Stability of results of a comprehensive aesthetic dental treatment depends largely on the function of surrounding and associated soft tissues: cheeks, lips, tongue, throat muscles, TMJ, posture, etc. This article describes the author's complex of myofunctional therapy exercises used for normalization the function of tongue and harmonization of maxillofacial area’s myodynamical balance. The complex is the part of the instructional-educating project "Smile of The Health", approved by the WHO experts, a number of leading Russian universities and the Departments of Education of several regions of the country. The Biorelevant technique of working with information is used for teaching children to practice this complex, it allows recipients to become familiar with new knowledge more quickly and efficiently. Making the correct myofunctional balance in the oral cavity is the key to improving the effectiveness, speed and stability of the complex dental treatment results.

Therapy options in the replacement of one or both of the missing central incisors include canine lateralization, the installation of fixed prostheses (conventional or implant), bridges Maryland You type, or glass fiber reinforced adhesive bridges made direct or indirect method. This method of operation is also an optimal solution for young patients, since the process is completely reversible and leaves open all possibilities for the future, when the patient ceases to grow, and it will be possible to consider options for a permanent cure.

This article contains information about the possibilities of interdisciplinary interaction of professionals involved in the correction of speech disorders and dentition in children. The authors have developed methodological principles of interdisciplinary interaction. Composed inspection card in which highquality signs and symptoms are ranked, according to quantitative values, in accordance with the degree of severity that allows you to determine the patient's route, to assess the dynamics of its condition, to analyze the effectiveness of the treatment and the success of corrective and preventive operation.

Traditionally glass-ionomer cements for caries treatment of primary teeth are widely used in our country. However, for 10 years in the foreign literature there has been seen some information on successful application of composite and compomer filling materials for treatment of this pathology. Choosing filling material the dentist should take into account its adhesive characteristics. The article deals with the laboratory study of adhesiveness of various filling materials (glass-ionomer, composite, compomer) on hard tissues of primary teeth.

Tempormandibular joint diseases occur in 20-76% of population, of them 70-89% of cases is dysfunctions and 14-20 % of cases it is revealed in children and teenagers. Data about dysfunctions of this joint in children with mental development delay weren’t found out. Рurpose of the present investigation is studying the prevalence of the temporo- mandibular joint dysfunctions in children and teenagers with mental development delay. The study of separate signs or symptoms prevalence of temporomandibular joint malfunction in 110 children and teenagers with mental development delay and in 218 practically healthy ones was carried on. The mentioned symptoms were revealed in 40% of children and teenagers with mental development delay and 35,32% of practically healthy ones and their rate increased with ageing. In the main group as well as in the group of comparison the functional disorders of the temporo- mandibular joint essentially observed in female persons (47,05% и 45,61% respectively), than in male persons (36,84 % и 27,88%). In different combinations there were revealed the dislocation of the middle inter-incisive line, pain on palpation of the masseter muscles, joint noise, malopening mouth. There was no any consistent pattern of separate symptoms rate of temporomandibular joint dysfunction, its dependence on sex and age in the compared group. Dental mandibular abnormalities were observed both in children and teenagers with mental development delay as well as in practically healthy ones, having those or other symptoms of temporo-mandibular joint malfunction. Children and teenagers with the mental development delay show the symptoms of temporomandibular dysfunctions more often and in earlier age than almost healthy.

This paper analyzes the results of laboratory diagnostic and clinical research 79 children in the period of the mixed occlusion, from which was formed the comparison group (26 healthy children with intact teeth, as well as a compensated form of caries) and the main group (53 persons with diabetes type I in compensated and decompensated stage of the disease with compensated subcompensated and decompensated form of the caries). The results of studies of the cytokine profile of the oral fluid levels of proinflammatory cytokines (IL-6, IL-1β, TNF-α, IFN-γ), their receptors (IL-6SR, TNFαRII), anti-inflammatory cytokines (IL-4, IL-10, IL-13) allow us to assert that in compensated form of diabetes mellitus type I is marked overstrain of regulatory mechanisms with an imbalance in the level of soluble receptors that initiate the implementation of the Pro-inflammatory properties of these cytokines (IL-6, TNFα). Decompensated form of diabetes mellitus type I is due to Wuxi-oriented systemic disorders - an absolute increase of almost all proinflammatory cytokines in the oral fluid on the background of more expressed imbalance genego their soluble receptors in the depletion of production of anti-inflammatory cytokines.

