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Обгрунтування профілактики карієсу зубів у дітей, які проживають у регіоні сірчаного виробництва: Автореф. дис… канд. мед. наук / Н.М. Крупник, Льві

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EUeA?ANUeEEE AeA?AEAAIEE IAAeE*IEE OI?AA?NEOAO

?i. AeAIEEA AAEEOeUeEIAI

OAeE 616.314-002-053.4/6-092: 612.014.469:546.22

E?OIIEE IAOAE?ss IEEIEA?AIA

IAY?OIOOAAIIss I?IO?EAEOEEE EA???NO

COA?A O Ae?OAE, ssE? I?IAEEAATHOUe O

?AY?II? N??*AIIAI AE?IAIEOeOAA

14.01.22 – NOIIAOIEIA?ss

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

EUeA?A – 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia o Euea?anueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao?

?i. Aeaieea Aaeeoeueeiai IIC Oe?a?ie

Iaoeiaee ea??aiee:Caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie, aeieoi?
iaaee/ieo iaoe, i?ioani?

Niiey? I?ia ?aai?aia,

caa?aeoaa/ eaoaae?e noiiaoieia?? aeeoy/iai a?eo Euea?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. Ae. Aaeeoeueeiai IIC Oe?a?ie

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani?

Aee/ei ?aaai Ieeeoi?iae/,

caa?aeoaa/ eaoaae?e noiiaoieia?? aeeoy/iai a?eo Aei?i?iiao?ianueei?
aea?aeaaii? iaaee/ii? aeaaeai?? IIC Oe?a?ieaeieoi? iaaee/ieo iaoe,
i?ioani?

Caaieioiee Oa?an Aeieo?iae/,

caa?aeoaa/ eaoaae?e oa?aiaaoe/ii? noiiaoieia?? oaeoeueoaoo
i?neyaeeieiiii? ina?oe Euea?anueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo ?i. Ae. Aaeeoeueeiai IIC Oe?a?ie

I?ia?aeia onoaiiaa:

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao

?i. aeaae. I. I. Aiaiiieueoey IIC Oe?a?ie, eaoaae?a aeeoy/i?
oa?aiaaoe/ii? noiiaoieia??

Caoeno a?aeaoaeaoueny “ 11 ” o?aaiy 1999 ?. i 13. 00 aiae. ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 35.600.01 o Euea?anueeiio aea?aeaaiiio
iaaee/iiio oi?aa?neoao? ?i. Aeaieea Aaeeoeueeiai (290010, i. Euea?a,
aoe. Iaea?nueea, 69)

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Euea?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. Aeaieea Aaeeoeueeiai (290010,
i. Euea?a, aoe. N?/iaeo No??eueoe?a, 6)

Aaoi?aoa?ao ?ic?neaiee “ 9 ” ea?oiy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee
*oee?i N.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie

No?oeoo?a oaeoi??a, ye? aieeaathoue ia caei?ia’y ianaeaiiy, a oiio /ene?
? aeeoy/iai, ia? nooo?aa cia/aiiy ? aeey oi?ioaaiiy noiiaoieia?/iiai
caei?ia’y [Aeaenaaa N. A. e niaao., 1993; Aiae?ooeaae/ E. A. e niaao.,
1988; Iiaee I.A., 1989; Niiey? I.?., I?eoei C.?.,1993; Nieieia A. E.,
1984; Nooaeaieei I. ss. e niaao., 1989; Baranska-Grachovska M. et al. ,
1986; Cikrt V. et al., 1983; WHO, 1992]. Aieea ia noai caei?ia’y ae?oae
cae?enith?oueny iaeii/anii aaaaoueia oaeoi?aie (aio?iiiaaiieie,
iaaeeei-a?ieia?/ieie, nioe?aeueieie), a nooi?iue ?o ae?? caeaaeeoue a?ae
?iaeea?aeoaeueieo iniaeeainoae i?aai?cio, niaaeeiaeo aaeaioaoe?eieo
oaeoi??a [Cieioa?aaa I.A., Iao?ia A. A., 1992; Eoeaeia A. e niaao.,
1993; Lalas D., 1993; WHO, 1980].

Iaaieiia c?inoaiiy caa?oaeiaiiy iaaeieeoiueiai na?aaeiaeua iai?ee?ioe?
OO noie?ooy i?ecaaei aei cia/iiai ii?ooaiiy aeieia?/ii? ??aiiaaae o
nenoai? ethaeeia – aeiae?eey. I?ae aieeaii iecee /eiiee?a
iaaeieeoiueiai na?aaeiaeua o ianaeaiiy, a ia?oo /a?ao aeeoy/iai,
aeieeathoue ??ciiiai?oi? ?ioiiaeao?oeeoi? noaie, niinoa??aa?oueny
cieaeaiiy niaoeeo?/ieo ? ianiaoeeo?/ieo caoenieo nee i?aai?cio, ui
ni?ey? c?inoaiith caoai?thaaiino?, a oiio /ene? ? noiiaoieia?/ii?
[Aaeueoeuaa TH.A., 1991; Aeaoeaiei ?. ?., 1993; Eocueieia Y. I. E
niaao., 1996; Eaooiia N. A., 1986; Neaei?aiei A. E., Iiaeaaa A. A.,
1987; Driessens F. et al., 1989; Mushak E.W., Piver W.T., 1992 ; WHO,
1992;].

