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IMPROVING THE QUALITY OF THE LIFE STATUS OF INFANTS WITH UNILATERAL CONGENITAL CLEFT LIP AND PALATE
Gulnora Sadriddinovna Yadgarova
PhD of the Department of Surgical Dentistry, Bukhara State Medical Institute
Improving the quality of life status of children with unilateral congenital cleft lip and palate (UCCL) with the help of temporary silicone nipples showed a positive impact on the development of speech on the psycho-emotional state of the child.
Were recruited 100 infants born with UCCL, of which 67 boys and 33 girls. The children were divided into 2 groups. Group 1 - the main group of 36 children (of which 20 are male and 16 are female) and group 2 - the control group of 31 infants (of which 17 are male and 14 are female)
The introduction of the obtained data into practical healthcare will reduce the proportion of maxillofacial anomalies.
Key words: cleft, children, lip, palate, silicone, nipple.
Relevance: In the Republic of Uzbekistan today, the birth rate of children with congenital cleft lip and palate is higher than the national average. Violations of such vital functions as breathing, nutrition and speech, aesthetic defects associated with congenital cleft lip and palate, adversely affect the overall physical and intellectual development of the child. The feeling of inferiority, the reaction of others to speech cause such a child severe experiences, which, of course, is reflected in the formation of his psyche. These psychological layers, in turn, further exacerbate speech disorders. Speech defects not eliminated in childhood subsequently hinder the choice of profession; interfere with work and everyday life.
The system of complex treatment of children with UCCLP provides for a multistage interdisciplinary interaction of specialists.
In this regard, it is important to follow the WHO definition, according to which health is a human condition characterized not only by the absence of disease or infirmity, but by complete physical, mental and social well-being. In turn, the quality of life is an integral characteristic of the physical, social, mental or emotional functioning of a person, based on subjective perception. Obviously, the quality and results of treatment of children largely depend on the various components of the quality of life indicator, which include the education of children at school and university, as well as labor and social activity.
ABSTRACT
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Conducting comprehensive studies of congenital anomalies of the maxillofacial region in order to prevent them and actively participate in this work along with doctors of various specialties (genetics, immunologists, obstetricians-gynecologists, pediatricians (neonatologists), neurologists, cardiologists, psychologists, sociologists, environmentalists) and dentists. This will expand care for the health of the child and create favorable conditions for the formation of the dentofacial system.
Purpose of the study. Improving the quality of the life status of children with unilateral congenital cleft lip and palate.
Material and research methods. Were recruited 100 infants born with UCCLP, of which 67 boys and 33 girls. The children were divided into 2 groups. Group 1 - the main group of 36 children (of which 20 are male and 16 are female) and group 2 - the control group of 31 infants (of which 17 are male and 14 are female).
The main group of infants used temporary silicone nipples (SN), which facilitated sucking and swallowing acts and improved speech defects, as well as the parents of the 1st group without the help of medical personnel, easily learned the instructions for using the SN and did not need help caring for special children, 2- the group was assigned the traditional method of courtship, parents, nurses helped to look after the child's meals and calmed the children when they were naughty.
When performing this dissertation work, plaster models of infants were used, to obtain parameters with congenital cleft lip and palate, clinical and anthropometric methods were used, followed by statistical data processing.
Results and its discussion. The study showed that group 1, after using the SN, were calmer and gained sufficient weight, in addition, during antrometric measurements of the parameters of the upper jaw, the indicators corresponded to those of healthy children.
In children of the 2nd group, the above changes were not detected. There is also a lag in the morphometric parameters of the teeth and dental arch. The study of the position of the mandible shows that in children of the 1st group, improvement was noted in 10% of cases, and in a short time it was possible to carry out surgical interventions, depending on the type of UCCLP. Based on a set of studies, for the first time, comparative analyzes of the condition and improvement of the life status in infants with congenital cleft lip and palate with the help of temporary silicone nipples and plates were carried out.
For the first time, a comparative analysis of the parameters of the upper dentoalveolar arch in newborns in the period before and after the use of the proposed obturator, its effect on the growth and development of the alveolar process was carried out.
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In the 1st group of infants, an improvement in the life status in children with congenital cleft lip and palate was determined with the help of temporary SN, the normal bite condition in children with congenital cleft lip and palate was determined depending on age, and speech defects improved in children with congenital cleft lip and palate with the help of temporary silicone plates (obturators) than in the 2nd group of children with UCCLP (in the control group, over time, these same indicators returned to normal over time, but the period was long and the children were already aware of their complexes).
Conclusion. Thus, the study showed that, based on a set of studies, a comparative analysis of the condition and improvement of the life status in children with congenital cleft lip and palate using temporary silicone nipples and plates was carried out for the first time, and a positive effect was proved. For the first time, a comparative analysis of the parameters of the upper dentoalveolar arch in newborns was carried out in the period before and after the use of the proposed obturator, its effect on the growth and development of the alveolar process. The studied changes and their systematization lead to a decrease in maxillofacial pathologies, as well as growth and development of the definition, which contributes to the non-hormonal development of the child. The studied changes and their systematization lead to a decrease in maxillofacial pathologies, as well as growth and development of the definition, which contributes to the nonhormonal development of the child. The introduction of the obtained data into practical healthcare will reduce the proportion of maxillofacial anomalies. For the first time, the method of using early orthodontic treatment of children with UCCLP, carried out with the help of the "Dental Obturator for orthodontic treatment of children with CCLP" was scientifically substantiated.
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