scholarly journals PERIODONTAL STATUS IN PATIENTS WITH DISEASES OF HEPATOBILIARY SYSTEM, BURDENED WITH TOBACCO AND DRUG ADDICTION

2020 ◽  
Vol 73 (3) ◽  
pp. 517-520
Author(s):  
Anastasia I. Furdychko ◽  
Marta P. Ilchyshyn ◽  
Irena R. Fedun ◽  
Adriana Ya. Barylyak ◽  
Oksana M. Slaba ◽  
...  
Keyword(s):  
Iodine Number ◽  
Drug Addiction ◽  
Toxic Hepatitis ◽  
Comparison Group ◽  
Periodontal Diseases ◽  
Drug Addicts ◽  
Periodontal Tissues ◽  
Alcoholic Steatohepatitis ◽  
The Status ◽  
Chronic Toxic Hepatitis

The aim: To study the effect of drug addiction and smoking on the status of periodontal tissues in patients with hepatobiliary pathology. Materials and methods: 58 smokers, 63 drug addicts with hepatobiliary pathology were examined and 92 persons of comparison group (with inflammatory periodontal diseases affected by hepatobiliary pathology, without addiction). Examination of patients included determination of iodine number by Svrakov, S-L and Stallard hygiene indices, PMA index and index PBI. Results: The results of examination of smokers are worse in patients with cirrhosis than in patients with chronic toxic hepatitis and non-alcoholic steatohepatitis and also the results of these two groups was significantly worse than that of the comparison group (iodine number by Svrakov – 1,4 times and 1,3 times higher, PMA index – 1,7 times and 1,4 times worse, in accordance). The results of the study showed that drug addicts patients are worse values in patients with cirrhosis than in patients with chronic toxic hepatitis and non-alcoholic steatohepatitis and also the results of these two groups was significantly worse than that of the comparison group (iodine number by Svrakov – 1,5 times and 1,4 times higher, PMA index – 1,7 times and 1,5 times worse, in accordance). Conclusions: Presence of hepatobiliary pathology in smokers and drug addicts increases the risk of periodontal diseases.

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.

Features of periodontal diseases in patients with obstructive sleep apnea

2020 ◽  
pp. 52-55
Author(s):  
T.V. Budina ◽  
E.G. Margaryan ◽  
A.G. Ovsienko
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Periodontal Disease ◽  
Obstructive Sleep Apnea Syndrome ◽  
Comparison Group ◽  
Periodontal Diseases ◽  
Sleep Apnea Syndrome ◽  
Periodontal Tissues ◽  
Obstructive Sleep ◽  
Apnea Syndrome

Systemic diseases of the body, including obstructive sleep apnea (OSA), play an essential role in the pathogenesis of chronic generalized periodontitis. The main dental symptom of OSA is dry mouth due to oral breathing, which is a significant risk factor for periodontal disease. Purpose. Сlinical and laboratory assessment of periodontal tissues in patients with obstructive sleep apnea. Material and methods. The subjects of our study were patients from 35 to 65 years old. In total, 40 patients with obstructive sleep apnea syndrome and 30 patients who made up the comparison group were examined. Patients with obstructive sleep apnea syndrome were divided into three groups according to the severity of apnea. The first group included patients of women and men with mild apnea, the second group of men and women with moderate apnea, and the third with severe obstructive sleep apnea. Gum bleeding was assessed by the Mulleman-Cowell index, the degree of inflammation in the gum using the papillary-marginal-alveolar index (PMA). The hygiene index was evaluated by Quigle-Hein as modified by Tureski. Results. The hygienic condition of the oral cavity in patients with obstructive sleep apnea was rated as “unsatisfactory”. In the structure of the distribution of periodontal diseases in patients with obstructive sleep apnea, periodontitis of moderate severity prevails, while in the comparison group - periodontitis of mild severity. We also observed a correlation between the severity of apnea and the values of periodontal indices. Index data for mild severity and the data of the comparison group practically did not differ. While in severe apnea, the indices were much higher (average Muhlemann-Cowell index — 1.59±0.3, РМА — 57.49±0.87%) than the comparison group (average Muhlemann-Cowell index — 1.25±0.1, РМА — 38.84±0.93%). When assessing the qualitative composition of the oral microflora by PCR of patients with apnea, a higher number of P. gingivalis and A. Actinomycetemcomitans was revealed compared with the comparison group (p <0.02). Conclusions. According to the results of the dental examination, the prevalence of inflammatory periodontal diseases in patients with obstructive sleep apnea is higher than in the comparison group. The data obtained indicate a more severe periodontal disease in patients with obstructive sleep apnea compared with the comparison group.

scholarly journals Development features of periodontal tissues inflammatory diseases of nicotine-dependent patients with chronic toxic hepatitis

