EFFECTIVENESS OF RESTORATIVE TREATMENT OF GENERALIZED PERIODONTITIS IN PATIENTS LIVING IN ECOLOGICALLY POLLUTED AREAS OF PRYKARPATTIA
DOI:
https://doi.org/10.32782/2522-1795.2024.18.7Keywords:
generalized periodontitis, microbial factor, hygienic index, periodontal-alveolar-marginal index, treatmentAbstract
Introduction. Generalized periodontitis often affects young people, especially those who work or live in environmentally unfavorable conditions. Aim of the study is to investigate the effectiveness of restorative treatment of generalized periodontitis in patients living in environmentally polluted areas. Research methods are clinical, radiographic, cytological, biochemical and statistical. Results. The results of the periodontal index and the periodontal-alveolar-marginal index showed the dynamics of deterioration of the indicators of the index assessment of the state of the periodontal tissues with an increase in the degree of development of generalized periodontitis. The parameters of the papillary-marginal- alveolar index in the Parma modification in patients with generalized periodontitis of the 1st stage living in ecologically polluted areas were significantly higher than in patients living in relatively clean areas. The results of ultrasound osteometry indicated a decrease in jaw bone density in patients with generalized periodontitis who live in environmentally unfavorable conditions. The results of biochemical monitoring showed that all patients had pronounced changes in pro-oxidant-antioxidant homeostasis. Based on the results of clinical and laboratory studies, we have developed a complex influence on the main links of the pathological process, which acts both at the local and general level and affects the main links of the pathogenesis of inflammatory periodontal diseases. So, after three months, we achieved almost the same improvement in both groups of patients, indicating a reduction in the inflammatory process. But after 6 and 12 months, a more significant improvement was observed in patients with generalized periodontitis of the 1st stage. Conclusions. The success of any treatment for patients with generalized periodontitis who live in environmentally unfavorable conditions is to not only eliminate the inflammatory symptoms of the disease but also to prevent the progression of inflammatory dystrophic changes.
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