O?i?/i? a?aioe, a oiiaao o?eaaei? ae?? a iaeeo eiioeaio?aoe?yo, e??i
caeaoiino? ni?e/eiyoe ianiaoeeo?/i? caoai?thaaiiy, iiaeooue aeeeeeaoe
iani?eyoeea? iane?aeee ye na?aae iei?oiueiai iieie?iiy, oae ? na?aae
eiai iauaaee?a [Aiiaoaaneay O. E., 1978; Eaaeoaa A. A., 1989; Eoeaeia A.
e niaao., 1993]. Ca aeaieie AIIC, oaea nueiaiaei? a?ey /ioe?ueio
a?aenioe?a iiaiia?iaeaeaieo a?ae??ciythoueny aaiaoe/ieie aeaoaeoaie,
ye? aeae? aaaeooue aei ae?aaeaieo niaaeeiaeo caoai?thaaiue. C’yniaaii,
ui caaaeueia caoai?thaai?noue ae?oae o caa?oaeiaieo ?a??iiao a 1,5 – 3
?ace aeua, i?ae o ii??aiyii /enoeo, e?euee?noue ae?oae, ye? /anoi
oai??thoue noaiiaeoue 67-77 %. O no?oeoo?? niiaoe/ieo caoai?thaaiue
ia?aaaaea? iaoieia?y i?aai?a aeeoaiiy, ui iia’ycaii ?c niaoeeo?/iith
ae??th iiethoaio?a aoiinoa?e ia aeeoaeueio nenoaio [Aeaauaeia A.I. e
niaao., 1992; Aeaooia O.O., 1981; Ceaoaa N.I. e niaao., 1993; Duxburry
J.T, 1987; Sohlotcke S. et al., 1984; Tardiff R.G. et al., 1987].
Aenieith ? /anoea aea?a?/ieo caoai?thaaiue, iniaeeai a?iio?aeueii?
anoie. I?ioa ae?aiacii niiaoe/ii? iaoieia??, aeeeeeaiee aieeaii
aio?iiiaaiieo /eiiee?a, cia/ii oe?oee ? aeeth/a? cia/i? ci?ie c aieo
oeaio?aeueii? oa ia?eoa?e/ii? ia?aiai? nenoaie, iii?ii-?ooiaiai
aia?aoo, aiaeie?eiii? nenoaie oa i?aai?a e?iaioai?aiiy, e?iaiia?ao,
o?aaeaiiy [Eiceiaoe A.E., 1990; Onoeiaiei A.I. e niaao., 1990; TH?ueaaa
Y.A. e niaao., 1991]. Eeoa 40 % ae?oae caei?iaeie cae?i/othoue oeieo.

I/aaeaeiei ? nooo?aee aieea i?e?iaeieo ? oaoiiaaiieo /eiiee?a ? ia
noiiaoieia?/ia caei?ia’y aeeoy/iai ianaeaiiy [Aeu/ei A.I. e niaao.,
1988; Eacaeiaa ?.A., 1996]. Aeine?aeaeaii, ui aieea oe?aeeeaeo oaeoi??a
aeiae?eey coiiaeth? iaiiaiioe?ii?noue no?oeoo?e oaa?aeeo oeaiei coa?a
ua a ia??iae ?o ?icaeoeo.

Iioe?ai?noue ea???no coa?a o ae?oae, ye? iaoeathoue ia caa?oaeiaieo
oa?eoi??yo, a ie?aieo a?eiaeo a?oiao neeaaea? 33,8-96,7 %, a o aeayeeo
?a??iiao aeinyaa? 100 %. ?ioaineai?noue ea???no o 12-oe ??/ieo ae?oae,
ye? ia?aaaaeii oa?aeoa?ecothoueny aenieei nooiaiai aaeaioiaaiino? ii
noiiaoieia?/ieo caoai?thaaiiyo, nyaa? 4,570,38-7,240,40 coaa.
Caoai?thaai?noue a?iiieac??th aiae? coa?a eieeaa?oueny a iaaeao 6,47 –
62,2 %, ?iciianthaeaeai?noue neiioii?a caoai?thaaiue ia?iaeiioa
aeyaey?oueny o 14,3 – 77,2 %, ??aaiue coai-uaeaiieo aiiiae?e
eieeaa?oueny a iaaeao 47,53 – 59,98 % [AEoiaoia O., 1988; Iao?ao I.A.,
Iao?ao TH.?., 1995; Neey? A.A. e niaao., 1989; Nieiiueei A.I., 1997;
Oiiaiei E.I. ? ni?aaao., 1995].

I?ioa, iacaaaeath/e ia ?ic?iaeo oa ai?iaaaeaeaiiy cia/ii? e?eueeino?
??cieo cania?a ? iaoiae?a i?io?eaeoeee noiiaoieia?/ieo caoai?thaaiue,
a?ae/ooieo iiceoeaieo ci?i o caoai?thaaiino? na?aae aeeoy/iai ianaeaiiy
Oe?a?ie ia niinoa??aa?oueny.

