The application of an immunomodulator for the correction of the inflammatory process in periodontal tissues of the patients presenting with chronic generalized periodontitis

2016 ◽  
Vol 9 (3) ◽  
pp. 38 ◽  
Author(s):  
T. I. Sashkina ◽  
G. V. Poryadin ◽  
G. S. Runova ◽  
D. S. Dubrovin ◽  
D. K. Faskhutdinov ◽  
...  
Author(s):  
A. Ye. Demkovych

Introduction. Activation of lipid peroxidation is one of the trigger mechanisms of periodontium injury, which is primary caused by cellular damage. Reactive oxygen and nitrogen species (RONS) are able to cause damage to a cell as well as final products of lipid peroxidation, including unsaturated aldehydes and other metabolites. Objective. The aim of the research was to determine the role of RONS and accumulation of lipid peroxidation derivatives in initial development and formation of chronical inflammatory process in periodontium. Methods. Experimental periodontitis was modeled in animals by injection of complex mixtures of microorganisms diluted in egg protein into periodontal tissues. The results of biochemical studies of free radical processes activity in blood serum were evaluated by content of diene, triene conjugates, TBA-active products and total quantity of metabolites of nitric oxide (NO2–+NO3–), which were determined on the 7th, 14th and 30th days of the experiment. Results. Generation of active forms of oxygen is more influential, providing longevity of inflammatory process. This pays attention to typical dynamics of changes in active processes of lipid peroxidation in the development and course of experimental periodontitis. The study of inflammatory process with a bacterial-immune component in the rats’ periodontal complex proved accumulation of lipid peroxidation and nitric oxide metabolites in blood serum.Conclusions. The preservation of increased lipid peroxidation and nitric oxide metabolites in blood serum of the experimental animals with acute periodontitis conduce enhance of alteration and delayed healing that result in its sequel into chronical periodontitis.


2019 ◽  
Vol 15 (2) ◽  
pp. 128-134
Author(s):  
Фания Мирсаева ◽  
Faniya Mirsaeva ◽  
Тимур Ханов ◽  
Timur Hanov

Subject. The problem of complex treatment of candida-associated periodontitis is considered. The authors propose a two-component probiotic, which, due to antagonistic activity regarding periodontal pathogenic infection and fungi of the genus Candida, leads to the relief of the inflammatory process, positive dynamics and stabilization of immunological parameters. The aim ― to evaluate the dynamics of clinical and immunological parameters in the complex treatment of candida-associated periodontitis with an average degree of quantitative seeding of periodontal pockets using a two-component probiotic. Methodology. A clinical and laboratory examination of three groups (I, II, III) of patients with Candida-associated periodontitis with an average degree of quantitative contamination of periodontal pockets (> 3 <6 CFU / ml) was carried out. Patients I groups were prescribed the well-known complex treatment including an antimycotic drug, patients II groups included a two-component probiotic locally in the treatment complex, and patients III groups locally and per os. The state of the oral mucosa was assessed, PMA, PI, OHI - S were determined, and indicators of cellular and humoral immunity were examined. Results. The study made it possible to establish that the inclusion of a two-component probiotic in the complex of treatment of candida-associated periodontitis with an average degree of quantitative contamination of periodontal pockets with fungi of the genus Candida contributes to the relief of the inflammatory process, an increase in phagocytosis, the metabolic activity of neutrophils, the concentration of immunoglobulins A, lysozyme levels, and a decrease in the concentration of immunoglobulins. G, positive dynamics of other indicators of immunity and their stabilization. Conclusions. The inclusion of a two-component probiotic from two strains in the complex treatment of chronic hepatitis C associated with fungi of the genus Candida contributes to the rapid relief of the inflammatory process in periodontal tissues, positive dynamics and stabilization of cellular and humoral immunity parameters.


