1. Introduction

During orthodontic treatment, the contents of the oral microflora are altered to include Streptococcus mutans, Candida albicans, Lactobacillus spp., Increased amounts of Enterobacteriaceae have been found to cause inflammatory diseases of dental caries and periodont tissue. Tooth-jaw bite deformities are the second largest prevalence of dental diseases among children. Their diagnosis and treatment are considered one of the urgent tasks in orthodontics, as long as they affect the functions of chewing, causing speech disorders, aesthetic defects and significantly reducing the quality of life, limiting the manifestation of human potential. In addition to the change in the microflora of the oral cavity which with an increase in pathogenic and conditionally pathogenic microorganisms, dysbacteriosis can be observed. During orthodontic treatment, the contents of the oral microflora are altered to include Streptococcus mutans, Candida albicans, Lactobacillus spp., Increased amounts of Enterobacteriaceae have been found to cause inflammatory diseases of dental caries and periodont tissue [2,4,6,8,10,12,14,16]. Several factors are responsible for the course of periodont diseases, which reduce the reactivity of the body and lead to a decrease in secondary immunity. Modern views have shown that the main place in the etiopathogenesis of parodont diseases is caused by a decrease in the resistance of the immune system and parodont tissue to bacteria.

The purpose of the study. Complex treatment of dental –jaw abnormalities and defformasias in children.

The object of the study is children with dental row anomalies and deformities of 152 people aged 10 to 18 living in the Bukhara region. The main criteria for the selection of children to the group under study were clinical – laboratory confirmations and their age served. As the subject of the study, data was obtained on clinical cases of children with dental row anomalies and deformities, dental-gum pocket fluid, mixed saliva, functional state of the oral cavity. The methods of the study used clinical-dental, microbiological, biochemical, and statistical methods.

2. Results and Analyzes

Dental examinations were carried out among 152 children aged 10-18 who applied to the dentist for treatment at the Bukhara State Medical Institute "dental center", of which 122 dental rows are children with gingivitis caused by orthodontic treatment of anomalies and deformities, and 30 healthy children. Of the children examined, 76 were girls and 76 were boys. All checked D. According to a Calvelis, young groups are formed depending on the periods of formation of the bite. The 1stGuruh is the night exchange period (10-13 years old) with 44 children (boys 24 and girls 20); the 2nd Guruh is the permanent bite period (14-18 years old) with 78 children (boys 38 and girls 40). Local and general etiological as well as pathogenetic factors have been identified that lead to inflammation of the parodont tissue in Primary Children. All patients who met the criteria for inclusion in the study were invited for a dental examination and were examined, the indices were evaluated and an exudate was obtained from the periodontal pocket for microbiological and biochemical study. Selected according to the criteria for inclusion in the study and passed a dental examination at the first stage, hygiene products were selected and the first stage of professional Hygiene applied dental rows children with gingivitis caused by orthodontic treatment of anomalies and deformities the main Group (AG) patients numbered -122 people. It is classified into 2 subgroups according to treatment procedures performed in the main group of patients. AG-1 (n=60) had conventional treatment. In the case of AG-2 (n=62), however, complex therapy was performed using "pomegranate bean oil" and "aseptaprapolis" gel with individually transported Cappas in additional gum pockets to the traditional cure [1,3,5,7,9,11,13,15]. The research materials were conducted from statistical processing using parametric and non-symmetric analysis methods. The first data collection, correction, systematization and visualization of the results obtained were carried out in the Microsoft Office Excel 2016 spreadsheets. In our scientific study, we conducted dental examinations among 152 children aged 10-18, of which 122 were children with gingivitis caused by orthodontic treatment of tooth row anomalies and deformities, and 30 were healthy children. They applied to the "dental center" of the Bukhara State Medical Institute for treatment to the dentist. The complex treatment performed is inflammation in the parodont tissues there is a tooth row anomaly and deformity in patients of the 1st main group who received traditional treatment treatments of the main guru S. mutans 3.01±0.21; S. epidermidis 5.43±0.25; S. aureus 5.41±0.16; C. xerosis 6.21±0.24; C. with pseudodiphthericum being 5.15±0.13 KHQB Log/ml, Major Group 2 patients who received complex treatment had S. mutans 2.12±0.15; S. epidermidis 4.23±0.23; S. aureus 3.89±0.11; C. xerosis 4.26±0.13; C. pseudodiphthericum has been found to be 3.91±0.11 KHQB Log/ml (Table 1).

