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Medicine advisable to consult such a child by specialists: a therapist, ortho- dontist, surgeon to develop an individual treatment plan. There- fore, early recognition of the disease and the prevention of se- vere changes are of great importance. Before starting treatment, it is very important to exclude systemic diseases of the child, and if they are detected, to treat them with a pediatrician of the appro- priate profile. The role of the dentist in the treatment of patients with idiopathic diseases usually comes down to making a presump- tive diagnosis, referring the patient to a specialist of the appropriate profile, and in the future — to carrying out symptomatic therapy (sanitation of foci of infection, anti-inflammatory treatment, 1% hydrocortisone ointment, 10% methyluracil ointment for gingival dressings, tooth extractions, etc.). General treatment of gingivitis diseases in children. The general treatment of gingivitis diseases provides not only etiological factors, but also the mechanism of de- velopment of individual links of pathology. In this regard, general treatment is determined by the state of health of the child and in- cludes treatment of the underlying disease, increasing the body’s defenses. It must be strictly individualized. Vitamin therapy. The most effective complex of vitamins C, P, E, A, D, group B. The need for vitamins in children is much higher than in adults. This is due to the peculiarities of the growing organism — the tension of meta- bolic processes, the rapid growth and development of the child. For diseases of gingivitis, vitamins are taken in doses 2–3 times higher than the daily requirement of healthy children. The course of treat- ment is 2–4 weeks. Attention should be paid to the inadmissibility of taking vita- mins without a doctor’s prescription. Uncontrolled use of vitamin preparations will be ineffective at best, and harm health at worst. It is advisable to prescribe remineralizing therapy — Calcium-D3 Ny- comed 1 tablet contains 500 mg of elemental calcium and 200 IU of vitamin D3, 1–2 tablets per day 20–25 days 2–3 times a year. Hypo- sensitizing therapy. Since with the disease of gingivitis in children, conditions arise that contribute to the sensitization of the body, and often the pathological process in the periodontium unfolds on an al- lergic background, it is advisable to prescribe hyposensitizing agents to such patients. The appointment of hyposensitizing therapy should be preceded by the setting of allergic reactions. When choosing hy- posensitizing drugs (tavegil, suprastin, pipolfen, diphenhydramine, diazolin), the state of the nervous system should be taken into ac- count. With the disease of gingivitis in children, stimulating agents are prescribed: fibs, prodigiosan, retabolil, metacil, pentoxil, imudon. When prescribing these funds, one should take into account the ini- tial state of the body’s reactivity, the mechanism of action of the drug, the features of the course of the disease of gingivitis. In cases of a pro- gressive course, when a complex of local measures does not give the proper effect, broad-spectrum antibiotics and sulfa drugs are pre- scribed. Treatment is carried out according to the generally accepted scheme for 3–4 weeks. The use of these drugs helps to eliminate in- flammation in the tissues of gingivitis, to normalize metabolic pro- cesses in them. A balanced diet is of great importance for the treat- ment of gingivitis diseases. The child’s food should be varied and contain complete, easily digestible proteins, minerals, fats, carbohy- drates, vitamins. For a balanced diet, the diet should include foods containing the required amount of mineral salts and trace elements, primarily calcium and fluoride. жүктеу/скачать 7.68 Mb. Достарыңызбен бөлісу:
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