2020 ◽  
Vol 16 (1) ◽  
pp. 70-74
Author(s):  
Viktoriya Miroshnichenko ◽  
Alena Kokoreva ◽  
Anastasiya Safonova

Subject. Despite the constant efforts of practicing physicians and scientists, the prevalence proportion of inflammatory and destructive periodontal diseases in the world is not subsiding. Previously scientists have examined several different theories on the development of pathological conditions in periodontal tissues, ranging problems from the neurotrophic theory of occurrence to the effect of occlusion injury on periodontal tissues. Theories dealing with the influence of specific and non-specific bacterial plaque have also been studied. None of the theories has become reasonable and single valued. It is believed that the mechanism of the development of the disease is complex, autoimmune, damaging primarily collagen, elastic fibers of the capillary endothelium, gingival ligament and bone tissue. Over the past decade, it has been proven that inflammation in periodontal tissues is initiated and proceeds in response to the introduction of pathogenic bacteria. However, it can be said that not all patients develop an inflammatory response to bacterial invasion. The second important factor in the development and progression of the inflammatory-destructive process is the immune response of a particular individual. Scientists have noted the influence of the non-microbial factor and have come to the conclusion that in the surrounding tissues of the inflamed area there are not only enzymes secreted by bacteria, but also leukocyte proteinases, which in turn are mediators of the tissue destruction. Purpose ― to examine the role of leukocyte proteinases in the pathogenesis of inflammatory periodontal diseases. Methodology. The number of indigenous and foreign literature sources dealing with the study of the role of leukocyte proteinases in the development and maintenance of a destructive inflammatory process has been reviewed by us. Conclusion. The role of the aggressive destructive effect of leukocyte proteinases on periodontal tissues has been analyzed. Leukocyte proteinases are mediators of progressive destruction of connective tissue and can be used as markers to assess the severity of the course and predict the development of the inflammatory process in periodontal tissues.


2018 ◽  
Vol 14 (2) ◽  
pp. 42-47 ◽  
Author(s):  
Виктория Мирошниченко ◽  
Viktoriya Miroshnichenko ◽  
Марина Нагаева ◽  
Marina Nagaeva ◽  
Ольга Маренова ◽  
...  

Object. Catarrhal gingivitis treatment of patients was accompanied by marginal gingiva cytological examination. The number of epithelial and connective tissue cells was calculated. Then, their cytomorphometry was held with both: the definition of morphological classes of cell destruction and measurements of their functional morphology in the average cell destruction (ACD), cell cytolysis index (CCI), cell destruction index (CDI). Purpose. To conduct the cytomorphometry of periodontal tissue cells before treatment and during the treatment of patients with chronic catarrhal gingivitis. Methodology. The prevalence of the inflammatory process in the gingiva was estimated with the help of periodontal PMA index and the gingival sulcus bleeding index (sbi) by Miihlemann and Son. The Green-Vermillion hygienic index was determined. For cytological examination, the material was collected by cytochrome on fat-free surface of glass in the form of a single scrape from the marginal gingiva inflammation site. The place of sampling was not changed throughout the study. The resulting material was fixed on the glass and transferred to the cytological laboratory. Then the material was examined with a microscope in five fields of view under magnification. Result statistical processing was carried out in Statistika 6.0 programme. Results. In cytogram study for patients with healthy periodontium there were noted in a small number: lymphocytes (36±14), monocytes (6±1,87), plasmocytes (4±1,87), macrophages (1±1), neutrophils 96±29,89; for patients with chronic catarrhal gingivitis: lymphocytes 4150±108.1, neutrophils 1150±356,8, plasmocytes 60±16,6, macrophages 48,3±6,35, monocytes 21,6±2,5. Lymphocytes, macrophages and neutrophils reflect the change in clinical observation most clearly, as their number decreased to 14.5%, 12.8% and 7.32%, respectively within 14 days. Summary. Cytomorphometry of marginal gingiva cells was performed in the process of catarrhal gingivitis treatment. This method is informative for evaluation of periodontal tissues inflammatory process. It can be used for rapid diagnosis of periodontal disease, determining the effectiveness of treatment, prognosis of exacerbation. It is worth noting that the method is cheap and easily accessible.


