Maria Nikuradze

Tbilisi State University

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Ann Margvelashvili

Georgian National Museum

Zurab Artmeladze

Tbilisi State University

Alexandre Pateishvili

Tbilisi State University

Vladimer Margvelashvili

Tbilisi State University

M Kalandadze

Tbilisi State Medical University

Sophio Kakriashvili

Tbilisi State University

Manana Kalandadze

Tbilisi State University

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Tbilisi State University

Tbilisi State Medical University

Grigol Robakidze University

Georgian National Museum

University of Georgia

University of Zurich

National Research Center on Human Evolution

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IMPORTANCE AND URGENCY OF TREATMENT AND PREVENTION STRATEGIES OF COMPLICATIONS IN ORTHODONTIC PATIENTS - LITERATURE REVIEW.

PubMed (2024)

Maria Nikuradze Zurab Artmeladze Ann Margvelashvili Vladimer Margvelashvili M Kalandadze

During orthodontic treatment patients' oral condition changes, thus influencing the overall health. Therefore, the treatment approaches require regular revision and updates to new guidelines. This literature review aims to analyse the oral health status in orthodontic patients focusing on the importance and urgency of treatment, preventive approaches to complications, and effects of the appliances on the oral biome. The review used Google Scholar, PubMed, and Science Direct databases for article searches dating from 2000 to 2024 on the status of the oral cavity changes during orthodontic treatment. Results have shown that changes in the oral cavity do not depend on the type of orthodontic appliances, both qualitative and quantitative changes in the bacterial flora were detected in cases of using all types of appliances. Orthodontic appliances and treatment may deteriorate overall oral hygiene in patients, particularly when patients practice poor oral hygiene habits, increasing the risks of developing dental decays and periodontal diseases.

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Hyposalivation and oral health status among the Georgian population

International Dental Journal (2021)

Sophio Kakriashvili Ann Margvelashvili Zurab Artmeladze Alexandre Pateishvili Maria Nikuradze

The normal stimulated salivary flow rate averages 1.5–2.0 mL/min while the unstimulated – is approximately 0.3–0.4 mL/min. Below this average, it is considered hyposalivation. Hyposalivation may be an accompanying symptom of multiple chronic illnesses. Salivary flow rate within the Georgian population is unknown. This study investigates hyposalivation in the Georgian population and examines if and how social conditions, liquid intake, and diseases influence hyposalivation. We examined 135 individuals (61 men and 74 women) of different age groups. Questionnaires were created to assess the general oral health condition, accompanying chronic diseases, and the daily amount of liquids intake. Participants were seated bent forward; the mouth was open while letting the saliva drip into a pre-weighed disposable cup for 10 min. The measurements were taken twice: to control unstimulated and stimulated salivary flow. Hyposalivation was found in 19 healthy individuals, 27 patients with accompanying diseases, and 3 post-COVID-19 individuals – a total of 36.3 % of the examined individuals. Thus, 70% of the chronically ill and 33% of healthy individuals suffered from hyposalivation. Patients with hyposalivation revealed to bear a higher prevalence of dental caries (p-value 0.0009), increased dental wear (p-value < 0.0001), pathological changes of the oral mucosa (p-value 0.0012), and increased accumulation of dental plaque (p-value 0.0001). The study showed that although hyposalivation might be an accompanying symptom of several chronic illnesses and correlated to oral diseases, it can be compensated by the increase of the daily water intake.

Georgian

10.1016/j.identj.2021.08.004

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