Romaniuk D. Substantiation of the antenatal methods to prevent dental caries in children considering macro- and micronutrient supply of a pregnant woman organism

The method of antenatal prevention of temporary teeth caries in children of Bukovyna is substantiated and developed, based on comprehensive examinations of the pregnant women. A combination of a complex vitamin-mineral medicine to eliminate the deficiency of macro- and micronutrients is suggested for the first time including potassium iodide. It will provide a full formation of the dental hard tissues. In addition to, a probiotic is administered to normalize oral microflora of a woman, which becomes the basis to form biocenosis of the oral cavity of a future child. Assessment of the dental health of women during pregnancy provides understanding of the efficacy of giving dental aid in the whole including its preventive part. Examination of the regional features of the sickness is the foundation to develop adjusted preventive and therapeutic measures. Analysis of the antenatal risk factors promoting the development of carious process in the course of pregnancy allows differential approach in carrying out preventive measures depending on the term of gestation. To assess the processes of the primary mineralization of the hard dental tissues in children, determination of the following blood parameters of a pregnant woman appeared to be informative: the rate of general and ionized calcium, the content of magnesium and phosphate ions, the activity of alkali phosphatase, and detection of trace element supply of the female organism. The method of dental caries prevention in pregnant women is developed and introduced into the work of health care institutions. The method assumes correction in the intake of macro- and micronutrients by the organism of a pregnant woman. Moreover, the oral cavity microbial balance is normalized, which. produces a positive effect both on the state of the female dental health and the condition of the hard dental tissues of her future child (patent of Ukraine for a utility model № 145873 UA). Caries preventive effect of the method is 32,17 %.