Ia?aeaeueii c oeei, io?oe?ei? aeai? AIIC, ca?oa?aei? aeaea?aea
e?oa?aoo?e na?ae/aoue i?i ?aaeuei? oni?oe o ai?iouea? c ea???nii oa
caoai?thaaiiyie ia?iaeiioa [Bibby B.G. at al., 1980; Bruun C. et al. ,
1994; Disney J., 1992; Ismail A.L. et al., 1987; King J.M. et al.,
1983; WHO, 1987]. Ai?iaaaeaeaiiy i?ia?ai i?io?eaeoeee iniiaieo
noiiaoieia?/ieo caoai?thaaiue aaco?oueny ia aeaoaeueiiio aeine?aeaeaii?
aeciaaieo oa aiaeiaaieo /eiiee?a, ui aieeaathoue ia oi?ioaaiiy iaoieia??
oaa?aeeo oeaiei coa?a na?aae aeeoy/iai ianaeaiiy a iaaeao eiie?aoiiai
?a??iio, iiaaae?ieiaeo aniaeoao ii a?aeiioaiith aei noiiaoieia?/iiai
caei?ia’y c aieo ianaeaiiy, iaaee/iiai ia?niiaeo, i?aoe?aiee?a
iaa/aeueieo caeeaae?a, nooaeaio?a [Goren A. et al., 1991; Hyssala L. et
al., 1991; Jackson D., 1987; Tala H., 1984].

Nueiaiaei?, i?eioeeiia? ieoaiiy o?aaeaiiy coa?a ea???nii, c o?aooaaiiyi
?a??iiaeueieo iniaeeainoae, aena?oeththoueny a e?oa?aoo??, aea
caeeoathoueny aeaeaeeie a?ae inoaoi/iiai ae??oaiiy i?iaeai
i?io?eaeoeee. A?aenooi?noue ocaaaeueithth/eo aeine?aeaeaiue c ieoaiue
?a??iiaeueiiai iioe?aiiy ea???no coa?a, ni?e/eieea aei iiaiiai
a?aenoaaaiiy iaoeiaeo ii?aoethaaiue a?ae ?aaeueieo iio?aa i?aeoe/ii?
noiiaoieia??. E??i oiai, iaaeinoaoi? iciaeiieaiiy e?ea??a c
iniaeeainoyie ?a??iiaeueii? i?io?eaeoeee ea???no coa?a, a?aenooi?noue
o?iainoaaiiy ? aieiaieie i?e/eiaie iacaaeia?eueieo ?? ?acoeueoao?a
[Eacaeiaa ?.A., Eieueoeiaa I.E. , 1996; Niiey? I.E., 1987].

C iaeyaeo ia aeuacaaaeaia, noa? i/aaeaeiith neeaaei?noue ?
aaaaoia?aii?noue i?iaeaie aieeao ??ciiiai?oieo oaeoi??a ia ??ai?
noiiaoieia?/ii? caoai?thaaiino? ae?oae, iaiao?aei?noue ?ic?iaee
eiiieaeno i?io?eaeoe/ieo caoiae?a, ye? a a?aoiaoaaee ?a??iiaeuei?
iniaeeaino?.

Ioaea, aea/aiiy no?oeoo?e i?e/eiii-iane?aeeiaeo ca’yce?a aeieeiaiiy oa
?icaeoeo ea???no coa?a o ae?oae, eiai ?iciianthaeaeaiino?, iniaeeainoae
ee?i?/iiai ia?aa?ao c o?aooaaiiyi aeieia?/iiai oiio ie?aiiai ?a??iio ?
aeooaeueiith i?iaeaiith no/anii? noiiaoieia??, ooiaeaiaioii aeey
noai?aiiy eiiieaenii? i?ia?aie i?io?eaeoeee.

Oiio, aeeeaaeai? aeua iieiaeaiiy, noaee iniiaith aeey aeai?o oaie
aeaiiai aeine?aeaeaiiy, eiai iaoe oa caaaeaiiy.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie.

Aeena?oaoe?y aeeiiaia ca?aeii c ieaiii IAe? eaoaae?e noiiaoieia??
aeeoy/iai a?eo Euea?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i.
Ae. Aaeeoeueeiai ’’ Ioe?iea ?eceeo aeieeiaiiy ea???no coa?a oa
caoai?thaaiue ia?iaeiioa o ae?oae c iaoieia??th aioo??oi?o i?aai?a, ui
i?iaeeaathoue a aeieia?/ii iani?eyoeeaeo ?a??iiao ’’, ? Aea?ae.
?a?no?aoe?? 0196V013962.

Iaoa ? caaea/? aeine?aeaeaiiy.

Ia iniia? aea/aiiy iniaeeainoae oi?ioaaiiy ea??iciiai i?ioeano, noaio
oaa?aeeo oeaiei coa?a oa iniaeeainoae ee?i?/iiai ia?aa?ao caoai?thaaiiy
o ae?oae, ye? i?iaeeaathoue o ?a??ii? n??/aiiai ae?iaieoeoaa ?ic?iaeoe
aoaeoeaiee eiiieaen i?io?eaeoe/ieo caoiae?a, aaeaioiaaiee aeey ae?oae
aeine?aeaeoaaiiai ?a??iio.

Iaoith aeine?aeaeaiiy aecia/ai? ianooii? caaea/?:

1. Aea/eoe ?iciianthaeaeai?noue oa ?ioaineai?noue o?aaeaiiy coa?a
ea???nii, c’ynoaaoe iniaeeaino? eiai ee?i?/iiai ia?aa?ao a caeaaeiino?
a?ae a?eo, o ae?oae, ui iaoeathoue o ?a??ii? n??/aiiai ae?iaieoeoaa.

