Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»268110.69541/NRIPH.2025.01.002Научная статьяDental care in tuberculosis: opinion of patients and staff of tuberculous sanatoriumGaloyanArtur S.galoyan@ro.ruhttps://orcid.org/0000-0003-0406-0230ZagdynZinaida M.dinmetyan@mail.ruhttps://orcid.org/0000-0003-1149-5400AbdrahmanovaSumbul Z.sumbul.abdrahmanova@yandex.ruhttps://orcid.org/0000-0001-7176-6554FarhshatovIldus R.gluhovskaya@bk.ruhttps://orcid.org/0000-0003-2837-6029N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian FederationFSBI sanatorium “Gluchovskaya” of the Ministry of Health of the Russian Federation, Bashkortostan Republic, Belebeevskiy district, sanatorium “Gluchovskaya”020420251111717042025Copyright © 2025,2025<p>In phthisiological system, one of unsolved problems is the management of dental care to TB patients at various stages of their treatment. With aim to study the patients and medical staff opinion in anti-tuberculous facilities for dental care in TB, a survey among 69 patients and 93 medical staff of the tuberculous sanatorium Glukhovskaya using a handout questionnaire was conducted.Five questions were compared, one of which was open. Differences in the obtained data were assessed by z-test of two proportions performed using the NanoStat1.15 program. It was found that about half of the patients in tuberculous sanatorium (44.9%), most of whom have a relatively favorable medical and social structure (the proportion of those who have work is 40.6%, the proportion of those who do not have active TB is 82.6%), have been visited and preferred to be observed in private and district dental clinics, than in specialized dental structure of TB facilities. Low availability of information on dental care for TB patients was noted: 59.4% of patients did not find the information they were interested on websites and stands of TB dispensaries and other TB facilities. In addition, the knowledge of such information by medical staff of TB facilities is quite low: 44.5% of patients-respondents did not receive any information on dental care when applied to medical staff. To develop optimal directions for providing dental care to TB patients at all treatment stages, it is necessary to continue the study among patients with an active TB process and medical staff of TB dispensaries and TB hospitals.</p>dental care in tuberculosistuberculous sanatoriumTB patients’ opinion.стоматологическая помощь при туберкулезетуберкулезный санаториймнение пациентов с туберкулезом[1.Global Tuberculosis Report. 2023. Geneva: WHO; 2024.][2.VasilyevaI.A., BelilovskyE.M., BorisovS.E., SterlikovS.A. Multidrug resistant tuberculosis in the countries of the outer world and in the Russian Federation. Tuberculosis and Lung Diseases. [Tuberkulez i bolezni legkix]. 2017;95(11):5—17 (In Russian). DOI: 10.21292/2075-1230-2017-95-11-5-17][3.RusakovaL., ChernousovaL., KucheryavayD. Primary drug resistance of M. tuberculosis according to the Center of Excellence of the WHO Network of Supranational Reference Laboratories of the CTRI in 2016—2021. Medical Alliance. [Medicinskij Al`yans]. 2023;11(4):35—42 (In Russian). DOI: 10.36422/23076348-2023-11-4-35-42][4.YablonskiyP.K., VishnevskiyB.I., SolovyovaN.S., GalkinV.B. Frequency and structure of drug resistance of M. Tuberculosis in pulmonary and extrapulmonary tuberculosis. Tuberculosis and Lung Diseases. [Tuberkulez i bolezni legkix]. 2024;102(1):40—45 (In Russian). DOI: 10.58838/2075-1230-2024-102-1-40-45][5.SkryaginaE., KalechitsO., ZhurkinD., GlinskayaT., DyusmikeevaM., KlimukD., Saprykina Zh., VetushkoD., BobrukevichE., BelkoA. Multidrug-resistant tuberculosis in Belarus: incidence, development risks, prognosis. Clinical infectology and parasitology. [Klinicheskaya infektologiya i parazitologiya]. 2023;12(4):301—308 (In Russian). DOI: 10.34883/PI.2023.12.4.017][6.MakhmudovaP.U., MahmudovaR.U., ZakirovaK.A., NurovR.M., IsmatovaM.A. Epidemiological situation on multidrug-resistant forms of tuberculosis on the background of HIV infection. Journal of postgraduate medical education. [Vestnik poslediplomnogo obrazovaniya v sfere zdravooxraneniya]. 2022;(4):39—43 (In Russian).][7.GaloyanA.S. ZagdynZ.M. Dental care for TB patients (analytical review). Tuberculosis and socially significant diseases. [Tuberkulez i social`no znachimy`e zabolevaniya]. 