2020 ◽  
Vol 104 (5) ◽  
pp. 26-29
Author(s):  
Anastasia Furdychko ◽  
◽  
Marta Ilchyshyn ◽  
Adriana Barylyak ◽  
Irena Fedun ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Toxic Hepatitis ◽  
Inflammatory Diseases ◽  
Basal Layer ◽  
Underlying Disease ◽  
Elastic Fibers ◽  
Periodontal Tissues ◽  
Group I ◽  
Periodontal Index ◽  
Chronic Toxic Hepatitis

Introduction. Liver diseases and pathology of the organs of mouth cavity are interconnected. Smoking, usually increases the manifestations of the underlying disease and affects the course. The aim. To investigate the effect of chronic toxic hepatitis of nicotine-dependent patients and of patients without a bad habit on their periodontal status. Materials and methods. During the clinical examination of the oral cavity of 86 patients, the depth and incidence of inflammation of the gum were determined using the number of the Svrakov's number (SN); the conditions of hygiene of the oral cavity were estimated using the Silness-Loe (S-l) index; Periodontal Index (PMA) and Bleeding Index (PBI). General histomorphology was studied on drugs stained with hematoxilin-eosin and by the method of Gerlich and van Gieson. Results. It is established that the indicator of SN had the highest value among patients of group II (2,15±0,13), it was probably (p < 0.05) higher relatively to the group I and comparison group. In the smoking patients with chronic toxic hepatitis, in spinous layer of epithelium was determinanted karyorhexis, karyolysis with the formation of cell debris; basal layer cell proliferation, acanthosis, angiogenesis. We detected damage to collagen and elastic fibers of the periodontal, wich correlated with the intensity and duration of the bad habit. In areas of pronounced alterative changes colonies of bacteria were discovered. Conclusions. Thus, the results obtained in nicotine-dependent patients with chronic toxic hepatitis visualize damaging effect on the epithelium and weakening of the histohematic barrier of the oral cavity and promotes the reproduction and penetrationof pathogenic microflora into the underlying tissues.

scholarly journals EXPERIMENTAL LOW ENERGY NANOSECOND LASEROTHERAPY AND MICROSURGERY OF MODELING PERIODONTITIS USING MORPHOLOGICAL ANALYSIS

2019 ◽  
Vol 15 (1) ◽  
pp. 80-86
Author(s):  
Андрей Чунихин ◽  
Andrey Chunihin ◽  
Эрнест Базикян ◽  
Ernest Bazikyan
Keyword(s):  
Photodynamic Therapy ◽  
Morphometric Analysis ◽  
Comparison Group ◽  
Periodontal Diseases ◽  
Periodontal Regeneration ◽  
Main Group ◽  
Nanosecond Laser ◽  
Experimental Animals ◽  
Periodontal Tissues ◽  
Complex Therapy

Background. The problem of the treatment of periodontal disease is acute in modern dentistry. The multiplicity of etipathogenetic factors causing the development of periodontitis, malignations associated with the loss of teeth cause the search for new methods of complex therapy of periodontal diseases, including the inclusion of modern laser technologies. Purpose ― comparative assessment of the effect on the regeneration of periodontal tissues of nanosecond laser radiation with a wavelength of 1265 ± 5 nm of traditional photodynamic therapy using morphological and morphometric analysis in an in vivo experiment. Methodology. Modeling of periodontitis in experimental animals was performed using a ligature technique for 7 days. Treatment of periodontitis began with mechanical and drug treatment of pockets, then the animals were divided into three groups. In the first group, a new nanosecond laser device with a wavelength of 1265 ± 5 nm was used for treatment, the second used traditional photodynamic therapy using a chlorine E6 photosensitizer, in the third group until the end of treatment only drug therapy was used. On days 7, 14, 21, a visual assessment of the condition of periodontal tissues in experimental animals, morphological and morphometric analysis were performed. Results. On the 21st day of observation in the main group in the oral cavity, the periodontal regeneration process was completed, in the comparison group there are local pockets of shallow depth with granulation tissue. The morphological study showed that in the main group the number of full blood vessels in the field of view of the microscope at the later stages of treatment is 2.9 times higher than in the comparison group. Conclusions. The results of the study confirmed the need to include laser techniques in the complex therapy of periodontal diseases. The use of new laser technology of nanosecond laser therapy and microsurgery in the treatment of periodontal diseases contributes to shortening the procedure time, shortening the rehabilitation time, and stimulating vascular growth.

scholarly journals Development features of periodontal tissues inflammatory diseases of nicotine-dependent patients with chronic toxic hepatitis

2020 ◽  
Vol 103 (4) ◽  
pp. 18-21
Author(s):  
Anastasia Furdychko ◽  
◽  
Marta Ilchyshyn ◽  
Adriana Barylyak ◽  
Irena Fedun ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Toxic Hepatitis ◽  
Inflammatory Diseases ◽  
Basal Layer ◽  
Underlying Disease ◽  
Elastic Fibers ◽  
Periodontal Tissues ◽  
Group I ◽  
Periodontal Index ◽  
Chronic Toxic Hepatitis