Tempormandibular joint diseases occur in 20-76% of population, of them 70-89% of cases is dysfunctions and 14-20 % of cases it is revealed in children and teenagers. Data about dysfunctions of this joint in children with mental development delay weren’t found out. Рurpose of the present investigation is studying the prevalence of the temporo- mandibular joint dysfunctions in children and teenagers with mental development delay. The study of separate signs or symptoms prevalence of temporomandibular joint malfunction in 110 children and teenagers with mental development delay and in 218 practically healthy ones was carried on. The mentioned symptoms were revealed in 40% of children and teenagers with mental development delay and 35,32% of practically healthy ones and their rate increased with ageing. In the main group as well as in the group of comparison the functional disorders of the temporo- mandibular joint essentially observed in female persons (47,05% и 45,61% respectively), than in male persons (36,84 % и 27,88%). In different combinations there were revealed the dislocation of the middle inter-incisive line, pain on palpation of the masseter muscles, joint noise, malopening mouth. There was no any consistent pattern of separate symptoms rate of temporomandibular joint dysfunction, its dependence on sex and age in the compared group. Dental mandibular abnormalities were observed both in children and teenagers with mental development delay as well as in practically healthy ones, having those or other symptoms of temporo-mandibular joint malfunction. Children and teenagers with the mental development delay show the symptoms of temporomandibular dysfunctions more often and in earlier age than almost healthy.

Aim: Development of the measurable criteria for assessment of dental caries risk factors. Methods: Meta-analysis the analytical oral health epidemiology among 12- and 15-year-old children run with the author’s participation in cooperation with the number of scientists of CIS in 20 localities of seven countries. The EGOHID system was used for assessment of different indicators and behavioral risk factors significance. Results: The most important risk factor for dental caries were confirmed: 1) low fluoride in drinking water; 2) nonobservance of tooth brushing recommendations; 3) ignoring fluoridated toothpastes and 4) frequent consumption of sweets. These indicators were evaluated in terms of measurable criteria (points) and the integrated measurable index was suggested. Conclusion: The dental caries risk assessment index has been developed. It could be an important instrument for planning, monitoring and evaluation of community preventive programs.

Objective: to assess the content of osteocalcin, IL17 and IL4 in peripheral blood of children of different ages with congenital cleft lip / palate (CLP) at different stages of surgical rehabilitation. 67 children of different age groups (from 0 to 12 years old) before carrying out stage of surgical rehabilitation (Hale-, veloplasty, dermabrasia lips, uranoplastyc radical with closure of the residual defects) was determined by the content of osteocalcin, IL17 and IL4 in peripheral blood relative to those of healthy children of the same age by enzyme immunoassay. Сhildren of different ages with CLP revealed a deficiency of osteocalcin, stimulator osteoclastogenesis - IL17 and increasing concentrations of IL4 as a potential inhibitor of bone resorption that are not resolved on the background of a staged surgical rehabilitation.

In the preclinical stage of development of diseases of the surveyed 1158 children we formed 2 clinically homogenous groups of caries-resistant children with the age of 5-6, 12 and 15 years in order to study periodontal status of caries-resistant children and its relationship with the risk of caries. In addition to the clinical research methods (taking case history, probing, percussion, palpation), we used an index score of organs and tissues of the mouth of the child (the indices of intensity of caries: DMF; PMA; OHI-S), ERT-test and KOSRE-test in the modification of G.G.Ivanova, determining the electrical conductivity of the enamel for diagnosis of fissure caries. In the laboratory, we studied the physicochemical parameters of the oral fluid by known methods. During the correlation analysis, the correlation (α = 0,01) of PMA index of physical and chemical parameters of oral liquid, illustrating mineralizing potential of saliva, which has a negative impact on the state of the individual caries and increases the risk of dental caries. We recommend during checkups and oral sanitation in children include the concept of health not only the presence and treatment of caries process, but also the prevention and treatment of periodontal disease in children in order to reduce the risk of dental caries in an individual.