2021;11(1(41):44—48 (In Russian).][8.KukurikaA.V., IurovskaiaI.A., IurovskaiaE.I. Tongue ulcer as a manifestation of secondary HIV-associated multidrug-resistant tuberculosis. Tuberculosis and Lung Diseases. [Tuberkulez i bolezni legkix]. 2022;100(2):48—52 (In Russian). DOI: 10.21292/2075-1230-2022-100-2-48-52][9.Amanda de Farias Gabriel, Laura Borges Kirschnick, Bruna Barcelos Só, Lauren Frenzel Schuch, Felipe Martins Silveira, Marco Antonio Trevizani Martins, Vivian Petersen Wagner, Márcio Ajudarte Lopes, Manoela Domingues Martins. Oral and maxillofacial tuberculosis: A systematic review. Oral Dis. 2023;29(7):2483—2492.DOI: 10.1111/odi.14290][10.Sharma S, Bajpai J, Pathak PK, Pradhan A, Singh P, KantS. Oral tuberculosis — Current concepts. J Family Med Prim Care.2019;8:1308—12. DOI: 10.4103/jfmpc.jfmpc_97_19][11.KurayazovA.K. Tuberculosis of the oral cavity, tonsils and pharynx in patients living in the Aral. [Vestnik nauki i obrazovaniya]. 2022;126(6—2):67—69 (In Russian). DOI: 10.24411/2312-8089-2022-10604][12.SpiridonovaO.I., EleskinaA.C., GaranovD.A., KomilovF.M.U.Clinical significance and diagnostics of tuberculosis of the oral mucosa. Innovations. Science. Education. [Innovacii. Nauka. Obrazovanie]. 2021;47:2454—2455 (In Russian).][13.RadyshevskayaT.N., StarikovaI.V., PopkovaN.L., BarkanovaO.N., GagarinaS.G., KaluzheninaA.A. Tuberculosis of oral mucosa. Volgograd journal of medical research. [Volgogradskij nauchno-medicinskij zhurnal]. 2014;4:3—6 (In Russian).][14.NikulichK.E., PavlovaA.S., SorokinA.E., SorokinaO.A. Risk factors of oral manifestation of tuberculosis. Problems of scientific thought. [Problemy nauchnoj mysli]. 2023;6(3):124—128 (In Russian).][15.ShukurovaN.T., MuratovaS.K., TuraevA.B. Medical tactic in diagnosis of oral tuberculosis. Bulletin of Science and Education. [Vestnik nauki i obrazovaniya]. 2020;18(part 2):86—91 (In Russian).][16.BansalR., JainA., MittalS. Orofacial tuberculosis: clinical manifestation, diagnosis and management. Journal of Family Medicine and Primary care. 2015;4(3):335—341.][17.SabahA.I., YusseinA.A., MustafaE.J. Orofacial tuberculosis: a diagnostic challenge. ID Cases. 2020.21:e00825. DOI: 10.1016/ j.idcr.2020.e00825][18.UteshevaI.Z., MurtazaevS.S., ParpievaN.N. Dental status and improvement of treatment of pathological changes in the oral cavity of children with tuberculosis. Bulletin of Science and Education. [Vestnik nauki i obrazovaniya]. 2021;117(14—2):26—31 (In Russian). DOI: 10.24411/2312-8089-2021-11401][19.LuninaN.A., VelikayaO.V., OleynikO.V. Pulmonary tuberculosis as a risk factor for the development of chronic generalization of periodontitis. System analysis and control in biomedical systems. [Sistemnyj analiz i upravlenie v biomedicinskih sistemah]. 2023;22(2):149—153 (in Russian). DOI: 10.36622/VSTU.2023.22.2.021][20.PayalS., SaurabhK.G., AtulKh., PrasadS.V.S., AbhishekM., ParulS., ShivamK. Oral health status and awareness among tuberculosis patients in Indian population. Indian Journal of Tuberculosis. 2015;62(3):162—165. DOI: 10. 1016/j.ijtb.2015.09.002][21.GazhvaS.I., ZaplutanovaD.A., EremeevA.F., ProninaL.L. The risk of developing chronic oral administration of sepsis in patients with pulmonary tuberculosis. The Journal of scientific articles “Health and Education Millennium”. [Zdorov`e i obrazovanie v XXI veke]. 2016;18(2): 238—241 (In Russian).][22.ClevelandJ.L. Tuberculosis epidemiology, diagnosis and infection control recommendations for dental settings an update on the Centers for Disease Control and Prevention Guidelines. Journal of the American Dental Association. 2009;140(9):1092—1099. DOI: 10.14219/jada.archive.2009.0335][23.Zemouri С., AwadS.F., VolgenantC.M.C., CrielaardW., LaheijA.M.G.A., J.J. de Soet. Modeling of the transmission of coronaviruses, measles virus, influenza virus, Mycobacterium tuberculosis, and Legionella pneumophila in Dental Clinics. Journal of Dental Research. 2020;99(10):1192—1198. DOI: 10.1177/0022034520940288][24.Burger MS, Abraham-Inpijn L, VissinkA. Tuberculosis in the dental office. Epidemiology, clinical view and prevention. Ned Tijdschr Tandheelkd. 2012;119(4):175—82. DOI: 10.5177/ntvt.2012.04.11215][25.MishinV.Yu., ZavragjnovS.P., MitroninA.V., MishinaA.V. Tuberculosis of the maxillofacial region. Phthisiology. Moscow: Geotar-Media; 2020 (In Russian).]