2. Ioe?ieoe a?a??i?/iee noai ?ioiai? ii?iaeieie, ??aaiue
nai?oa?ii-a?a??i?/ieo ciaiue o ianoaaeaieo ae?oae oa ?o ca’ycie c
?icaeoeii ea???no coa?a.

3. Aeine?aeeoe oa ioe?ieoe i?ia?ae?coth/o caeaoi?noue ci?oaii? neeie
oa ?? ?ioiieia?/i? iieacieee a ianoaaeaieo ae?oae, ye e?eoa???
aaeaioaoe?? aei aieeao /eiiee?a aeiae?eey.

4. Aea/eoe i?e?iaei? oa oaoiiaaii? oaeoi?e iaaeieeoiueiai na?aaeiaeua
ia oa?eoi??? n??eiiinii? aaii?ia?ioe?? oa ia??oiooaaoe ?o aieea ia
?icaeoie ea???no coa?a o ae?oae.

5. ?ic?iaeoe oa ioe?ieoe aoaeoeai?noue eiiieaeno i?io?eaeoe/ieo
caoiae?a, c o?aooaaiiyi aeciaaiieo oa aiaeiaaieo oaeoi??a, yeee ae
ni?eya cieaeaiith o?aaeaiino? coa?a ea???nii o ae?oae, ui i?iaeeaathoue
o n??eiiini?e aaii?ia?ioe??.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a.

Aia?oa aea/aii o?aaeai?noue coa?a ea???nii, iniaeeaino? eiai ee?i?/iiai
ia?aa?ao oa ??aaiue nai?oa?ii-a?a??i?/ieo ciaiue ? iaae/ie, noai a?a??ie
ii?iaeieie ?ioa o ae?oae, ui iaoeathoue o n??eiiini?e aaii?ia?ioe??.
Aeine?aeaeaii aca?iica’ycie i?ae aiaeiaaei iieacieeii, a’yce?noth oa
ai?noii eaeueoe?th o ci?oai?e neei? oa anoaiiaeaii ?o i?i?iinoe/ia
cia/aiiy aeey aecia/aiiy aaaeeino? ia?aa?ao ea??iciiai i?ioeano o ae?oae
c ?a??iio aeiaoaaiiy n??ee. Aia?oa ca ?acoeueoaoaie aea/aiiy
i?e?ie?enoae?caoe?? ci?oaii? neeie i?iaaaeaii ioe?ieo i?ia?ae?coth/iai
iioaioe?aeo neeie ca aaeueiith nenoaiith o ae?oae, ye? i?aeaeathoueny
cia/iiio aio?iiiaaiiiio iaaaioaaeaiith oa ia??oioiaaii iiaeeeaa ?o
canoinoaaiiy o i?iaiicoaaii? ea???no coa?a ? aeey ioe?iee aoaeoeaiino?
i?io?eaeoeee. Aeine?aeaeaii ai?no ?ioii?eiaoe?i?a o ci?oai?e neei?
ae?oae, ye? i?iaeeaathoue o ?a??ii? n??eiaeaeiaoaiiai eiiieaeno, a
caeaaeiino? a?ae nooiaiy aeoeaiino? ea???no coa?a. Aia?oa aeyaeaii e
i?iaiae?ciaaii /eiieee aeiae?eey ?a??iio n??/aiiai ae?iaieoeoaa, ye?
ni?eythoue aeieeiaiith ea???no coa?a o ae?oae oa iaoyaeothoue eiai
ee?i?/iee ia?aa?a.

Aia?oa ?ic?iaeaii oa ai?iaiaaii eiiieaen caoiae?a aeey i?io?eaeoeee
ea???no coa?a o ae?oae, ui i?iaeeaathoue o ?a??ii? n??/aiiai
ae?iaieoeoaa c o?aooaaiiyi aeieia?/ieo iniaeeainoae aeaiiai ?a??iio,
yeee aeeth/a? a?iaaii? noeioeyoi?e.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a.

I?aeoe/ia cia/aiiy iaoeiaeo iieiaeaiue ? aeena?oaoe?eieo aeniiae?a
iieyaa? o iiaeeeaino? aeei?enoaiiy ?ioi?iaoe?? i?i o?aaeai?noue coa?a
ea???nii o ae?oae, ui i?iaeeaathoue o n??eiiini?e aaii?ia?ioe??,
i?aaiaie i?aeoe/ii? noiiaoieia?? aeey ieaioaaiiy ooao?a aeeoy/eo
noiiaoieia?a, ?ic?iaee ?a??iiaeueieo i?ia?ai i?io?eaeoeee ea???no coa?a,
ioe?iee noaio noiiaoieia?/ii? aeiiiiiae ae?oyi.

Cai?iiiiiaai? e?eoa??? ioe?iee i?ia?ae?coth/i? caeaoiino? ci?oaii?
neeie, ye? ? ?ioi?iaoeaieie aeey aecia/aiiy ea???niaaiii? neooaoe?? a
?ioia?e ii?iaeiei?, aeicaieythoue i?iaiicoaaoe ?icaeoie ea??iciiai
i?ioeano, ioe?ithaaoe aoaeoeai?noue cae?enithaaii? ea???ni?io?eaeoeee,
ia iio?aaothoue niaoe?aeueiiai iaeaaeiaiiy ? ? aeinooiieie aeey
aeeiiaiiy a oiiaao noiiaoieia?/ieo iie?ee?i?e ? noiiaoieia?/ieo
eaa?iao?a oe?e ? aeioe?eueieo caeeaae?a.

