Фетальное программирование молярно-резцовой гипоминерализации: систематический обзор
- Авторы: Алгазина А.А.1, Горбатова М.А.1, Гржибовский А.М.2,3, Митькина Е.А.4, Горбатова Л.Н.1
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Учреждения:
- Северный государственный медицинский университет
- Университет «РЕАВИЗ»
- Северо-Восточный федеральный университет имени М.К. Аммосова
- Первый Московский государственный медицинский университет имени И.М. Сеченова
- Выпуск: Том 29, № 6 (2025)
- Страницы: 479-490
- Раздел: Обзоры
- URL: https://journal-vniispk.ru/1728-2802/article/view/366879
- DOI: https://doi.org/10.17816/dent607424
- EDN: https://elibrary.ru/QSWMWC
- ID: 366879
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Аннотация
Обоснование. Молярно-резцовая гипоминерализация — один из видов системной гипоплазии эмали, для которого характерно поражение от 1 до 4 первых постоянных моляров, часто сочетающееся с поражением резцов и встречающееся у каждого восьмого ребёнка на планете.
Цель. На основании анализа публикаций по теме фетального программирования молярно-резцовой гипоминерализации обосновать необходимость более детального изучения причин её возникновения в зависимости от влияния антенатальных и перинатальных факторов.
Методы. Сбор материала проводили с помощью электронных баз данных PubMed и eLIBRARY.RU без временны́х ограничений. Отбор исследований выполняли в два этапа. Сначала решение о включении публикаций в обзор принималось на основе названия работы и аннотации. На втором этапе авторы знакомились с полным текстом статей. Расхождения были урегулированы путём группового обсуждения авторами до достижения консенсуса. Из 157 идентифицированных исследований 29 были включены в качественный синтез.
Результаты. К антенатальным факторам молярно-резцовой гипоминерализации авторы относили анемию беременных, болезни в третьем триместре, гестационный диабет, инфекционные вирусные заболевания, проведение ультразвукового исследования в III триместре более 3 раз, преэклампсию, приём алкоголя, психологический стресс и др. Среди интранатальных факторов молярно-резцовой гипоминерализации были описаны гипоксия при рождении, длительные роды, преждевременные роды, низкий вес, стимуляция родовой деятельности, осложнения в родах, кесарево сечение и др.
Заключение. Рассмотренные в обзоре исследования демонстрируют множество анте- и перинатальных факторов развития молярно-резцовой гипоминерализации. Расширение доказательной базы в области её этиологии позволит составить эффективный алгоритм профилактики возникновения данной патологии на популяционном уровне начиная с антенатального периода.
Об авторах
Александра Андреевна Алгазина
Северный государственный медицинский университет
Автор, ответственный за переписку.
Email: algazina.sascha@ya.ru
ORCID iD: 0000-0002-3876-5960
SPIN-код: 8363-2605
MD
Россия, АрхангельскМария Александровна Горбатова
Северный государственный медицинский университет
Email: marigora@mail.ru
ORCID iD: 0000-0002-6363-9595
SPIN-код: 7732-0755
канд. мед. наук, доцент
Россия, АрхангельскАндрей Мечиславович Гржибовский
Университет «РЕАВИЗ»; Северо-Восточный федеральный университет имени М.К. Аммосова
Email: a.grjibovski@yandex.ru
ORCID iD: 0000-0002-5464-0498
SPIN-код: 5118-0081
д-р мед. наук
Россия, Санкт-Петербург; ЯкутскЕкатерина Андреевна Митькина
Первый Московский государственный медицинский университет имени И.М. Сеченова
Email: miekandr@yandex.ru
ORCID iD: 0000-0002-5631-5197
SPIN-код: 5996-4317
MD
Россия, МоскваЛюбовь Николаевна Горбатова
Северный государственный медицинский университет
Email: Detstomkaf@yandex.ru
ORCID iD: 0000-0003-0675-3647
SPIN-код: 8037-5341
д-р мед. наук, профессор
Россия, АрхангельскСписок литературы
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