The research objective was definition of biometric changes of the hard palate in children with various intensity of dysplasia of the connective tissue (DCT). Studying of the height of crest of the hard palate in children aged from 10 to 14 years was carried out. Features of anatomical changes of crest of the hard palate and narrowing of the upper dentition depending on DCT intensity which characterize that the more DCT intensity, the higher height and narrowing of dentition have been determined. These research data can be used in dentistry by drawing up a complex plan of treatment-and-prophylactic and rehabilitation among children with DCT.

We determined the relation of linear parameters of a dental arch of the upper and lower jaws. Presents guidelines for the determination of dental arches of upper and lower jaw in transversal direction, as well as the rationale for determining the dimensions of the dental arches of the upper and lower jaws. The proposed indexes to determine gnatichesky type of the dental arches. Index is calculated transversal dental arch that defines the line width of the dental arches in the region of the second molars and canines of both jaws.

The impact of a somatic disease on the status of the hard tissues of the teeth and periodontium and the level of individual oral hygiene were evaluated during one-year follow-up of the dental status in 59 children (31 boys, 28 girls) aged 5 to 7 years, of whom 34 children had diabetes mellitus. Upon completion of oral cavity sanation, the children used R.O.C.S. Kids toothbrushes with extra-soft bristle and R.O.C.S. PRO Kids «Wild berries» toothpaste for oral care. The children with type 1 diabetes mellitus were established to more frequently suffer from inflammatory periodontal abnormality than the healthy children and dental caries in the former was more intensive than in the children without somatic diseases. To maintain their dental health, the diabetic children should undergo quarterly professional therapeutic and prophylactic measures, by using oral care products in accordance with the patients’ age.

The purpose of the research was to study the state of dental service for children in Southern Federal District of Russia. Materials and methods: the unified annual reports of the pediatric dentistry chiefs from 6 subjects of Southern Federal District (2012-2014 years) were studied with mathematic, analytic and comparative research methods. The results: certain differences in dental service provision for children were identified among the subjects of the district. The main problems were insufficient manpower service of pediatric dentistry and insufficient preventive measures provision for children. The treatment of oral diseases was in priority in pediatric dental care. The development and implementation of regional dental preventive programs for children are necessary to solve the problems

Thorough everyday oral hygiene is a necessary condition to save healthy oral cavity. The objective was to study the changes of clinical parameters (hygiene index and PMA index) and some microbiological indices (a number of Mutans Streptococci and Lactobacilli in saliva) in oral cavity of children aged 1-5 and 5-12 years after using manual and electric sonic toothbrushes. The study took one month and showed more marked improvement of oral hygiene in case of electric sonic toothbrushes. Teaching oral hygiene and controlling teeth cleaning resulted in some reduction of cariogenic microflora in saliva in all age groups that proves a decrease of caries risk. Such changes were more obvious in the children using electric sonic toothbrushes. There is no evidence of any negative effect of electric sonic toothbrushes on periodontal tissues in children of all age groups.

The aim of our study was to evaluate the effectiveness of the comprehensive program of prevention of dental caries, carried out in school dental offices of the city of Smolensk. From September 2014 to August 2015 together with the "3M ESPE" was developed and implemented on the basis of 17 school dental offices of the city of Smolensk comprehensive programme for the prevention of dental caries in children of preschool and school age. It took part 12266 children aged 7 to 18 and 3664 preschoolers. The prevalence of caries of deciduous teeth after the first year of the program in persons of the main group decreased by 4.7% (from 65.4% to 60.7%), the intensity of caries of deciduous teeth has decreased by 0.2 (from 2.3 to 2.1). The prevalence of caries in permanent teeth decreased by 5.0% from 85,5% to 80%, the intensity of 0.3 (from 3.4 to 3.1). Decreased number of children coming to the surgical Department of "Children's dental clinic" odontogenic inflammatory diseases of maxillofacial area.