Introduction. Liver diseases and pathology of the organs of mouth cavity are interconnected. Smoking, usually increases the manifestations of the underlying disease and affects the course. The aim. To investigate the effect of chronic toxic hepatitis of nicotine-dependent patients and of patients without a bad habit on their periodontal status. Materials and methods. During the clinical examination of the oral cavity of 86 patients, the depth and incidence of inflammation of the gum were determined using the number of the Svrakov's number (SN); the conditions of hygiene of the oral cavity were estimated using the Silness-Loe (S-l) index; Periodontal Index (PMA) and Bleeding Index (PBI). General histomorphology was studied on drugs stained with hematoxilin-eosin and by the method of Gerlich and van Gieson. Results. It is established that the indicator of SN had the highest value among patients of group II (2,15±0,13), it was probably (p < 0.05) higher relatively to the group I and comparison group. In the smoking patients with chronic toxic hepatitis, in spinous layer of epithelium was determinanted karyorhexis, karyolysis with the formation of cell debris; basal layer cell proliferation, acanthosis, angiogenesis. We detected damage to collagen and elastic fibers of the periodontal, wich correlated with the intensity and duration of the bad habit. In areas of pronounced alterative changes colonies of bacteria were discovered. Conclusions. Thus, the results obtained in nicotine-dependent patients with chronic toxic hepatitis visualize damaging effect on the epithelium and weakening of the histohematic barrier of the oral cavity and promotes the reproduction and penetrationof pathogenic microflora into the underlying tissues.

THE FUNCTIONS OF THE CRIMINAL-EXECUTIVE INSPECTION FOR THE MONITORING OF PRISONERS SUFFERING FROM DRUG ADDICTION

2020 ◽  
Vol 10 (2) ◽  
pp. 210-212
Author(s):  
TATYANA TIMOFEEVA ◽  
Keyword(s):  
Drug Addiction ◽  
Legal Regulation ◽  
Drug Addicts ◽  
Legislative Regulation

The article is devoted to the functions of the criminal Executive inspections of the Federal penitentiary service in monitoring convicted drug addicts. The statistical number of this category of convicts is analyzed, problematic issues are considered, contradictions and shortcomings in the legal regulation of the procedure for monitoring convicts suffering from drug addiction, and proposals are made to improve the legislative regulation of the procedure for monitoring convicted drug addicts.

Comparative analysis of polymorphic variants of IL-17A and MMP-1 genes with the risk of developing chronic periodontitis in petrochemical workers

2020 ◽  
Vol 60 (10) ◽  
pp. 687-693
Author(s):  
Iskander I. Zaidullin ◽  
Denis O. Karimov ◽  
Lilija K. Karimova ◽  
Milyausha F. Kabirova ◽  
Rasima R. Galimova ◽  
...  
Keyword(s):  
Ethylene Oxide ◽  
Chronic Periodontitis ◽  
Periodontal Diseases ◽  
Clinical Manifestations ◽  
Control Group ◽  
Periodontal Tissues ◽  
Dental Examination ◽  
Number Of Patients ◽  
Increased Risk ◽  
Harmful Substances

The susceptibility to the development and progression of inflammatory periodontal diseases, which depends on genetic and external factors (smoking, stress, oral hygiene), varies widely. In the development of these diseases, an important role is played not only by the presence of periodontal pathogenic microorganisms, but also by the presence of congenital or acquired immunodeficiency, immunoregulatory defects. The immune system plays a key role in the physiological and pathological processes of periodontal tissues. In this regard, IL17, produced by CD4+ Th cells, which has both Pro-inflammatory and protective activity, is of particular interest in the pathogenesis of periodontitis. The aim of study was to identify the relationship between polymorphic loci of the IL-17A (rs2275913) and MMP-1 (rs1799750) genes and clinical manifestations of chronic periodontitis in petrochemical workers. Dental examination was performed in 92 ethylene oxide production workers with chronic periodontitis and 74 patients with chronic periodontitis who did not come into contact with chemical factors (control group). Genotyping of polymorphisms rs2275913 of the IL17A gene and rs1799750 of the MMP1 gene was performed by allele-specific real-time polymerase chain reaction (PCR). Hygienic assessment of the degree of air pollution of the working area with harmful substances was carried out by gas chromatography according to the guidelines for the determination of harmful substances in the air № 5098-89, № 3119-84. When comparing the results of studies of both groups, there were no statistically significant differences in the frequency distributions of allelic variants and genotypes of the IL-17A and MMP-1 genes. The AA/AG genotypes of the IL-17A gene were associated with an increased risk of severe disease compared to the GG genotype in workers in the main group (OR=6.1; 95% CI 1.33-28.5; p=0.021) and in the control group (OR=7.26; 95% CI 1.34-39.25; p=0.016). Carriers of the A allele in the control group increased the risk of severe chronic periodontitis by 2.4 times compared to carriers of the G allele (OR=2.41; 95% CI 1.19-4.87; p=0.014). During the dental examination of employees of the ethylene oxide plant, the clinical course of periodontal diseases was more severe in comparison with the control group, and the number of patients with severe periodontitis was twice as high. It was found that the AA/AG genotypes of the IL-17A gene and the carrier of the A allele are associated with increased susceptibility to the development of severe chronic periodontitis. The association between the MMP-1 gene polymorphism and the risk of severe forms of chronic periodontitis has not been established. A risk factor for the development of inflammatory periodontal diseases in employees of the petrochemical complex is a complex of harmful production factors.

