Разработка концепции и программы профилактики заболеваний пародонта у населения узбекистана на основе комплексных социально - гигиенических исследований

Аннотация

Topicality and demand of the subject of dissertation. According to the data of World Health organization 95-98% of population in the age of 35-44 has periodontal diseases1. Recent years increase of periodontal disease was seen especially among young population. Epidemiological studies showed that the prevalence of periodontal diseases was 97% in schoolchildren in Italy. In UK and USA gingivitis is seen in 36-90% children aged 17, in Poland schoolchildren 65%, in Germany inflammatory disease of gingiva is registered up to 80%5. In addition periodontal disease in young population of Lithuania is seen up to 83%, inBelarus 83.9, Kazakhstan 82.3% and in Turkmenistan up to 84.8%6. According to the dental status in the world nowadays medical organizational condition of dental prevention and periodontology should be improved. There is lack of measures on primary prevention of main dental diseases and improvement of oral health literacy and healthy living7. In this respect, effective diagnosis, treatment and rational dental service organization is one of the urgent problems in the practice and science of dentistry. During the years of independence in the Republic of Uzbekistan, including the provision of quality health services to the population on the prevention and treatment of diseases of peridontium was performed. Children, particularly maternal and child health programs as a result of these actions to strengthen disease early detection, and prevention achieved positive results. Dissertation priority measures to be implemented in this direction to improve the quality of medical services provided to decrease the periodontal diseases, based on the epidemiological description of the regional distribution of feature detection, prevention diseases periodontium, effective organizational and external reorganization of its key medical and medical social connections, effective medical and organizational models developed by the scientific issues. In addition, a comprehensive approach to this disease at various levels to create effective prevention of the disease, dispensary work with groups controlled and public-health research to improve the practice of their disease prevention periodontium, based on the development of the concept and its application to explain the relevance of this study. This research work will serve as a solution to be performed within performance of the tasks set in the Resolution of the President of the Republic of Uzbekistan "About measures for a further excavation of reforming of health system" dated 28.11.2011 for No.PP-1652, i.e. ensuring wide availability and quality primary medico sanitary help to the population, rising of overall performance of diagnostic and outpatient and preventive establishments on prophylaxis of diseases and protection of public health. Research objective: to develop the concept and the program of prophylaxis of periodontal diseases and to improve the principles of the organization of the periodontal help to the population of the Republic of Uzbekistan. Scientific novelty of dissertation research consists in the following: On the basis of complex study of periodontal problem regional characteristics of the spread of the disease was revealed and dental health service for the treatment of patients with medical, social, psychological, and other enhancement opportunities identified; periodontal service quality in specialized dental policlinics was identified; on the basis of complex studying of the problem from medical-social, medical-organisational, medical standard and medical psychological preferred medical-organisational model of periodontal dental service; according to the model of organization of healthcare service primary, secondary and tertiary effective prevention of periodontal disease directions were developed; targeted norm of dental service efficiency was developed that was directed to increase the efficiency of dental service and targeted organization; on the basis of complex studying organization of prevention in 3 levels, improving working of dispenser group and on the basis of social-hygienic research concept of periodontal disease prevention and its program was developed. CONCLUSION 1. The object of the dissertation research on the epidemiological investigation carried out on the basis of the spread of diseases periodontium, 1991 - 98%, 2000 -85%, 2010 - 80% 2014 - there was a reduction of 72.9 percent. The index of the same period in the range of Spitz on the need of medical assistance sextant 27 units fell. 2. In accordance with the results, the periodontium a high level of health literacy causes of the spread of diseases to administer a wide range of measures to implement the requirements of modem medical-social and socio-sanitary measures is explained by the need to go further improved on the basis of (patients with periodontitis only 22.4-31.0 medical information about the disease dentist percent). 3. Dentistry Dental medical service in the rational organization of time to optimize the structure of the diseases periodontium, and surgical methods of treatment in accordance with the purpose of increasing the consumption of time (time dentist main business is 78.1% in the treatment of caries and its complications). 4. The regular coverage of rehabilitation and hygienic procedures dentist periodontist dental hygienist with the state in accordance with the purpose of optimization of the unit by separating the unity of the state. 5. Periodontist the implementation of the health care priorities of improving the efficiency of preventive measures necessary to ensure that (according to the results of the research, disease prevention periodontium, the average efficiency of 29.82% and the effect of dispensaries increased by 38.3%). 6. Organizational, social, medical and hygiene, and medical and social activities in order to increase the effectiveness of measures for the systematic identification and monitoring them "dental service efficiency target quotas" and he developed a full opportunity to engage in the practice of health factors specified in the planning, implementation and allows integral to reflect the results of the monitoring. 7. Study of the conceptual diseases periodontium, patients with primary, secondary, and tertiary prevention approach determines the direction and out of the dispensary observation groups: healthy, practical, compensation, sub compensation decompensation and define the goals and objectives of the patients in each stage. 8. The concept of the program of prevention and prevention of diseases periodontium high efficiency and practical importance in addressing the problems. Primary 28.12% of the effectiveness of primary prevention, secondary prevention in the average efficiency of 30.47 percent, and tertiary prevention in the average efficiency of 26.45%, all the preventive measures the overall efficiency of 29.82%. The effectiveness of dispensaries increased by 38.30 percent.