scholarly journals Improvement of the scheme of treatment of periodontal tissue diseases in patients with urinary system pathology

2021 ◽  
Vol 108 (4) ◽  
pp. 16-19
Author(s):  
Yu. Kilmukhametova ◽  
◽  
V. Batig ◽  
O. Soltis ◽  
M. Ostafiychuk ◽  
...  
Keyword(s):  
Zinc Oxide ◽  
Periodontal Diseases ◽  
Periodontal Tissue ◽  
Urinary System ◽  
Traditional Treatment ◽  
Treatment Regimens ◽  
Periodontal Tissues ◽  
Treatment And Prevention ◽  
Periodontal Index ◽  
Before And After

The aim of the study. Study of the effectiveness of our proposed scheme of treatment of periodontal tissues in patients with pathology of the urinary system comparing to a traditional scheme. Research methods. The study involved 72 patients with pathologies of the urinary system: glomerulonephritis, pyelonephritis and urolithiasis. They were divided into 2 groups: basic and comparison. The first group received our treatment, which consisted of professional hygiene and subsequent application of a combination of ointments of Thiotriazoline and Zinc Oxide, and rinsing with 0.05% solution of Chlorhexidine bigluconate for 5 days. The traditional treatment consisted of professional oral hygiene and rinsing with 0.05 % chlorhexidine bigluconate solution twice a day for 5 days. Patients before and after treatment were examined and indexed. In patients with a complex of antioxidant drugs, the results were better than in patients who underwent traditional treatment of periodontal tissues. Scientific novelty. Periodontal tissue pathology is one of the predominant groups of diseases of the oral cavity, so the problem of their treatment or prevention is quite relevant. Periodontal diseases in patients with pathology of the urinary system to date are studied insufficiently. There are not enough studies about the causes, features of the course, treatment and prevention of periodontal pathologies in this group of patients. Therefore, the development of new or improvement of existing treatment regimens in patients with diseases of the urinary system is of considerable interest to both scientists and practitioners. Conclusions. Our results showed that our proposed scheme of treatment of periodontal tissues in patients with pathologies of the urinary system is more effective than traditional treatment. Key words: periodontal tissue disease, pathology of the urinary system, Thiotriazoline, Zinc Oxide, Chlorhexidine bigluconate, PMA, Russell periodontal index, CPITN.

scholarly journals Results of clinical and additional examination methods in the treatment of localized periodontitis

2021 ◽  
Vol 27 (1-2) ◽  
pp. 46-62
Author(s):  
A.G. Oliynyk ◽  
Keyword(s):  
Periodontal Diseases ◽  
Effective Control ◽  
Duration Of Treatment ◽  
Treatment Regimens ◽  
Periodontal Tissues ◽  
Antiseptic Treatment ◽  
Before And After ◽  
Examination Methods ◽  
The Stability ◽  
Destructive Processes

Aim. The study aims at enhancing the therapeutic effect and reducing the duration of treatment by using a solution of titanium dioxide in ozonated distilled water for antiseptic treatment of periodontal tissues. Material and Methods. Treatment results of local inflammatory changes of periodontal tissues in 128 patients (73 female, 55 male aged 21-65 years) were analyzed and classified by the severity of periodontal disease as: gingivitis, primary and moderate periodontitis. Schemes of medical actions differed in pharmacotherapy. In order to ascertain the most effective approach, the results of conventional and developed treatment complexes were compared. Results and Discussion. Digital indicators of the periodontal tissues condition following treatment presented common positive dynamic in all patients. However, significantly better results were obtained by using the developed method. According to the dynamics of bleeding index values, the proposed treatment regimens allow achieving more effective control over the inflammatory process. Digital indicators of hygiene showed that a better effect was reached after the suggested method - the dynamics of reducing the depth of periodontal pockets demonstrated clearer and statistically better results. Changes in the pH of the gingival fluid in a severe inflammatory condition indicated a considerable improvement after using the suggested treating method. X-ray data demonstrated the stability of digital values in the observation groups before and after treatment, which was interpreted as a sufficient control of destructive processes. Conclusion. Mathematical analysis of the presented data demonstrates the benefits of the developed method for the treatment of periodontal diseases, especially in non-surgical treatment regimens. The performed research confirms greater effectiveness of the therapeutic method in initial lesions, and thus it proves the efficiency of complex control for preventive purposes

scholarly journals Clinical evaluation of complex treatment and prevention of generalized periodontitis in patients with type I diabetes mellitus with cardiomyopathy