Table 1. Types of microorganisms identified from tooth-gum pockets after treatment in groups

Analysis of microflora dynamics in periodontal pockets has made it possible to conclude that when applying the complex treatment we recommend, the composition of microflora in the exudate of the periodontal pocket is normalized at the expense of completely eliminating one type of pathogen and reducing the amount of others. After the use of developed complex treatment-prophylaxis, according to the testing of Schiller - Pisarev in the main group, the index of Schiller-Pisarev fracture in the main group decreased by 1.79 points, in the control group - by 1.21 points (table 2). In children of the main group, professional oral hygiene was carried out, individual oral hygiene was taught to children and their parents, tartar was removed on a skewer.

Table 2. Hygiene condition of the oral cavity and paradont tissue 6 months after treatment of dental row anomalies and deformities

The values of the RMA index in children of the main group exceeded 1.4 times, the corresponding indicators of the control group increased by 1.7 times. Using the laboratory methods of the study, the activity of Mallon dialdehyde, elastase, lysozyme, urease and catalase in children with gingivitis caused by the orthodontic treatment of tooth row anomalies and deformities was studied, which are presented in Table 2. The data presented in the table showed that the catalase activity in children with gingivitis caused by the orthodontic treatment of tooth row anomalies and deformities was on average 2 times lower than in almost healthy children in an initial clinical-laboratory study. This condition has testified to a decrease in the reserve capacity of the antioxidant system in children with gingivitis caused by the orthodontic treatment of tooth row anomalies and deformities.

Table 3. The main group is the dynamics of the change of biochemical parameters of oral fluid in children after treatment (mccat/l and Ed / ml)

In children with gingivitis caused by the orthodontic treatment of dental row abnormalities and deformities, catalase activity was shown to be on average 2 times lower than in nearly healthy children in an early clinical-laboratory study. The above information, in turn, indicates that inflammation in the parodont tissue has significantly reduced the reserve capacity of the antioxidant system in recorded children. It has been shown that particular attention should be paid to cell membrane damage in children with inflammation in the Parodont tissue. The complex treatment performed was carried out in patients of the 1st main group who received traditional treatment procedures of the main guru S. mutans 3.01±0.21 Koe / ml, S. epidermidis 5.43±0.25 Koe / ml, S. aureus 5.41±0.16 Koe / ml, C. xerosis 6.21±0.24 Koe / ml, C. with pseudodiphthericum being 5.15±0.13 Koe / ml, patients of the 2nd main group who received complex treatment had S. mutans 2.12±0.15 Koe / ml, S. epidermidis 4.23±0.23 Koe / ml, S. aureus 3.89±0.11 Koe / ml, C. xerosis 4.26±0.13 Koe / ml, C. pseudodiphthericum 3.91±0.11 Koe/ml changed for the better. In the last product of the LPO, a result was recorded 3.65 times higher than the indicators of healthy children. At the same time, sod and CT activity were observed to be 1.65 and 1.52 times lower in mosXol compared to the control group. The amount of sialic acid, hexose, and fucose in the oral fluid was found to increase by 1.53; 1.37, and 1.4 times in the corresponding Hal compared to the control group.

3. Conclusions

In the complex treatment of gingivitis caused by the orthodontic treatment of tooth row anomalies and deformities, the effectiveness of treatment with individually prepared Cappas from the gel "pomegranate danagi oil" and "aseptaprapolis" was 92.5 percent in the 2nd main group compared to the 1st main group. For the purpose of prophylaxis of gingivitis caused by orthodontic treatment of tooth row anomalies and deformities, the application of local "pomegranate bean oil" with individually prepared Cappas to the tooth-gum pocket "Colgate Plax" for mouth rinsing effectively helped.