Ii?aoeueiaaii oa ?aeiiaiaeiaaii eiiieaen caoiae?a ii i?io?eaeoeoe?
ea???no coa?a, aaeaioiaaiee aeey ae?oae, ui i?aeaeathoueny aieeaia?
oe?aeeeaeo i?e?iaeieo ? oaoiiaaiieo /eiiee?a, c aeei?enoaiiyi
a?inoeioeyoi??a ’’A?io?eo N’’ oa ’’A?iaeaio-2’’, ?ic?iaeaieo Iaeanueeei
IAe? noiiaoieia?? oa iaoeiai-ae?iaie/ei ia’?aeiaiiyi ’’Iaeanueea
a?ioaoiieia?y’’, i?aia?ao?a eaeueoe?th oa ooi?o, ui noaa?e?cothoue
caoeni? nenoaie i?aai?cio aeeoeie c o?aooaaiiyi nooiaiy o?aaeaiino?
coa?a ea???nii.

?acoeueoaoe aeine?aeaeaiue c iiceoeaiei aoaeoii ai?iaaaeaeaii o
i?aeoe/io ae?yeuei?noue ia ?a??iiaeueiiio oa iaeaniiio ??aiyo, a
noiiaoieia?/ieo onoaiiaao i. Eueaiaa, a oaeiae o noiiaoieia?/ieo
iie?ee?i?eao Oa?iii?euenueei? oa Caea?iaonueei? iaeanoae.

Iniiai? iaoeia? iieiaeaiiy aeena?oaoe?? aeeth/ai? aei eaeoe?eiiai
iaoa??aeo oa aeei?enoiaothoueny i?ae /an i?aeoe/ieo caiyoue c?
nooaeaioaie ia eaoaae?ao noiiaoieia?? aeeoy/iai a?eo Euea?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. Ae. Aaeeoeueeiai, Oa?e?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo oa Aeiiaoeueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo ?i. I. Ai?ueeiai, o oeeee? oaeoeueoaoo
aaeineiiaeaiiy aeeoy/eo noiiaoieia?a i?e eaoaae?? noiiaoieia?? aeeoy/iai
a?eo Euea?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. Ae.
Aaeeoeueeiai.

Iniaenoee aianie caeiaoaa/a

Aeena?oaoe?eia ?iaioa ? caaa?oaiei iaoeiaei aeine?aeaeaiiyi I. I.
E?oi- iee. Aaoi? iinoaaeea iaoo oa caaaeaiiy iaoeiai?
?iaioe, iiaioaaea oa aeeiiaea iaiao?aei? iaoiaeeee aeine?aeaeaiiy,
noi?ioaaea ee?i?/i? a?oie ae?oae. Ee?i?/ia ianoaaeaiiy ae?oae,
aeine?aeaeaiiy i?ia?ae?coth/i? caeaoiino? oa ?ioiiiai oiio ci?oaii?
neeie, aiae?c oa ?ioa?i?aoaoe?y aeaieo ee?i?ei-eaai?aoi?ieo
aeine?aeaeaiue cae?eniaia naiino?eii. Aeeeaaeai? o aeena?oaoe?? iaoeia?
iieiaeaiiy oa aeniiaee noi?ioeueiaai? aaoi?ii naiino?eii.

Ni?aaaoi?noai ?ioeo aeine?aeiee?a o 10 c 16 iaoeiaeo ?ia?o,
iioae?eiaaieo ca iaoa??aeaie aeena?oaoe??, caeaa?eueoiai a?aeaeca?eaeth?
?o eiinoeueoaoeaio aeiiiiiao, ni?ao/anoue o eaai?aoi?ieo aeine?aeaeaiiyo
oa /anoeiai o oaenoiaiio aeeeaae? io?eiaieo ?acoeueoao?a aeine?aeaeaiue.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??

Iniiai? iieiaeaiiy aeaiiai aeine?aeaeaiiy i?aaenoaaeai? oa iaaiai?ai? ia
IV eiioa?aioe?? PST ‘‘ Postepy w stomatologi?. Nie konwencjonalne metody
lecznenia‘‘ (i. Iiciaiue, Iieueoa, 1995); Anaoe?a?inuee?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? e?ea??a-noiiaoieia?a (i. Iieoaaa, 1996);
Ia?o?e Anaoe?a?inuee?e eiioa?aioe?? ‘‘Oai?aoe/i? oa i?eeeaaei? aniaeoe
nioe?iaeieia??‘‘ (i. Euea?a, 1996); iaoeiai-i?aeoe/i?e eiioa?aioe??
e?ea??a-noiiaoieia?a Cao?aeiiai ?a??iio Oe?a?ie (i. Euea?a, 1997);
i?aeia?iaei?e eiioa?aioe?? ‘‘ Fogarty International Center Environmental
Research Forum‘‘ (i. Euea?a, 1997); i?aeia?iaei?e eiioa?aioe??
‘‘Profilaktyka i biomaterialy w stomatologii‘‘(i. Iic-iaiue, Iieueoa,
1997); Ia?aae? ea??aiee?a noiiaoieia?/ieo neoaea ?a?iiaenueeeo e?a?i –
Council of European Chief Dental Officers, 11-th Autamn Meeting
(i. Aa?oaaa, Iieueoa, 1997); iaoeiai-i?aeoe/i?e eiioa?aioe?? “Iaaee/i?
oa aeieia?/i? i?iaeaie *a?aiiia?aaenueeiai ?a??iio‘‘(i. *a?aiiia?aae,
Euea?anueea iaeanoue, 1998); i?aeia?iaei?e iaoeiai-i?aeoe/i?e
eiioa?aioe?? ’’E?eciaee oa ia?aaee?eciaee noai aeiae?eey, ye ?acoeueoao
oaoiiaaiiiai aieeao ia aaieia?/ia na?aaeiaeua ? aaiii?oinoa?o’’ (i.
Euea?a, 1998 ), 76-?e Yaia?aeuei?e Nan?? Anana?oiuei? anioe?aoe??
noiiaoieia?/ieo aeine?aeaeaiue – 76th General Session and Exibiton of
IADR, (i. I?oea, O?aioe?y, 1998); 77-?e Yaia?aeuei?e Nan??
Anana?oiuei? anioe?aoe?? noiiaoieia?/ieo aeine?aeaeaiue – 77th General
Session of IADR, (i. Aaieoaa?, Eaiaaea, 1999).