2021 ◽  
Vol 25 (3) ◽  
pp. 424-427
Author(s):  
R. Y. Shkrebnyuk ◽  
V. T. Dyryk ◽  
O. M. Vynogradova ◽  
N. I. Bodnaruk ◽  
O. V. Zubachyk
Keyword(s):  
Diabetes Mellitus ◽  
Type I Diabetes ◽  
Type I Diabetes Mellitus ◽  
Control Group ◽  
Type I ◽  
Periodontal Tissue ◽  
Prevention Measures ◽  
Traditional Treatment ◽  
Periodontal Tissues ◽  
Treatment And Prevention

Annotation. Diabetes mellitus is an acute problem, as evidenced by the large number of people suffering from this disease, and the tendency to significantly increase the incidence rate. The most serious complications of diabetes include cardiomyopathy, the pathogenetic aspects of which are being actively studied. Widespread inflammatory-dystrophic periodontal disease and an increase in the proportion of generalized periodontitis in patients with diabetes mellitus complicated by cardiomyopathy, makes the problem of effective treatment and prevention of this pathology among the most relevant. The purpose of the study: clinical evaluation of complex treatment and prevention of generalized periodontitis in patients with type I diabetes mellitus with cardiomyopathy according to the developed algorithm. Comprehensive treatment and prevention measures were performed in 127 patients with generalized periodontitis on the background of type I diabetes mellitus with cardiomyopathy, of which 82 patients were the main group, where treatment was carried out using our proposed treatment and prevention algorithm. The control group, in which treatment was carried out according to protocol methods, consisted of 45 patients. Clinical visual examination and determination of paraclinical indices were performed on day 30 after treatment. Statistical calculation of digital values was performed on a Pentium II computer using the statistical software package “Statgraphic 2.3” and “Microsoft Excel 2000”, the significance of changes was evaluated by t-test. As a result of the research it was found that on average, 30 days after treatment, in the main group where we used the proposed pharmacotherapy, “normalization” of periodontal tissues was studied in 26.83 % of patients, “improvement” – in 30.49 % of patients’ treatment was ineffective in 42.68 % of patients, with a reliability of p>0.05. In patients of the control group, where traditional treatment and prevention measures were used to treat generalized periodontitis, on average, “normalization” of periodontal tissue was recorded in 17.78 % of patients, “improvement” of periodontal tissue was found in 28.89 % of patients. Treatment was ineffective in 53.33 % of patients. Thus, as a result of research, it can be argued that in patients with generalized periodontitis on the background of type I diabetes mellitus complicated by cardiomyopathy, whose treatment was carried out using our treatment and prevention algorithm, which included local measures and general appointments, significantly improved periodontal tissues, as confirmed by clinical observation. In the control group, where traditional treatment regimens were used, the treatment of generalized periodontitis was ineffective. In further studies, it is planned to study the microbiome of the oral cavity in patients with generalized periodontitis on the background of type I diabetes mellitus complicated by cardiomyopathy.

scholarly journals Optimization of treatment and prevention of generalized periodontal diseases with the use of transgingival photoactived disinfection

2021 ◽  
pp. 31-36
Author(s):  
Valerii Burhonskyi ◽  
Sviatoslav Mykolaichuk ◽  
Valeriy Voitsekhovych ◽  
Vladimir Kholin ◽  
Anna Reva
Keyword(s):  
Laser Radiation ◽  
Oral Cavity ◽  
Periodontal Diseases ◽  
Lower Probability ◽  
Traditional Treatment ◽  
Periodontal Tissues ◽  
Non Invasive ◽  
Treatment And Prevention ◽  
Manual Skills ◽  
Intensity Radiation