Multifocal Osteonecrosis Glucocorticoid Induced

2017 ◽  
Vol 68 (1) ◽  
pp. 200-202
Author(s):  
Alexandru Patrascu ◽  
Liliana Savin ◽  
Olivera Lupescu ◽  
Dan Mihailescu ◽  
Dana Nicoleta Mihai ◽  
...  
Keyword(s):  
Wilson Disease ◽  
Toxic Hepatitis ◽  
Left Shoulder ◽  
Hepatic Transplantation ◽  
Number Of Patients ◽  
Cementless Prosthesis ◽  
Chronic Toxic Hepatitis ◽  
Aseptic Osteonecrosis ◽  
Hemi Arthroplasty ◽  
Protective Treatment

The present study describes a 29 years old patient diagnosed with aseptic osteonecrosis with multiple localization occurred after a corticoid treatment for chronic toxic hepatitis. The clinical and para-clinical examinations determined the diagnosis of Wilson disease and avascular necrosis with multiple localizations. The evolution of the disease was favourable following the surgical treatment consisting of bilateral total hip arthroplasty with cementless prosthesis, hemi-arthroplasty of the left shoulder with cementless prosthesis, orthotopic hepatic transplantation with an entire liver from donor in cerebral death and immunosuppressive, anticoagulant, antiretroviral and gastro-protective treatment. There is an increase of the number of patients undergoing a glucocorticoids treatment for several months, years or lifelong periods. This type of treatment increases the risk of osteonecrosis depending on the dosage and the duration of the treatment.

Structural and Functional State of Erythrocyte Membranes at Drug Addiction

2021 ◽  
Vol 18 (1) ◽  
pp. 13-19
Author(s):  
A.I. Rabadanova ◽  
Keyword(s):  
Amino Acids ◽  
Drug Addiction ◽  
Functional State ◽  
Conformational Changes ◽  
Structural Integrity ◽  
Fluorescence Analysis ◽  
Heroin Addiction ◽  
Dimensional Structure ◽  
Erythrocyte Membranes ◽  
Drug Addicts

The steady growth in the number of drug addicts, especially among young people, dictates the need to find ways to prevent and treat this disease. In this regard, there is a need for a more detailed study of the mechanisms of the course of this disease using modern research methods, such as atomic force microscopy and fluorescence analysis of amino acid residues. Purpose of the work: to reveal the structural and functional state of erythrocyte membranes in drug addiction. Materials and methods. The studies were carried out on the erythrocyte membranes of 60 subjects suffering from heroin addiction. The shape and topography of the erythrocyte surface were studied, and spectral analysis of the proteins of the erythrocyte membranes was carried out. Results. The conducted AFM studies of erythrocyte membranes indicate the heterogeneity of the surface mechanical properties of the erythrocyte membranes of drug addicts. The data obtained indicate an acceleration of the aging process of erythrocytes in drug addiction, which goes in two ways: the formation of outgrowths on the plasmolemma, which subsequently die off (echinocytes) and invagination of the plasmolemma of erythrocytes (spherocytes). The fluorescence spectrum of amino acids in erythrocytes of drug addicts is characterized by a significant decrease in the intensity of almost all peaks and a shift of the fluorescence peak to the short-wave region. Findings. With drug addiction, changes in the structural integrity of red blood cells are noted. In people with drug addiction, in comparison with healthy people, there is a higher variability of the morphology of erythrocytes, which is expressed in a significant increase in the proportion of echinocytes and spherocytes against the background of a significant decrease in the number of discocytes. For the membrane proteins of erythrocytes of drug addicts, conformational changes are characteristic, manifested in a decrease in the intensity of fluorescence of aromatic amino acids, which indicates their structural modification and significant vulnerability of the hematopoietic system. They are largely determined by changes in the fluorescence intensity of tryptophan and, to a lesser extent, tyrosine, which indicates the preservation of the three-dimensional structure of the protein.

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