The impact of medical telecommunications on individual oral hygiene in children with end-stage chronic kidney disease

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Objective. To evaluate the impact of medical telecommunication between pediatric oral surgeons in a hospital setting.

Material and methods. The study involved 20 children with ESKD. Study participants were divided into 2 groups: 1st (n=10) – patients diagnosed according to ICD-10 “N18.0 End-stage chronic kidney disease” undergoing renal replacement therapy in the form of hemo- or peritoneal dialysis; 2nd (n=10) – patients diagnosed according to ICD-10 “T86.1 Kidney transplant dysfunction” who are on immunosuppressive therapy. hildren were given online oral hygiene lessons. To assess the effectiveness of oral hygiene, the Green-Vermillion index (oral hygiene index simplified – OHI-S) was calculated before and after training. In addition, for all study participants, the set of personal oral hygiene products was adjusted, taking into account the characteristics of the underlying disease and therapy.

Results. All patients demonstrated a statistically significant decrease in IGR-U scores after completing distance learning (before training – 2.29±0.37; after training – 1.32±0.35; t=9.720; df=19; p<0.001). A comparison of the study groups showed that after training, IGR-U statistically significantly decreased in group 1 by almost 2 times (from 2.48±0.32 to 1.31±0.38; t=7.967; df=19; p <0.001), in group 2 – 1.5 times (from 2.09±0.31 to 1.33±0.35; t=7.343; df=19; p<0.001).

Conclusion. Medical telecommunication between pediatric dentists, nephrologists, and patients with ESKD significantly improves the quality of individual oral hygiene in a hospital setting.

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作者简介

N. Morozova

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

编辑信件的主要联系方式.
Email: morozova_n_s_2@staff.sechenov.ru
ORCID iD: 0000-0002-6453-1615

Candidate of Medical Sciences

俄罗斯联邦, Moscow

O. Admakin

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: morozova_n_s_2@staff.sechenov.ru
ORCID iD: 0000-0002-5626-2961

MD, Professor

俄罗斯联邦, Moscow

O. Morozova

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: morozova_n_s_2@staff.sechenov.ru
ORCID iD: 0000-0003-2453-1319

MD, Professor

俄罗斯联邦, Moscow

N. Polukhin

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: morozova_n_s_2@staff.sechenov.ru
ORCID iD: 0000-0002-9540-5793
俄罗斯联邦, Moscow

A. Elovskaya

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: morozova_n_s_2@staff.sechenov.ru
ORCID iD: 0000-0002-0275-6261
俄罗斯联邦, Moscow

E. Maslikova

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: morozova_n_s_2@staff.sechenov.ru
ORCID iD: 0000-0002-6875-9377
俄罗斯联邦, Moscow

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