The aim of the study is to develop protocols for the treatment and prevention of generalized periodontal disease using a nozzle that designed for transgingival photosensitizer activation. Methods. Analysis of available variants of irradiation nozzles for photoactivated disinfection. Circuit design and construction of authors’ irradiation nozzle for transgingival photosensitizer activation. Results. Based on the analysis of data, there was developed a nozzle design that allows treating periodontium areas within 4-6 teeth, evenly distributes the required power of laser radiation, and can be used in hard-to-reach areas of the oral cavity. Based on the above calculations, a nozzle for transgingival photosensitizer activation was created (jointly with Fotonika Plus, PE). To optimize the PAD procedure, there was created a protocol of transgingival photoactivated disinfection to be applied at the stage of professional oral hygiene, using the created irradiation nozzle NOU-9 of authors’ design, and diode 2 W laser LIKA-surgeon with a wavelength of 660 nm. The result is the accelerated procedure of transgingival photoactivated disinfection. Conclusions. The development of photoactivated disinfection technology allows supplementing the traditional treatment of generalized periodontal diseases. Studies of non-invasive, transgingival method of photosensitizer activation have recently become popular. This, in turn, carries a lower probability of cross-infection and less traumatization of periodontal tissues during the manipulation. The use of PAD cannot lead to resistance of the microflora in contrast to pharmacological antibacterial preparations. Carrying out PAD does not require any complex manual skills, the purchase of expensive equipment, provides an opportunity for widespread introduction of technology. The use of the therapeutic complex and protocols of PAD that were developed can significantly reduce the duration of the procedure, resulting in improved comfort for both the doctor and the patient. The NOU-9 irradiation nozzle allows reaching hard-to-reach areas of the oral cavity, distributing laser radiation efficiently and evenly on periodontal tissues. The LIKA-surgeon 2 W laser with a wavelength of 660 nm provides the operating parameters required to activate the photosensitizer. Due to low-intensity radiation, it is possible to enhance regenerative processes in the periodontium after traumatic intervention. Clinical studies on the antibacterial efficacy of the technology are ongoing

scholarly journals Clinical efficiency of ultraphonophoresis of Metrogyl Denta gel in mild periodontitis

2021 ◽  
Vol 25 (1) ◽  
pp. 48-53
Author(s):  
Alexander G. Volkov ◽  
Dmitry I. Morozov ◽  
Nataliya Zh. Dikopova ◽  
Egor E. Olesov ◽  
Alexandr I. Sinyakov
Keyword(s):  
Blood Circulation ◽  
Periodontal Diseases ◽  
Control Group ◽  
Comprehensive Treatment ◽  
Physical Factors ◽  
Periodontal Tissue ◽  
Moderate Severity ◽  
Functional Parameters ◽  
Periodontal Tissues ◽  
Periodontal Index

BACKGROUND: Periodontal diseases are one of the most common in dentistry. Along with the complications of caries, periodontitis is one of the causes of tooth loss. In the etiology of this disease, the leading role is played by the microbial factor, as well as microcirculatory disorders in periodontal tissues. The complex mechanism of periodontitis development involves a comprehensive treatment approach aimed at different links in the pathogenesis of the development of this disease. Among the numerous physical factors used in the treatment of periodontal diseases, ultraphonophoresis, which combines the effects of ultrasound and a medicinal substance, is not widely used. The study of the effectiveness of the use of Metrogil Denta gel ultraphonophoresis in the treatment of inflammatory periodontal diseases is of considerable scientific and practical interest. AIM: This study aimed to investigate the effect of ultraphonophoresis of gel on the clinical course of chronic generalized periodontitis of moderate severity. MATERIALS AND METHODS: Sixty patients (aged 3162) with chronic generalized periodontitis of moderate severity were examined and treated. In the main group (n=30), treatment included high-frequency ultrasound and antibacterial preparation of Metrogyl Denta gel applied to the periodontal tissue (ultraphonophoresis of Metrogyl Denta gel). In the control group (n=30 patients), Metrogyl Denta gel was injected into the periodontal tissue. RESULTS: Application of Metrogyl Denta gel for moderate periodontitis did not improve local blood circulation. Six months after treatment, nearly half of the examined patients showed signs of inflammation, which was accompanied by a worsening of periodontal index (PI), SchillerPisarev tests results, and rheography finding. Twelve months after treatment, 63% of the patients developed complications. CONCLUSIONS: There was further deterioration in the clinical and functional parameters. After ultraphonophoresis of Metrogyl Denta gel, there was a decrease in the readings of the SchillerPisarev test, PI, and normalization of the qualitative and quantitative indicators of the rheoparodontogram, which indicated a decrease in inflammation and activation of local blood circulation in the periodontium. In the long term after treatment, despite the increase in hygiene index, the relative stability of clinical and functional parameters was maintained. Even a year after treatment, the level of indicators did not reach the level obtained before treatment.

