Subject. The article presents clinical, biochemical, immunological and microbiological results of a complex of therapeutic measures of chronic gingivitis in patients with chronic gastroduodenitis.
The aim of the study was to study the effectiveness of treatment of chronic gingivitis in patients with chronic gastroduodenitis with the use of the proposed method.
Methodology. The subject of the study was 155 persons aged 19 to 25 years with diagnosed chronic gingivitis and chronic gastroduodenitis, which were divided by stratified randomization into three groups: 1 group (primary) - 52 patients; 2 group (positive control) - 52 patients; Group 3 (negative control) - 51 patients. All groups were comparable in age (F = 2,355, p = 0,092) and sex (χ2 = 2,133, p = 0,334).
To study the state of free radical oxidation, the method of chemiluminescence (CL) of the oral liquid was applied on the device HL-003. The quantitative and qualitative content of oral microflora was determined using nutrient media: CHROMagar Orientation, CHROMagar Candida (France). The concentration in the oral fluid of the intercellular adhesion molecules sICAM-1 was carried out on the automatic enzyme immunoassay analyzer Lazurit and test systems manufactured by Vector-Best CJSC (Russia) and eBioscience (Austria).
Results. The use of the complex proposed by us significantly improved the parameters of the clinical examination (dental indices). In addition, the state of free-radical oxidation has normalized: at previously increased values of the light-emission sum (S) and its maximum value (I max), during the time of the study, their decrease occurred, while the lowered values - the increase to the level of normal values. The level of microorganisms of the orange and red complex decreased to normal levels, and the level of sICAM-1 also significantly decreased.
Conclusions. The scheme of treatment of chronic gingivitis with the use of NUTRIEL with laminaria and tooth elixir with chlorophyll in patients with chronic gastroduodenitis led to an increase in the duration of remission compared with the traditional treatment regimen.