2020 ◽  
pp. 65-70
Author(s):  
Inessa Minenko ◽  
Nelli Vanchenko

A smile is an important part of the attractiveness and beauty of a modern person [1]. Today, more than ever, it’s important to be a well-groomed and healthy person, in whom “...everything should be fine...” as the classic said. The vast majority of patients tend to lead a healthy lifestyle, which includes dental health as well [3]. Health of periodontal tissues directly depends not only on the proper oral hygiene carried out by patients at home, but also on an individually selected set of therapeutic measures performed by the dentist [4, 5]. Thus, dentists and related specialists should provide highly professional medical care in the treatment of inflammatory diseases of periodontal tissues to achieve maximum results, stop the inflammatory process and restore the periodontium as a whole [6, 7].


2020 ◽  
Vol 73 (5) ◽  
pp. 846-849
Author(s):  
Petro A. Hasiuk ◽  
Nataliia V. Malko ◽  
Anna B. Vorobets ◽  
Viktoriya V. Ivanchyshyn ◽  
Svitlana O. Rosolovska ◽  
...  

The aim: To determine the degree of severity of the inflammatory process in periodontal tissues of children living in different ecological conditions. Materials and methods: With the purpose of estimation of the condition of periodontal tissues the epidemiology examination of 642 children that live on territory with the high level of pollution and natural deficit of iodine and fluorine was conducted. Results: The study found that the increase of age of examined children causes the decrease of percentage of easy degree of severity of chronic catarrhal gingivitis, giving way to the advanced forms of the disease, and this process was more pronounced in children living in ecologically polluted region. In children-inhabitants of ecologically clean region easy degree of severity of chronic catarrhal gingivitis met more often than their peers living in environmentally polluted region. At the same time, average and heavy degree of severity of chronic catarrhal gingivitis in children living in ecologically contaminated region met more often than their peers, inhabitants of ecologically clean region. Conclusions. It was found that with increasing age of the examined children decreases the percentage of chronic catarrhal gingivitis of moderate severity.


2021 ◽  
Vol 26 (2) ◽  
pp. 26-32
Author(s):  
A.Ye. Demkovych ◽  
Yu.I. Bondarenko ◽  
O.O. Fastovets ◽  
A.O. Hrad ◽  
P.A. Hasiuk ◽  
...  

The article presents an assessment of the dynamics of changes in the content of the marker of collagenolysis – free oxyproline in the homogeniate of soft tissues and bone in experimental bacterial-immune periodontitis and elucidation of the effect of flavonol quercetin on these indicators. The aim of this study was to determine the role of cytokinogenesis and the effect of flavonol on it in the pathogenesis, development and course of experimental periodontitis. During the experiment, a fragment of the mandible was taken from the animals, from which the soft tissues and bone were carefully separated. The state of collagen was determined by the content of free oxyproline in the soft and bone tissues. The concentration was determined according to the calibration graph and expressed in μmol/g. The results of studies of the indicators of the state of biopolymers of connective tissue structures of periodontium on the 7th, 14th and 30th day of experimental bacterial-immune periodontitis and after its correction with flavonol (from the 7th to the 14th day of the experiment) are presented. The data on the nature of changes in the content of collagen monomers in the process of formation of the inflammatory focus in the periodontal complex are given. During the acute phase of the inflammatory process in rats there was revealed a slight increase in blood free oxyproline in bone homogenate and homogenate of soft periodontal tissues, on the 14th day the dynamics continued to increase, at a later stage of the experiment, namely on the 30th day, increase in bone resorption continued  as compared to the 7th and 14th day. During the correction of disorders resulted from  the development of this pathological process there was a decrease in the level of free oxyproline in the bone homogenate and homogenate of soft tissues of mandibular periodontium, as compared to the same indicators of animals who did not receive quercetin on the 14th day. The use of flavonol quercetin, which, by affecting immune processes, limited the inflammatory response in periodontal tissues and stabilized collagenolysis processes in periodontal tissues was manifested by a decrease in free oxyproline in bone and soft tissue homogenates of experimental animals.