TO STUDY THE CPITN INDEX IN THE TREATMENT OF CHRONIC CATARRHAL GINGIVITIS AND CHRONIC GENERALIZED PERIODONTITIS OF MILD SEVERITY USING AN ADAPTOGEN-MODIFIED GEL

2021 ◽  
pp. 25-28
Author(s):  
Алик Эдикович Петросян ◽  
Наталия Владимировна Чиркова ◽  
Арпине Бронислави Антонян ◽  
Артем Игоревич Архипов
Keyword(s):  
Periodontal Diseases ◽  
Age Groups ◽  
Integrated Approach ◽  
Periodontal Tissues ◽  
Mild Degree ◽  
Treatment And Prevention ◽  
Comparative Aspect ◽  
Periodontal Index ◽  
Frequent Relapses ◽  
Anti Inflammatory

Актуальность постоянных научных исследований в области пародонтологии обусловлена большой частотой воспалительно-деструктивных заболеваний пародонта среди всех возрастных групп населения во всем мире. Лечение и профилактика данной патологии является одной из наиболее сложных и трудоемких в терапевтической стоматологии. На сегодняшний день существует множество лекарственных препаратов отечественного и зарубежного производства, предназначенных для лечения воспалительных заболеваний пародонта. Чаще всего в их состав входят антисептики, противовоспалительные компоненты, ферментные и витаминные препараты. Нехватка в составе данных лекарственных средств иммунокорригирующих препаратов и адаптогенов, в дальнейшем приводят к развитию частых рецидивов. Отсутствие комплексного подхода к лечению данных заболеваний не только приводит к длительному его течению, но и не редко приводит к хронизации процесса, что явилось предпосылкой для исследования влияния стоматологического геля, модифицированного адаптогеном на ткани пародонта при лечении хронического катарального гингивита и хронического генерализованного пародонтита легкой степени. Изучение научной литературы подтверждает, что применение в медицине адаптогенов, при лечении различных заболеваний, оказывает выраженное противовоспалительное, иммуномодулирующее, вяжущее и седативное действие. Данная статья предусматривает изучение комплексного пародонтального индекса у пациентов при лечении хронического катарального гингивита и хронического генерализованного пародонтита легкой степени тяжести в сравнительном аспекте The relevance of ongoing scientific research in the field of periodontology is due to the high frequency of inflammatory and destructive periodontal diseases among all age groups of the population around the world. Treatment and prevention of this pathology is one of the most difficult and time-consuming in therapeutic dentistry. To date, there are many medicines of domestic and foreign production intended for the treatment of inflammatory periodontal diseases. Most often, they include antiseptics, anti-inflammatory components, enzyme and vitamin preparations. The lack of immunocorrecting drugs and adaptogens in the composition of these drugs, further lead to the development of frequent relapses. The lack of an integrated approach to the treatment of these diseases not only leads to its prolonged course, but also not infrequently leads to the chronization of the process, which was a prerequisite for studying the effect of a dental gel modified with an adaptogen on periodontal tissues in the treatment of chronic catarrhal gingivitis and chronic generalized periodontitis of mild degree. The study of scientific literature confirms that the use of adaptogens in medicine, in the treatment of various diseases, has a pronounced anti-inflammatory, immunomodulatory, astringent and sedative effect. This article provides for the study of the complex periodontal index in patients in the treatment of chronic catarrhal gingivitis and chronic generalized periodontitis of mild severity in a comparative aspect

scholarly journals Стоматологічний статус осіб, схильних до регулярного активного куріння

2017 ◽  
Author(s):  
O. Ya. Lavrin ◽  
V. V. Shcherba ◽  
I. Ya. Krynytska
Keyword(s):  
Periodontal Disease ◽  
Periodontal Diseases ◽  
Pathological Process ◽  
Control Group ◽  
Periodontal Tissue ◽  
Active Smoking ◽  
Periodontal Tissues ◽  
Increased Risk ◽  
Periodontal Index ◽  
Central District

