Rofail Rakhmanov Doctor of Medicine, Full Professor, Professor of the Department of Hygiene, Privolzhsky Research Medical University, Ministry of Health of the Russian Federation; 603950, Nizhny Novgorod, pl. Minina and Pozharskogo, 10/1; e-mail: raf53@mail.ru
Elena Bogomolova Doctor of Medicine, Professor, Head of the Department of Hygiene, Privolzhsky Research Medical University, Ministry of Health of the Russian Federation; 603950, Nizhny Novgorod, pl. Minina and Pozharskogo, 10/1; e-mail: olenabgm@rambler.ru
Sergey Razgulin Doctor of Medicine, Associate Professor, Head of the Department of Disaster Medicine, Privolzhsky Research Medical University, Ministry of Health of the Russian Federation; 603950, Nizhny Novgorod, pl. Minina and Pozharskogo, 10/1; e-mail: nauka@pimunn.ru
Gamzat Bakhmudov PhD Candidate in Medicine, Head of the medical service in the medical unit of the military unit No. 51410; 367000, Makhachkala, pr. Nasrutdinova, 14 km; e-mail: gamsat@yandex.ru
Murat Alikberov PhD Candidate in Medicine, Head of the dental department in the medical unit of the military unit No. 51410; 367000, Makhachkala, pr. Nasrutdinova, 14 km; e-mail: alikberovm@mail.ru
Sergey Zhargalov Head of the Center for Sanitary and Epidemiological Surveillance of the military unit No. 51410; 367000, Makhachkala, pr. Nasrutdinova, 14 km; e-mail: szhargalov@mail.ru
Dmitriy Nepryakhin PhD Candidate in Medicine, Associate Professor of the Department of Hygiene, Privolzhsky Research Medical University, Ministry of Health of the Russian Federation; 603950, Nizhny Novgorod, pl. Minina and Pozharskogo, 10/1; e-mail: mutassyevo@mail.ru
The prevalence of diseases of the oral cavity in military personnel serving under the contract at various altitudes above sea level in Dagestan was estimated. The working conditions and the influence of physical environmental factors at the effective temperature in the autumn-winter-spring periods of the year are estimated. Professional activity belonged to the category of works IIb. Labor was assessed as harmful 2 degrees (class 3.2). In the winter season, a critical risk of frostbite of the body at medium temperatures and maximum wind was found at heights of 4 m and 1661 m. In the spring and autumn, a moderate risk of frostbite was noted at all altitudes. Dental diseases were registered in the classes «Neoplasms», «Diseases of the digestive system» and «Injuries and poisoning»; their share in the total structure was 15.03%. In the class «Diseases of the digestive system,» the share of dental diseases reached 80.2%. The group «Caries, its complications and other diseases of hard tissues of teeth» occupied the 1st rank place in the structure of morbidity, which is equal to morbidity in the class «Respiratory diseases». The level of oral hygiene is 2.8 ± 0.2 (very low): the teeth are significantly covered with plaque, leading to the progression of pathological processes. Description of the dental status: KPU index (carious, filled, extracted tooth) is 8.5 ± 0.3. The prevailing indicator was «carious», indicating an active carious process in the tissues of the teeth and the «lag» of the treatment, leading to their removal. Military personnel approached a critical indicator of fitness for professional activity. The need for oral sanitation reached 65.5 ± 7.9%. The share of labor losses for dental diseases of the class «Digestive apparatus diseases» reached 3.2%, excluding separation from duty on the day of treatment, of which there are several. The study proves the impact of adverse working conditions on dental morbidity, the need for their assessment to identify risk factors and develop preventive measures.