Ioae?eaoe??

Ii oai? aeena?oaoe?? iioae?eiaaii 16 ae?oeiaaieo i?aoeue (a o./. 3 – o
iaoeiaeo aeo?iaeao, 6 – o ca??ieeao iaoeiaeo i?aoeue, 7 – o iaoa??aeao ?
oacao eiioa?aioe?e).

No?oeoo?a oa ianya aeena?oaoe??

Aeena?oaoe?y neeaaea?oueny c? anooio, aeaa’yoe ?icae?e?a, aeniiae?a,
nieneo aeei?enoaieo e?oa?aoo?ieo aeaea?ae ? aeaio aeiaeaoe?a: A –
’’Ea?oa ianoaaeaiiy ii?iaeieie ?ioa aeeoeie’’; A – eii?? aeo?a
ai?iaaaeaeaiiy. Iiaiee ianya aeena?oaoe?? neeaaea? 203 noi??iee. ?enoiee
(20), oaaeeoe? (37), aeiaeaoee (8) oa nienie aeei?enoaieo e?oa?aoo?ieo
aeaea?ae (332 a?ae?ia?ao?/ieo aeaea?aea) caeiathoue 92 noi??iee.

INIIAIEE CI?NO ?IAIOE

Iaoa??ae ? iaoiaee aeine?aeaeaiiy

Aeey ae??oaiiy iinoaaeaii? iaoe aoei i?iaaaeaii ee?i?/ia ianoaaeaiiy
1502 ae?oae, na?aae yeeo 867 ae?oae, ye? ia?iaeeeenue ? i?iaeeaathoue o
?a??ii? n??/aiiai ae?iaieoeoaa (iniiaia a?oia). Eiio?ieueio a?oio neeaee
635 i?aeoe/ii caei?iaeo ae?oae, iaoeaioe?a i?noa Eueaiaa.

Ca?aeii ?aeiiaiaeaoe?? ii noaiaea?oecaoe?? noiiaoieia?/ieo caoai?thaaiue
AIIC (1981), i?iaaaeaii ?iciiae?e ae?oae ? aeae?eaii eeth/ia? a?oie – 3,
6, 9, 12 ?ie?a. Ia eiaeio aeeoeio caiiaithaaee ?ic?iaeaio ia eaoaae??
noiiaoieia?? aeeoy/iai a?eo Euea?anueeiai aea?aeaaiiai iaaee/iiai
oi?aa?noeoaoo ’’Ea?oo ianoaaeaiiy ii?iaeieie ?ioa aeeoeie’’.

Aeey aecia/aiiy o?aaeaiino? coa?a ea???nii o ae?oae aeei?enoiaoaaee
iieacieee: iioe?ai?noue (a %) oa ?ioaineai?noue (ca ?iaeaenaie ei oa EIA
coa?a ? ii?iaeiei). ?iciianthaeaeai?noue oa ?ioaineai?noue ea???no
i?iaiae?ciaaii ie?aii aeey iiei/ieo ? iino?eieo coa?a.

?iaeea?aeoaeueiee ??aaiue ?ioaineaiino? ea???no (??E) ye aeey iiei/ieo,
oae ? iino?eieo coa?a aecia/aee ca?aeii ?aeiiaiaeaoe?e I. A. Eaona
(1992). Ae?oae eiaeii? a?eiai? ??aaeaoe?? aoei ?iciiae?eaii a?aeiia?aeii
aei aeoeaiino? ea???no ca iaoiaeeeith O. O. Aeiia?aaeiai? (1978) o
iiaeeo?eaoe?? I. ?. Niiey? ? ni?aaaoi??a (1981).

??aaiue noiiaoieia?/ii? aeiiiiiae ae?oyi ioe?ithaaee ca iieacieeii ?NAe,
(I. A. Eaon, 1988).