Smoking is associated with significantly increased risk of diseases of organs and tissues of the oral cavity, especially periodontal pathology and cancer of the mouth.The aim of the study – to investigate the prevalence, structure and clinical course of periodontal tissue diseases in people prone to regular active smoking.Materials and Methods. A study of 120 visitors who had undergone preventive examinations in the Clinic of Zbarazh Central District Municipal Hospital exposed to regular active smoking was performed. To assess the degree of inflammation in periodontal tissues we used marginally-papillary-alveolar index, periodontal index, the Green-Vermilyon index.Results and Discussion. Dental examination of persons exposed to regular active smoking, revealed periodontal disease in 102 individuals (85.0 %), intact periodont – 18 persons (15.0 %). At the same time, investigation of 30 control individuals showed periodontal disease in 12 persons (40.0 %), clinically healthy periodontal tissue – in 18 persons (60.0 %). PMA index of individuals exposed to regular active smoking, treated as severe gingivitis and was significantly higher than data of the control group in 2.5 times. Average numerical values of periodontal index in patients exposed to regular active smoking answered moderate periodontitis and significantly were higher than data of the control group in 4 times. Oral hygiene status in 62 % of those exposed to regular active smoking, was poor, 7 % – very poor, 22 % – satisfactory, 9 % – good. Average numerical values of Green-Vermilyon index in smokers was significantly higher than data of the control group in 3.1 times.Conclusions. Thus, smoking contributes to increasing of diffuse periodontal diseases and deepening of pathological process.

scholarly journals THE PREVALENCE OF PERIODONTAL TISSUE DISEASES IN YOUNG INDIVIDUALS ON THE BACKGROUND OF CROWDED TEETH

2018 ◽  
pp. 28-31
Author(s):  
A.V. Mandych
Keyword(s):  
Comparison Group ◽  
Periodontal Diseases ◽  
Adult Population ◽  
Study Groups ◽  
Main Group ◽  
Periodontal Tissue ◽  
Facial Skeleton ◽  
Old Patients ◽  
Periodontal Tissues ◽  
Upper Jaw

The abnormalities of maxillodental system take one of the leading places among diseases of the maxillofacial area. Thus, they are diagnosed more than in 50% cases among the younger population and in 30% cases among the adult population.   Most often, there are prerequisites for the incorrect position of individual teeth: anomalies are formed at the genetic level because of heredity of pathologies of size, amount, shape of teeth and size of the jaw bones of the facial skeleton. If the position of the teeth is incorrect, the periodontium retains the occlusal load of the functional injury. Therefore, the aim of our research was to study the prevalence of periodontal tissue diseases in young individuals on the background of crowded teeth. The material and research methods. The study was conducted on the base of Dental Center of Danylo Galytsky Lviv National Medical University during 2015−2017 years. 1146 people at the age from 18 to 44 years were examined. Every participant of research underwent general dental examination, as well as a special examination aimed at clarification of orthodontic treatment. The diagnosis of periodontal tissue diseases was made according to the classification of N. F. Danilevskyi and was determined using paraclinical indicators. The obtained results were worked out statistically using functions of MS Excel and Statistica 6. Results of the research and their discussion. The total number of the examined with orthodontic pathology was found on average in 77.24% of patients (885 people). At the same time, abnormalities of dental jaw system were not detected in about 261 (22.76%) of the examined. As a result of the conducted studies we found that among the examined without dental jaw abnormalities 38.89±.,32% of patients had intact periodontium, that was 1.6 times more for data in individuals with crowding − 23.73±2.00, p<0.01. At the same time, in patients of the main group the prevalence of periodontal tissue diseases was 1.2 times higher than in the examined of the comparative group (76.27±2.00% against 61.11±3.32%, respectively, p<0.01). It should be noted, that with the increase of the age of patients the prevalence of periodontal tissue diseases increased in both study groups, but in patients with crowded teeth this tendency was more pronounced. So, in the younger age group in patients with crowding the prevalence of periodontal diseases was 1.5 times higher in relation to the data of their peers from the comparison group (71.37±3.00% vs. 46.99±5.48%, p<0.01). In 27−35-year-old patients the prevalence of periodontal tissue diseases amounted to 72.38±4.03% of the examined of the main group and 65.62±5.94% of the examined of the comparison group, but the obtained data were not statistically significant, p>0.05. At the same time, in the patients of the main group aged 36−44 years the prevalence of periodontal tissue diseases was maximal and exceeded the value of their peers in the comparison group by 1.2 times (92.08±2.69% vs. 73.91±5.29%, respectively, p<0.01). The analysis of the obtained data allowed to assert that on average crowding of teeth on the upper jaw was found in 237 patients (52.55%) and on the lower jaw in 214 patients (47.45%). Thus, the maximum frequency of crowded teeth on the upper jaw was observed in the examined in the age range of 27−35 years, 60.16±4.41% of patients, with the minimum prevalence of this pathology in the youngest group (18−26 years), 49.34±4, 72%. The analysis of diagnostic structure of periodontal tissue diseases showed that inflammatory diseases of periodontal tissues (gingivitis, localized periodontitis) were found in patients with crowded teeth, on average 1.2 times more often than in patients without orthodontic pathology (42.42±1.88% vs. 36.33±3.54%, respectively, p<0.05). Conclusions. Thus, as a result of the conducted studies, higher prevalence of periodontal tissue diseases was proved in patients with crowding of teeth, which made progress in increasing the age of the examined than in patients without orthodontic pathology.

