse factors contribute to persistent inflammation and the deterioration of oral hygiene.

Objective. To evaluate the clinical effectiveness of a comprehensive therapy protocol — encompassing professional oral hygiene, localized treatment, and labial-myofunctional rehabilitation using the Froggy Mouth appliance — on the periodontal status, breathing type, and normalization of swallowing function in children residing in ecologically unfavorable conditions.

Materials and Methods. The study sample comprised 120 adolescents aged 12–15 years with chronic catarrhal gingivitis, who were randomized into four groups based on environmental factors and the applied therapeutic protocol. The diagnostic complex included the monitoring of respiratory parameters, evaluation of the swallowing process, dynamic cytomorphometric assessment of the periodontium, and rheographic measurements. Following adenoidectomy, the patients underwent a course of myofunctional correction using the Froggy Mouth appliance combined with differentiated localized pharmacotherapy.

Results. Children residing in ecologically unfavorable zones exhibited higher levels of psychoemotional stress, poorer oral hygiene, and more pronounced cytomorphometric markers of periodontal inflammation. Functional respiratory disorders and atypical swallowing were closely associated with types II and IV occlusal patterns. The comprehensive therapy protocol ensured a progressive normalization of cytomorphometric parameters and the restoration of swallowing function within 20–25 weeks.

Conclusions. CCG in children is exacerbated by stress and adverse environmental factors. Effective management requires a multidisciplinary approach that integrates dental, otolaryngological (ENT), and myofunctional interventions. The Froggy Mouth appliance has demonstrated high efficacy in restoring swallowing function and improving periodontal status in high-risk patient groups.

Downloads

Download data is not yet available.

References

Brandt, E. B., Myers, J. M., Ryan, P. H., & Hershey, G. K. (2015). Air pollution and allergic diseases. Current opinion in pediatrics, 27(6), 724–735. DOI: https://doi.org/10.1097/MOP.0000000000000286.

Michael E. W. Varnum, Ryan S. Hampton. (2018). Cultural changes in neural structure and function. OSF, 3, 1–22. DOI: https://doi.org/10.31234/osf.io/52eg3.

Joelijanto, R. (2012). Oral habits that cause malocclusion problems. Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva, 1(2), 88–93. DOI: https://doi.org/10.18196/di.v1i2.536.

An-Soo Jang, Young Joon Jun, Moo Kyun Park. (2016). Effects of air pollution on upper airway diseases. Curr Opin Allergy Clin Immunol, 16(1), 13–7. DOI: https://doi.org/10.1097/ACI.0000000000000235.

Kozliakovskyi, P. (2004). General psychology: A textbook in 2 volumes. (Vol. 2). Mykolaiv. [Козляковський П. (2004). Загальна психологія: навчальний посібник у 2 томах. Т. 2. Миколаїв].

Marisa F. Naujokas, Beth Anderson, Habibul Ahsan, H. Vasken Aposhian, et al. (2013). The broad scope of health effects from chronic arsenic exposure: update on a worldwide public health problem. Environ Health Perspect. 121(3), 295–302. DOI: https://doi.org/10.1289/ehp.1205875.

Loktyeva, S. A. (2009). Personality development and adaptation in the student environment. Psykhologichni nauky. 24, 78–82. [Локтєва С. А.(2009). Розвиток особистості і адаптація в студентському середовищі. Психологічні науки, 24, 78–82].

Makhlynets, N. (2026). A stepwise educational framework for practical skill acquisition in undergraduate dental training. Actual Dentistry, (6), 50–54. [Mахлинець Н. П. (2026). Покрокова освітня модель формування практичних навичок у підготовці студентів-стоматологів. Cучасна стоматологія, (6), 50–54]. DOI: https://doi.org/10.33295/1992-576X-2025-6-50.

Makhlynets, N., Plishka, D., Kokoshko, M., Ozhogan, Z., Kozan, N. (2025). Oral parafunctional habits among preschool children in Ukraine: single-center longitudinal study. Ukrainian Dental Almanac, (4), 87–94. [Махлинець Н., Плішка Д., Кокошко М., Ожоган З., Козань Н. (2025). Оральні парафункціональні звички в дітей дошкільно-го віку в Україні: одноцентрове лонгітудне дослідження. Український стоматологічний альманах, (4), 87–94]. DOI: https://doi.org/10.31718/2409-0255.4.2025.12.

Makhlynets, N., Kokoshko, M., Kozan, N., Ozhogan, Z., Kotyk, T. (2026). The myofunctional rehabilitation of atypical swallowing in children and adolescents with stress-related detrimental habits: single-center longitudinal study in Ukraine. Clinical and Experimental Dental Research, 12(3), e70376. DOI: https://doi.org/10.1002/cre2.70376.

McLeod, J. (2012). The meanings of stress. Expanding the stress process model. Society and Mental Health J, 2(3), 172–86. DOI: https://doi.org/10.1177/2156869312452877.

Nauholnyk, L. B. (2015). Psychology of stress. Lviv State University, Lviv. [Наугольник Л. Б. (2015). Психологія стресу. Львівський державний університет, Львів].

Radchenko, O. M. (2022). Stress theory and philosophical views of Hans Selye: significance for modern medicine. Medical newspaper Health of Ukraine 21st century, 532–533. [Радченко О. М. (2022). Теорія стресу та філософські погляди Ганса Сельє: значення для сучасної медицини. Медична газета «Здоров’я України 21 сторіччя», 15–16, 532–533]. URL: https://health-ua.com/neurology/mizdisciplinarni-problemi/71356-teorya-stresu-taflosofsk-poglyadigansasel-znachennya-dlya-suchasno-meditcin

Sapolsky R. (2005). The influence of social hierarchy on primate health. Science, 308(5722), 648–52. DOI: https://doi.org/10.1126/science.1106477.

Schraufnagel, D. E., et al. (2019). Air pollution and noncommunicable diseases. Chest, 155(2), 409–16. DOI: https://doi.org/10.1016/j.chest.2018.10.042.

Selin, H., Davey, G. (2012). Happiness across cultures: Views of happiness and quality of life in non-Western cultures. NY: Springer. DOI: https://doi.org/10.1007/978-94-007-2700-7.

Smirnov, B. O. (2007). Psychology of activity in experimental situations. Humanitarian Center, Kharkiv. [Смірнов Б. О. (2007). Психологія діяльності в експериментальних ситуаціях. Харків, Гуманітарний центр].

Tytarenko, T. M. (2001). Prevention of violations of youth adaptation to everyday stress and crisis life situations: A textbook. Kyiv. [Титаренко Т. М. (2001). Профілактика порушень адаптації молоді до повсякденних стресів і кризових життєвих ситуацій: навчальний посібник. Київ].

World Health Organization. (2018). Air pollution and child health: Prescribing clean air.