A?a??i?/iee noai ?ioiai? ii?iaeieie aecia/aee ca iaoiaeeeith TH. A.
Oaaei?iaa – A. A. Aieiaee?ii? (1971)

Aeey aecia/aiiy oaeoi??a ?eceeo, ye? iaoiiaeththoue ?icaeoie
ea???niaaiii? neooaoe??, iaie aeine?aeaeaii ie?ai? iieacieee ci?oaii?
neeie, ui oa?aeoa?ecothoue ?? i?ia?ae?coth/o caeaoi?noue. Caa?? ci?oaii?
neeie aeey aeine?aeaeaiiy i?iaiaeeany aac noeioeyoe?? /a?ac aea? aiaeeie
i?ney i?eeiio ?ae? oa iieineaiiy ?ioiai? ii?iaeieie aeenoeeueiaaiith
aiaeith, c aeia ii?iaeieie ?ioa ca aeiiiiiaith noa?eeueii? i?iaoee. O
i?e aecia/aee iniaeeaino? i?e?ie?enoae?caoe?? (IEN), (I. A. Eaon, 1977;
?. I. Aee/ei, ?. A. Oieeaanueea, 1988; E. A. Aeoa?ia?ia, 1988),
i?ia?ae?coth/ee iioaioe?ae (IIN), (O.I.Naeooe?ia, A. ?.Iicae??a, A. A.
Aoi/aa, 1992 ), a oaeiae eiioeaio?aoe?th eaeueoe?th (TH. O. Iaaeaiia,
1992). Aecia/aiiy ?I neeie i?iaiaeeeinue no??/eith ?iaeeeaoi?iiai iaia?o
0-12 (ae?iaieoeoaa *NN?). A’yce?noue neeie aei??thaaee a?ceiceiao?ii.
Iniaeeaino? IEN oa IIN aeine?aeaeaii o 307 ae?oae aei i?io?eaeoeee oa o
90 ae?oae i?ney ?? i?iaaaeaiiy. Aecia/aiiy ai?noo eaeueoe?th o ci?oai?e
neei? i?iaiaeeeinue o 120 ae?oae. Aiaeiaaee iieaciee aea/aii o 406
ae?oae oa o 193 aecia/aii a’yce?noue ci?oaii? neeie.

Aeine?aeaeaiiy ?ioiieia?/ieo aeanoeainoae ci?oaii? neeie ??oiooaaeinue
ia aea/aii? eiioeaio?aoe?? SIgA, IgA, IgG, IgM iaoiaeii ?aae?aeueii?
?ioiiaeeooc?? a a?a?iaiio aae? (ca M. Mancini, 1965). Aecia/aiiy ai?noo
iniiaieo eean?a ?ioii?eiaoe?i?a i?iaaaeaii o 280 i?iaao ci?oaii? neeie.

Aeine?aeaeaiiiy ieoii? aiaee oa ??oioo c n??eiiinii? aaii?ia?ioe??
aeeiioaaeenue o eaai?aoi??? Euea?anueei? aaieiai?ica?aeoaaeueii?
aeniaaeeoe?? AeAI ’’Cao?aeoe?aaieia?y’’ (’’Aiaea ieoueaaay. Iaoiaeu
aiaeeca Ainnoaiaea?o NNN?, 1984; Io?aia i?e?iaeu. Ii/au., Aineii. NNN?
ii noaiaea?oai, 1987; Naieoa?iua i?aaeea e ii?iu io?aiu iiaa?oiinoiuo
aiae, 1998).

A?aea?? c?ace?a ? aiae?c ?ineeiii? i?iaeoeoe?? ia ai?no aaeiaeo oi?i
aaaeeeo iaoae?a i?iaiaeeany o eaai?aoi??? o?i?? oa a?io?i?? ??oioo
?inoeoooo aeieia?? Ea?iao IAI Oe?a?ie (Iaaeeeiaeieiae/aneea o?aaiaaiey e
naieoa?iua ii?iu ea/anoaa i?iaeiaieuenoaaiiiai nu?uey e ieuaauo
i?iaeoeoia IIC NNN?, 1990). Iino?eia eiinoeueoaoeaia ?iaioa
i?iaiaeeeanue aeieoi?ii aaia?ao?/ieo iaoe oa aeieoi?ii
aaieiai-i?ia?aeia?/ieo iaoe, i?ioani?ii ?oaeueei A. ?.

Ee?i?/i? niinoa?aaeaiiy ii i?io?eaeoeoe? ea???no coa?a i?iaiaeeee o
ae?oae 3-o, 6-oe, 9-oe oa 12-oe ??/iiai a?eo, ye? i?iaeeaathoue o
?a??ii? n??/aiiai ae?iaieoeoaa. Iniiaio a?oio neeaee 120 ae?oae, ye?
ia?aeaeueii c naiaoe??th ?ioiai? ii?iaeieie oa a?a??i?/iei aeoiaaiiyi,
i?eeiaee i?ioeea??ici? caniae. O eiio?ieueio a?oio oa?eoei oaeiae 120
ae?oae, yeei e??i naiaoe?? ii?iaeieie ?ioa oa iaa/aiiy iaae/eai a?a??ie,
niaoe?aeueii? i?io?eaeoeee ea???no ia i?iaiaeeeinue. C iaoith aecia/aiiy
aoaeoeaiino? i?io?eaeoe/ieo caoiae?a a?aoiaoaaee i?e??no ea??icieo coa?a
? ii?iaeiei, ci?ie i?ia?ae?coth/i? caeaoiino? oa ?ioiiiai oiio ci?oaii?
neeie, a oaeiae e?euee?noue ia?aianaieo noiooi?o caoai?thaaiue ca
ia??iae niinoa?aaeaiiy a na?aaeiueiio ia iaeio aeeoeio.