scholarly journals THE PERCENTAGE AND STRUCTURE OF PERODONT TISSUE DISEASES IN PATIENTS OF LVIV REGIONAL STATIONARY CLINICAL HOSPITAL DEPENDING ON AGE

2018 ◽  
pp. 16-21 ◽  
Author(s):  
M. М. Shevchuk
Keyword(s):  
Hospital Setting ◽  
Climatic Conditions ◽  
The State ◽  
General Level ◽  
Periodontal Tissue ◽  
X Ray ◽  
Periodontal Tissues ◽  
Periodontal Index ◽  
The Difference ◽  
Somatic Diseases

Epidemiological studies of recent years have shown a high prevalence of periodontal tissue diseases in the world and in particular in Ukraine. Significant influence on the prevalence of periodontal tissue diseases in the population is caused by many factors: this is the climatic conditions of the area and the general level of health of the population and the ecological situation in Ukraine and social conditions of life. One of the main common factors in the development of periodontal tissue diseases is the presence of concomitant pathology. Despite the current trends in dentistry to improve diagnostic and treatment methods, the introduction of advanced medical technologies, a significant reduction in periodontal disease among adult Ukrainian population is not observed. The aim of the study. To study the prevalence and structure of periodontal tissue lesions in patients with general - somatic diseases in order to develop a therapeutic algorithm in a hospital setting. Materials and methods. A common clinical dental examination of 512 patients from different departments of LRCH was carried out. Generalized periodontitis was diagnosed according to generally accepted clinical and pair clinical methods with the definition of periodontal index (PI) by Russel (1956); index of PMA for Parma (1960); functional stability of capillaries (FSK) for V. Kulazhenko in the dynamics of treatment. The state of oral hygiene was assessed before and after treatment with the Green-Vermillon Hygiene Index (GI) (1964). To establish the diagnosis, the classification of diseases of periodontal tissues by M.F. Danilevsky (1994) was used. About the state of the bone of the alveolar sprout were judged by the results of the X-ray examination, which was conducted according to indications and standardization of X-ray studies in dentistry NA Rabukhina (1991). It was mandatory to analyze a general clinical examination of blood. The degree of validity of the difference between the two averages was determined using the unilateral criterion (t) of the Student. The difference in the rates was considered reliable at t≤1.96, which corresponds to the required level of reliability for clinical studies with a reliability of the findings - 95.0% and a high level of their non-falsity (р˂0.05). Research results and their discussion. As a result of our research, we have established the following laws: in individuals of the Department of Cardiovascular Surgery, neurological and gastroenterological departments, the prevalence of nosological units of periodontal tissue was the same and did not differ with the probability of the data obtained among themselves; in patients with rheumatologic department, a significant prevalence of inflammatory diseases of periodontal tissues and initial forms of GP was determined by the decrease of the prevalence data of developed forms of GP in relation to the corresponding values in patients of other departments. Conclusions Consequently, as a result of our research, we found that the prevalence of periodontal tissue diseases in patients from different branches of LOCН was 75 %, which according to WHO criteria was characterized as high. With the increase in the age of those surveyed with various somatic diseases, the prevalence of lesions of tooth-retaining tissues increased: from 46.13% in patients ≤ 20 years old, to 88.15% in patients aged ≥ 50 years. More often in patients with concomitant somatic pathology, chronic generalized periodontitis were diagnosed in 65,63% of the examined patients. The inflammatory (6.25%) and dystrophic (7.62% of patients) periodontal tissues were significantly less likely to be detected. In patients with cardiovascular and rheumatologic diseases, the frequency of lesions of periodontal tissues was higher than in patients with neurological and gastroenterological diseases, which may be a significant factor in the development and course of periodontal pathology.

