STRATEGIC FRAMEWORK FOR PREDICTING AND PREVENTING DENTAL DISEASES IN CHEMICAL INDUSTRY WORKERS

Аннотация

The article presents a review of the scientific literature containing data on the peculiarities of the influence of various production factors on the state of hard tissues of the teeth and oral mucosa in persons directly in contact with these factors. The pathogenesis in the development of caries and non-carious lesions, inflammatory periodontal diseases and diseases of the oral mucosa is described. The manifestations of these diseases are most often due to a pronounced sensitization of the body to harmful production factors, in the oral cavity there is a pronounced change in local immunity, homeostasis with the manifestation of dysbiosis, as a result of which the features of their clinical manifestations change. Key words: harmful production factors, caries, periodontium, mucous membrane One of the priority tasks of the concept of health development of the Republic of Uzbekistan until 2025 is the formation of a healthy lifestyle. One of the key points in this context is to ensure the sanitary and hygienic well-being of the working population. At the same time, it is known that the impact of unfavorable production factors of a biological, chemical, and physical nature leads to a change in the functioning of various systems of the human body [6]. Dental morbidity occupies a significant place among various human pathologies. There are certain factors affecting their distribution, identification and recognition of various authors around the world [4, 10].However, so far there is nothere is a consensus on the influence of occupationally harmful factors on the development of dental morbidity [1, 5]. In this regard, an active purposeful study of the dental status among workers in hazardous and hazardous industries that emit hazardous waste into the environment has recently been carried out [3, 4, 6]. The organization of rational dental care for employees of various industries and enterprises with certain occupational hazards, the timely detection of oral diseases among them and their treatment are of great medical and social importance today [3, 10]. The question of the negative impact of certain industries on the oral cavity remains relevant. The relationship of the high prevalence of non-carious lesions of the teeth, oral mucosa with such production processes as oil and gas production, metallurgy, chemical production, baking and confectionery production has been proven (11). Dental health contributes to the preservation of the working capacity of an important https://scientific-jl.com/new 22 77 99 Volume–77_Issue-1_May-2025 JOURNAL OF NEW CENTURY INNOVATIONS part of the country's population - workers of industrial enterprises, especially since a number of studies convincingly reveal the role of the dentition in the general state of the body. The presence of high risks of occupational diseases among workers in industry has been proven. This is due to the intake of compounds of elements into the human body through the oral cavity (15). Industrial workers are characterized by a high prevalence of dental caries and inflammatory periodontal disease (3). Chemical substances of the industrial air environment are detected in the oral fluid, hard tissues of the teeth, dental deposits, biopsy specimens of tissue structures (12). They aggravate the course of dental caries due to the replacement of calcium ions in hydroxyapatite crystals, chronic inflammation in periodontal tissues, violation of the integrity of the epithelium of the oral mucosa (5). Working conditions at industrial enterprises are often accompanied by factors harmful to human health, which are called "production (professional) hazards". Long- term influence of these factors can lead to pathological changes in the oral mucosa, periodontal diseases, hard dental tissues, and contributes to the development of chronic oral diseases [1, 4, 5, 15, 18, 28]. Scientific studies show that the prevalence of major dental diseases among the working-age population reaches 95-100% and has a steady downward trend. A modern dentist must know the causes of these disorders in order to properly and successfully carry out treatment, as well as to carry out preventive work among the population. The analysis of the literature available to us determines the goal of studying the relationship between the development of various dental diseases in persons directly in contact with harmful factors of industrial production. The unfavorable factors of the industrial environment mainly differ in intensity depending on the ecological situation and professional activity in a particular region, the technical perfection of production. A number of researchers note a high level of prevalence of dental diseases among workers in the chemical industry. It was revealed that chemicals have a harmful effect on the hard tissues of the teeth, periodontal tissues, and the composition of the oral fluid [11, 34]. A correlation has been established between the concentration of hydrogen sulfide and the prev