Author(s):  
S.S. Bauman ◽  
O.V. Sheshukova

Diseases of gastrointestinal tract refer to the most widespread patholigical conditions of infancy and constant 25,5-31,3% from general mirbidity. Inflammatory diseases of gastrointestinal tract are often accompined with damage of dentofacial system. Oral cavity is the first element of gastrointestinal tract, so even the smallest changes can have manifestations on oral mucosa, periodontal tissues, teeth of children. Microflora in oral cavity and endogenic and pathogenic factors can give an opportunity to define dental diseases in children with diseases of gastrointestinal tract to diseases of systemic factors of etiology and pathogenesis. The aim is to analyze data about correction between oral cavity disorders with diseases of different regions of gastrointestinal tract in order to determine further developments of possible preventive measures, which will prevent the development of damage. The problem of periodontal tissues in children is one of the main issue for modern dentistry. Scientific investigations proved that initial changes during catarrhal gingivitis without timely treatment causes severe forms of parodontitis. Low level of oral hygiene is the main factor of plaque formation, which has high potential for pathogenic factor and it can seen as the main factor of inflammatory process of periodontal tissues. Transcription factors are factors present in cytoplasm of main cells and during activation they are transported in the nucleus to regulate the manufacturing of Inflammatory mediators. However, there are a lot of Information about inflammatory mediators of periodontal tissues damage, but nowadays the role of transcription factors has not studied yet. Nuclear factor-kappa B(NF-kB) and signal arrangaments and transcription activators 3(STAT3) are two main factors of transcription, involved in chronic Inflammatory diseases. But their significance in periodontal tissues, pathogenesis has not studied. Researches proved, that cytokines are trigger of inflammatory process in periodontal tissues and precusors of patholigical changes. Cytokines are primary line of activation of immune response, determine the efficacy and type of immune reaction on infectious and non-infectious agents, regulate inflammatory immune reactions. Having analyzed different scientific sources, it has been defined, that nuclear factor of transcription NF-kB and its manifestations during periodontal tissues inflammation in children has not practically studied. 


2020 ◽  
Vol 16 (3) ◽  
pp. 30-36
Author(s):  
Elena Semencova ◽  
Vladimir Bazarnyy ◽  
Yuliya Mandra ◽  
Larisa Polushina ◽  
Elena Svetlakova

Subject. With increasing age of patients, in many cases, the severity of periodontal diseases also increases, and dystrophic ones join the inflammatory processes. Local predisposing factors in the oral cavity are aggravated by concomitant somatic diseases and a decrease in compensatory processes against the background of physiological aging. Literature data indicate that the manifestations of the physiological process of aging and pathological processes (inflammatory and dystrophic) can be clearly observed on the example of buccal epithelial cells. The aim is to identify the relationship between the age of patients, their periodontal status and the cytological characteristics of buccal epithelial cells. Methodology. All study participants were divided into two groups: the first included patients with a conditionally healthy periodontium (72 people), the second - with a chronic inflammatory process in the periodontium (57 people). In accordance with the WHO classification, a gradation of age was carried out: young (18―44 years old), mature (45―59 years old), elderly (60―74 years old), senile (75―90 years old). All patients underwent a comprehensive dental examination, sampling and cytological examination of the buccal epithelium, calculation of the integral indices of the buccal cytogram. Results. In healthy patients, a weak positive correlation was established between the cytogenetic index, the index of the accumulation of cytogenetic disorders and age, a weak negative correlation was found between the proliferative index and age. In patients with an inflammatory process in the periodontal tissues, a multidirectional change in the values of the buccal cytogram indices was observed, which may indicate an imbalance in the processes of regeneration, apoptosis, and cellular damage in inflammatory periodontal diseases in older age groups. Conclusions. In patients with healthy periodontal disease, a regular accumulation of cytogenetic disorders occurs with increasing age, while proliferative activity, on the contrary, decreases. Patients with inflammatory phenomena in the periodontal tissues are characterized by imbalance, impaired coordination of regeneration and apoptosis processes, combined with the most pronounced reactivity in the middle age period.


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