Aa??aoe?eii-noaoenoe/io ia?iaeo ee?i?/ieo ? eaai?aoi?ieo aeine?aeaeaiue
cae?enithaaee ca aeiiiiiaith iaeao?a i?eeeaaeieo i?ia?ai aeey
noaoenoe/iiai aiae?co aeaieo iaaeeei-a?ieia?/ieo aeine?aeaeaiue
’’Statgraphics’’ (Manugistics, Inc., 1992) oa ’’Instat’’(Graph Pad
Software Inc., 1993). Aeinoia??i?noue io?eiaieo ?acoeueoao?a
ioe?ithaaee, ??oiooth/enue ia ?ic?aooieao e?eoa??th Nouethaeaioa,
aecia/aii? caeiiii??iinoae ei?aeyoe?? aeaieo (I. ?. Niiey?, ss. I.
Oaaei??a oa ni?aaao., 1995).

?acoeueoaoe aeine?aeaeaiue

Ioe?ithth/e caaaeueio aaio?i?/io oa?aeoa?enoeeo ?a??iio aeine?aeaeaiue,
anoaiiaeaii ia?aaeuaiy ai?noo aaaeeeo iaoae?a ?, ?? oa ??? eeano
iaaacia/iino? o ??oioao, ia eeoa ia ??ai? na?aaei?o cia/aiue, aea e
aaee/ei AAeE. Iaea?eueo nooo?aei ? ia?aaeuaiiy AAeE aeey Pb (4-e?aoia),
? (3-e?aoia), Cr (3-e?aoia), Ba (3-e?aoia). Aaaeeeaei /eiieeii
aeiae?eey, yeee ia? aaciina?aaei?e aieea ia oi?ioaaiiy noiiaoieia?/iiai
caei?ia’y o ae?oae, ? ieoia aiaea. Ca ?acoeueoaoaie ioe?iee
a?ae?io?i?/ieo ia?aiao??a o ?a??ii? n??/aiiai ae?iaieoeoaa,
niinoa??aa?oueny cia/ia ia?aaeuaiiy a i?e ??aiy Sr a?aeiinii AAeE (o 6-7
?ac?a). Ia?aeaeueii o ieoi?e aiae? aeyaeaii iaaecae/aeii iaeo
e?euee?noue F (0,08-0,30 ia/e) oa Br (0,02-0,12 ia/e), a a aeayeeo
i?iaao oe?eeiaeoo ?o a?aenooi?noue. E??i oiai o ieoi?e aiae? cian?i
a?aenooi?e ? (0 ia/e).

Aiae?coth/e c?acee ?ineeiieoeueei? i?iaeoeoe?? anoaiiaeaii ia?aaeuaiiy o
ei?aiaieiaeao ??aiy Zn (1,5-4 e?aoia), Pb (3-e?aoia), Cd (5-e?aoia)
noiniaii AAeE. Aiae?c ei?ia’y/iai iieiea ia ai?no aaaeeeo iaoae?a
na?ae/eoue i?i i?aeaeuaiee ??aaiue ?b (1,5 – e?aoia ia?aaeuaiiy AAeE) ?
i?i i?enooi?noue aenieiai ??aiy Sr (1,57 ia/ea), yeee aeey oeueiai
i?iaeoeoo ia ?a?eaiaioo?oueny. Ioaea, ci?ia aaio?i?/iiai oa
a?ae?io?i?/iiai noaoono ?a??iio, yea ? iane?aeeii oaoiiaaiaco,
aacoiiaii, ia? nooo?aee aieea ia oi?ioaaiiy noiiaoieia?/iiai caei?ia’y
aeeoy/iai ianaeaiiy o aeine?aeaeoaaiiio ?a??ii?.

?acoeueoaoe ee?i?/iiai ianoaaeaiiy ae?oae iieacaee, ui o?aaeai?noue
coa?a ea???nii o ae?oae, ye? i?iaeeaathoue o ?a??ii? n??/aiiai
ae?iaieoeoaa, oa o ae?oae eiio?ieueii? a?oie, nooo?ai a?aei?iia. Oae, o
ae?oae, ye? iaoeathoue o n??eiiini?e aaii?ia?ioe??, iioe?ai?noue ea???no
coa?a nyaa? 92,863,17 %, ui ia 21,53 % a?eueoa, i?ae o ae?oae
eiio?ieueii? a?oie (?0,05).

Ia?aeaeueii iaie c’yniaaii, ui nooi?iue aeoeaiino? ea???no o ae?oae
iniiaii? a?oie caeaaeeoue a?ae ai?noo eaeueoe?th o ci?oai?e neei?.
Iiiaeeiiee ea???n noi?iaiaeaeo?oueny i?aeaeuaiiyi ??aiy eaeueoe?th a
ci?oai?e neei? oa iaeaeuith eiai eiioeaio?aoe?y ? i?e ???-io nooiai?
aeoeaiino? ea???no – 2,200,03 iiieue/e. ??cieoey ? noaoenoe/ii
aeinoia??iith, ?0,2).

Aiae?c a?eiaeo iniaeeainoae ?iciiae?eo oei?a e?enoae?a o ci?oai?e neei?
na?ae/aoue, ui iaeni?eyoeea?oa ?o ni?aa?aeiioaiiy aeyaeaii o ae?oae 3-o
??/iiai a?eo iaeaeaio aeine?aeaeoaaieo a?oi. ? oei IEN cono??/a?oueny o
15,782,12 % ae?oae iniiaii? a?oie oa o o?aoeie ae?oae (32,452,94 %)
eiio?ieueii? a?oie, (?

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