Improvement of the Effectiveness of Surgical Treatment of Patients with Generalized Periodontitis and Osteopenia

I. R. Yarmoshuk, M. M. Rozhko, L. I. Pelekhan

Abstract


The issue of surgical treatment of patients with generalized periodontitis and osteopenia is particularly topical. Numerous studies have confirmed the benefits of surgical treatment procedures using osteoplastic material to stimulate repair process of periodontal tissues. The objective of the research was to improve the effectiveness of surgical treatment of patients with generalized periodontitis and osteopenia through the combined use of osteoplastic material and antiresorptive drugs in the preoperative and postoperative periods.

80 patients underwent treatment and clinical observation. The patients were divided into 3 groups. Group I included 20 patients who underwent surgical treatment according to conventional procedure. Group II included 20 patients who underwent surgical treatment with local application of osteoplastic material “Easy Graft”. Surgical treatment in Group III (20 patients) was conducted using osteoplastic material “Easy Graft” and antiresorptive drug “Bonviva”. Experimental group consisted of 20 apparently healthy individuals. The obtained results indicated that surgical treatment with the use of osteoplastic material and antiresorptive drugs promoted the most significant positive effect which was determined according to the dynamics of clinical scores. The combined use of osteoplastic material “Easy Graft” and antiresorptive drug “Bonviva” leads to stable process stabilization being confirmed by clinical study indices both in early and in remote postoperative period.

Keywords


generalized periodontitis; osteopenia; osteoplastic material; antiresorptive drug

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References


Mazur IP, Leonenko PV. The use of ibandronic acid in the combined treatment in generalized periodontitis in the exacerbation period. Ukraiinskyi medychnyi chasopys. 2013; 1: 65-72.

Borysenko AV. Biochemical substantiation of comprehensive treatment of generalized periodontitis by the scientists of the Therapeutic Dentistry of the Bohomolets National Medical University. Stomatologiya: ot nauki k praktike. 2014; 1: 12-20.

Humeniuk MI, Mazur IP, Ihnatieva VI [et al.]. Periodontal pathological processes in patients with chronic obstructive pulmonary disease. Astma ta alerhiia. 2013; 3: 28-34.

Tyvonenko LI, Fediankovych IM, Znachkova OA. Efficacy of Metronidazole-Amizon composition by aerosol inhalation in the treatment of generalized periodontitis. Parodontolohiia. Novyny stomatolohii. 2012; 3: 12-15.

Tsarev VN. Microbiology, virology and immunology of the oral cavity: textbook for dental faculties of medical universities. Moscow. 2013; 576.

Povorozniuk VV, Makkarenko VM. Osteoporosis and periodontal disease: is there relation or not? Implantolohiia. Parodontolohiia. Osteolpohiia. 2007; 3: 27-34.

Tsepov LM, Nakonechnyi DA, Holieva NA. Photodynamic therapy in the treatment of periodontitis. Klinichna stomatolohiia. 2011; 3: 58-59.

Baena-Monroy T, Moreno-Maldonado V, Franco-Martnez F. Candida albicans, Staphylococcus aureus and Streptococcus mutans colonization in patients wearing dental prosthesis. Med Oral Pathol. Oral Cir Bucal. 2005; 10: 27-39.

Bilhan H, Sulun T, Erkose G [et al.] The role of candida albicans hyphae and lactobacillus in denture-related stomatitis. Clin. Oral Investig. 2009; 13 (4): 363-368. Doi: 10.1007/s00784-008-0240-6.

Wakabayashi A, Nitta N, Igarashi H. Clinical and microbiologic effects of lingual cervical coverage by removable partial dentures. Int. J. Prosthodont. 2013; 26 (1): 45-50. Doi: 10.11607/ijp.3061

Kanli A, Demirel F, Sezgin Y. Oral candidosis, denture cleanliness and hygience habits in an elderly population. Aging Clinical and Experimental Research. 2005; 17 (6): 502-507.

Voronenko YuV. Dental care in Ukraine. Kyiv. 2014; 84.

Stomatov AV. The effectiveness of the use of autologous platelet gel in combination with intraosseous introduction of sodium hypochlorite in the surgical treatment of patients with chronic periodontitis. Thesis. Volgograd. 2012; 30.

Heorhiiev TD. Features of surgical treatment of generalized periodontitis in patients with decreased bone mineral density. Thesis. Odesa. 2005; 32.

Yarynich-Buchynska NP, Yuhov VK, Skrypnikov PM. The results of radiological examination of patients with generalized periodontitis after surgery. Novyny stomatolohii. Lviv. 2007; 3: 41-44.

Mazur IP, Stupnytska OM. Age features of structural and functional condition of periodontal tissues and bone tissue in women. Zdorovie zhenshchiny. 2012; 9 (75): 143-150.

Lehouck A. [et al.] COPD, bone metabolism and osteoporosis [Text]. Chest. 2011; 139: 648–657. Doi: 10.1378/chest.10-1427.

Silva DR [et al.] Osteoporosis Prevalence and Associated Factors in Patients With COPD: A Cross-Sectional STUDY [Text]. Respiratory Care. 2011; 56: 961–968. Doi: 10.4187/respcare.01056.

Graat-Verboon L [et al.] Whole-body versus local DXA-scan for the diagnosis of osteoporosis in COPD patients [Text]. J. of Osteoporosis. 2010; 2010: 640–878. Doi: 10.4061/2010/640878.

Saarela R, Soini H, Muurinen S [et al.] Oral hygiene and associated factors among frail older assisted living residents. Spec Care Dentist. 2013; 33 (2): 56‑61. Doi: 10.1111/j.1754-4505.2012.00314.x.




Copyright (c) 2017 I. R. Yarmoshuk, M. M. Rozhko, L. I. Pelekhan

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