AbstractGeneralized periodontitis is the most common form of periodontal pathology, especially in the second half of life. Nowadays, the problem of periodontal disease is relevant due to its high prevalence, tendency to progression, multifaceted influence on the dentoalveolar system and the whole organism as well as uncertain treatment. Therefore, there is a need to find optimal ways of prevention and treatment of this disease. Close relationships between periodontal pathology and systemic diseases, such as hypertension, which affects every 2nd-3rd adult were determined.The objective of the research was to determine the status of oral cavity hygiene in patients with generalized periodontitis of II degree and stage II hypertension.Materials and methods. The study included 30 patients with generalized periodontitis of II degree and stage II hypertension being treated in the Ivano-Frankivsk Regional Clinical Cardiology Dispensary; the average age ranged from 35 to 54 years (the main group). The control group included 10 patients of the same age without generalized periodontitis and somatic pathology .The status of oral cavity hygiene was determined using the Green Vermillion index. The diagnosis of periodontal disease was made on the basis of the classification proposed by M.F. Danilevskyi. The obtained results were subjected to variation-statistical analysis using statistical package “Stat Soft 6.0”; classical methods of variational statistics were applied; mean values and their reliability were evaluated.Results. The results of examination showed poor oral hygiene in almost all patients. The analysis of hygienic indices showed the following results: in patients of the main group, the Green Vermillion index was 1.99 ± 0.13 points (p<0.001) which corresponds to unsatisfactory level of oral hygiene. In patients of the control group, this index was 1.10 ± 0.17 points which corresponds to satisfactory level of oral hygiene. According to the index, 9 (30.0%) patients of the main group had satisfactory oral hygiene, 12 (40.0%) patients had poor oral hygiene, and in 9 (30.0%) patients, poor oral hygiene was observed.In the control group, 2 (20.0%) patients had good oral hygiene, 6 (60.0%) patients had satisfactory oral hygiene and in 2 (20.0%) patients, unsatisfactory oral hygiene was observed. There were no patients with poor oral hygiene. The analysis of the indicators of the Green Vermillion index showed that in case of the pathological process exacerbation the oral hygiene status in patients deteriorated.Conclusions. The level of oral hygiene in patients of both groups was low due to incorrect selection of personal hygiene products or their untimely replacement. In patients with generalized periodontitis of II degree and stage II hypertension, the level of oral hygiene was lower than in somatically healthy persons: the worse status of oral cavity hygiene – the more pronounced changes in the periodontal tissues. We can suppose that high blood pressure affects the status of the oral cavity, creates a higher risk and exacerbates the periodontal diseases.
Biloklytska HF, Panchenko LM, Braun YuYe. Reheneratyvnyi potentsial kistkovoii tkanyny u khvorykh na heneralizovanyi parodontyt II, II-III st. ta analiz ioho znachennia pry provedenni khirurhichnykh vtruchan na parodonti. Ukraiinskyi stomatolohichnyi almanakh. 2016;1:29–30
Bosshardt DD. Biological mediators and periodontal regeneration : a review of enamel matrix proteins at the cellular and molecular levels. J Clin Periodontol. 2008;35:87–105. DOI: http://doi.org/10.1111/j.1600-051IX.2008.01264.x
Carlsson J. Bacterial metabolism in dental biofilms. Adv Dent Res. 1997;11:75–80. DOI: http://doi.org/10.1177/08959374970110012001 [PMid: 9524445]
Cortellini P. Clinical and radiographic outcomes of the modified minimally invasive surgical technique with and without regenerative materials: a randomized-controlled trial in intra-bony defects. J Clin Periodontol. 2011;38:365–373. DOI: http://doi.org/10.1111/j.1600-051X.2011.01705.x
Deutsch D. Amelogenin, a major structural protein in mineralizing enamel, is also expressed in soft tissues: brain and cells of the hematopoietic system. Eur J Oral Sci. 2006;114:183–189. DOI: http://doi.org/10.1111/j.1600-0722.2006.00301.x
Dietrich T, Garcia RI. Associations between periodontal diseases and systemic disease: evaluating the strength of the evidence. J Periodontol. 2005;76:3175–3184. DOI: http://doi.org/10.1902/jop.2005.76.11-S.2175
Donald RM, Costerton JW. Biofilm: survival mechanisms of clinically relevant microorganisms. Clin Microbiol Rev. 2002;5(2):167–193
Hagenaars S, Louwerse PH, Timmerman MF, Van der Velden U, Van der Weijden GA. Soft tissue wound healing following periodontal surgery and Emdogain application. J Clin Periodontol. 2004;31:850 DOI: http://doi.org/10.1111/j.1600-051X.2004.00571.x [PMid: 15367188]
Hrudianov AI. Zabolevaniya parodonta. Moscow: Moskovskoe informatsionnoe agenstvo; c2009. 336 p.
Judina NA, Kurochkina AYu. Kontrol bioplenki v sovremennoy strategiyi profilaktiki i lecheniya stomatologicheskikh zabolevaniy. Stomatologiya. 2009;3:77–81
Palmer RJ. Coaggregration-mediated interactions of streptococci and actinomyces detected in initial human dental plaque. J Bacteriol. 2003;185(11):3400–3409. DOI: http://doi.org/10.1128/JB.185.11.3400-3409.2003 [PMid: 12754239][PMCid: PMC155391]
Pryhodko VYu, Stadniuk LA, Kononenko OA. Arterialna hipertenziia i vik: poshyrennia, osoblyvosti perebihu ta uskladnennia. Simeina medytsyna. 2015;1(57):93–98
Li-ares A, Cortellini P, Lang NP, Suvan J, Tonetti MS. Guided tissue regeneration/deproteinized bovine bone mineral or papilla preservation flaps alone for treatment of intrabony defects. II: radiographic predictors and outcomes. J Clin Periodontol. 2006;33(5):351–359. DOI: http://doi.org/10.1111/j.1600-051X.2006.00911.x
Thomas GJ, Nakaishi LA. Managing the complexity of a dynamic biofilm. J Am Dent Assoc. 2008;139(3):252
Toncheva KD. Bioplivka v stomatolohii. Aktualni problemy suchasnoii medytsyny. 2015;4(52):33-35
Wecke J, Kersten T, Madela K, Moter A, Göbel UB, Friedmann A, Bernimoulin J. A novel technique for monitoring the development of bacterial biofilms in human periodontal pockets. FEMS Microbiol Lett. 2000;191:95–101. DOI: http://doi.org/10.1111/j.1574-6968.2000.tb09324.x [PMid: 11004405]
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