scholarly journals CONDITION OF PERIODONTAL TISSUES IN PATIENTS WITH DERMATOSES

2018 ◽  
Vol 14 (4) ◽  
pp. 54-57
Author(s):  
Н. Чернышева ◽  
N. Chernyshova ◽  
Сергей Чуйкин ◽  
Sergey Chuykin ◽  
Гузель Акмалова ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Periodontal Disease ◽  
Lichen Planus ◽  
Oral Lichen Planus ◽  
Periodontal Diseases ◽  
Complex Treatment ◽  
Adequate Treatment ◽  
Periodontal Tissues ◽  
Periodontal Index ◽  
Oral Lichen

Background. Periodontal disease is one of the most common and complex pathologies in dentistry. It is known frequently damage to the tissues of the periodontal complex with dermatoses. The most relevant among the dermatoses of the mucous membrane of the mouth and the red border of the lips is oral lichen planus. Among the six clinical forms of red flat oral lichen planus and the red border of the lips, the exudative-hyperemic and erosive-ulcerous forms occur most often. Atypical form is much less common than other forms and is often diagnosed by dentists as an inflammatory periodontal disease. At the same time, the pathogenetic mechanisms of inflammatory processes in the gums, which are different in oral lichen planus, are not taken into account, which, accordingly, complicates adequate treatment. Objectives. The aim of the study was to analyze the periodontal status in patients with exudative-hyperemic, erosive-ulcerative and atypical forms of oral lichen planus. Methods. Under our supervision there were 181 patients with oral lichen planus, in whom a simplified Green-Vermillion hygiene index was determined. To assess the state of periodontal used periodontal index according to Russell. Results. When assessing the hygienic condition of the oral cavity, high values were observed in individuals with severe forms of the disease: erosive-ulcerative, exudative-hyperemic. The highest values of the periodontal index were found in patients with atypical, erosive and ulcerative forms of oral lichen planus. Conclusions. The results of the clinical examination of patients with oral lichen planus dictate, first of all, to include in the scheme of complex treatment of it the sanitization of oral cavity and complex treatment of inflammatory periodontal diseases as well.

scholarly journals Індексна оцінка стану тканин пародонта в осіб із первинним гіпотиреозом

2017 ◽  
Author(s):  
A. V. Chornij ◽  
V. V. Shmanko
Keyword(s):  
Thyroid Gland ◽  
Oral Cavity ◽  
Oral Hygiene ◽  
Periodontal Diseases ◽  
Primary Hypothyroidism ◽  
The State ◽  
Periodontal Tissues ◽  
Periodontal Index ◽  
Index Evaluation ◽  
Index Estimation

In recent decades, both in the world and in our country, thyroid gland diseases are not only widespread, but also have a tendency to constant growth. Currently, more attention is paid to diseases of the thyroid gland that are associated with endemic foci of iodine defi ciency in soil and water.The aim of the study – to investigate the state of periodontal tissues in individuals with primary hypothyroidism.Materials and Methods. We conducted a survey of 86 people with primary hypothyroidism, 16 of them with manifestation and 70 with subclinical forms. A comparison group was 45 people without thyroid gland diseases. Index assessment of periodontal tissues included the defi nition of a simplifi ed oral hygiene index of the oral cavity of the Green-Vermillion (Oral Hygiene Index-Simlifi ed, Green-Vermillion, 1964), the degree of gingival infl ammation was determined by Parma (C. Parma, 1960, Papillary-Marginal Alveolar Index)), the state of periodontal tissues in the complex periodontal index (KPI) (1987), destructive changes in the bone tissue of the alveolar appendix were determined by the Fux index.Results and Discussion. The article presents the results of the index estimation of periodontal tissues in individuals with primary hypothyroidism. An analysis of the conducted index evaluation found that they had a poor level of hygienic state of the oral cavity. This was manifested by the development of infl ammatory and, to a lesser extent, infl ammatory and dystrophic lesions of periodontal tissues, as evidenced by papillarymarginalalveolar (PMA) and complex periodontal indices (KPI).Conclusions. Even more signifi cant changes in these indicators were found in individuals with a manifestation of hypothyroidism. So, we can conclude that in persons with primary hypothyroidism metabolic processes ofthe organism are violated, which leads through a number of pathophysiological changes to the activity of parodontopathogenic microfl ora and the development of infl ammatory and infl ammatory and dystrophic periodontal diseases.

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