Assessment of Periodontal Tissue Status in Patients with Generalized Periodontitis and Essential Hypertension

T I Vicharenko, M. M. Rozhko


Vascular disorders play a significant role in the development of dystrophic inflammatory process. There is a direct correlation between the degree of damage to blood vessels in the jaw and a depth of the destructive process in periodontal tissue. A certain role is played by endogenous factors, such as: age, vitamin deficiency, diabetes mellitus, essential hypertension and others. Clinical and epidemiological studies using pathological techniques showed significant changes in vascular wall of the artery in the periodontium, the interdental artery in particular.  Atherosclerosis, essential hypertension and periodontal pathology were proven to occur in individuals older than 40 years.

The objective of the research was to determine periodontal tissue status in patients with stage II hypertension and generalized periodontitis of II degree of severity.

Materials and methods. The study involved 36 patients with stage II hypertension and generalized periodontitis of II degree of severity (the main group). The patients’ age ranged from 35 to 54 years. The control group included 10 patients of corresponding age without generalized periodontitis and somatic pathology. To assess the status of periodontal tissues, we applied the Papillary-Marginal-Attached Index and the Community Periodontal Index of Treatment Needs. When diagnosing periodontal disease, the classification of M.F. Danilevskyi was used.

Results. The analysis of the indicators of the Community Periodontal Index of Treatment Needs index showed the following results: in patients of the main group, the index was 2.38±0.07 points (p<0.001) pointing out a need for a course of professional oral hygiene. In patients of the control group, the index was 0.5±0.17 points indicating that there was no need for treatment, however, there was a need for improving oral hygiene. The indicators of the Papillary-Marginal-Attached Index in the main group were 55.49±1.96 points pointing out a severe degree of gingivitis.

Conclusions. According to the analysis of the indicators of the Community Periodontal Index of Treatment Needs index (2.38±0.07), the patients of the main group had low hygiene level requiring a course of professional oral hygiene.


generalized periodontitis; hypertension; CPITN; PMA.

Full Text:



Dietrich T, Garcia RI. Associations between periodontal diseases and systemic disease: evaluating the strength of the evidence. J. Periodontol. 2005;76:3175-3184. doi: 10.1902/jop.2005.76.11-S.2175

Yarova SP, Mozhova NV. Rol sudynnykh zmin u rozvytku i perebihu heneralizovanoho parodontytu. Ukraiinskyi stomatolohichnyi almanakh. 2004;3-4:23-26.

Krechina EK, Kozlov VI, Maslov VV. Mikrotsirkulyatsiya v tkanyakh desny parodonta. Moscow: GEOTAR-Media; c2007. 80p.

Kuvayev AS, Borysenko AV, Viderskaya AV. Experimental and clinical substantiation of nitric oxide metabolism correction in the complex therapy of patients with generalized periodontitis. Ukrainian Scientific Medical Youth Journal. 2015;91(4):108-112.

Prykhodko VYu, Stadnyuk LA, Kononenko OA. Arterial hypertension and age: prevalence, characteristics of the course and complications. Simeina medytsyna. 2015;1(57):93-98. [published in Ukrainian]

Quyymi AA. Endothelial function in disease: new insights into the genesis of cardiovascular disease. Am. J. Med. 2001;105:32-39.

Riznyk YuB, Chelpanov IV, Nakonechna OV. Ultrastrukturni porushennia hemomikrotsyrkuliatsii yasen u khvorykh na heneralizovanyi parodontyt. Praktychna medytsyna. 2011;XVII(4):3-9.

Svyshchenko YeP, Mishchenko LA. New concept evaluation of cardiovascular risk by Framingham criteria – determination of the age of vessels. The first experience in Ukrainian population of patients with arterial hypertension. Ukraiinskyi kardiolohichnyi zhurnal. 2015;5:6-8. [published in Ukrainian]

Vita JA. Endothelial function: a barometer for cardiovascular risk? Circulation. 2002;106:640-642.

Zoellner H. Vascular response in chronic periodontitis. Semin. Thromb. Hemost. 2011;2(37):181-182.

Zheldakova AD. Functional state of vessels and systems periodontal hemodynamics in the patients with generalized periodontitis. Visnyk stomatolohii. 2013;4:20-24. [published in Ukrainian]

Zubachyk VM, Yarychkivska NV, Dovhaniuk VV. Diahnostychne znachennia endotelinu ta oksydu azotu yak markeriv dysfunktsii endoteliiu mikrosudyn parodonta u khvorykh na heneralizovanyi parodontyt. Visnyk stomatolohii. 2016;214-19.

Zubachyk VM, Riznyk YuV. Pathogenic significance of endothelial dysfunction of the periodontal microcirculature in the development and course of generalized periodontitis. Sovremennaya stomatologiya. 2013;4:50-53. [published in Ukrainian]

Zubachyk VM, Yarychkivska NV. The role of nitric oxide in periodontal tissue homeostasis (Review of the references). Bukovynskyi medychnyi visnyk. 2016;2:25-30. [published in Ukrainian]


Copyright (c) 2017 T I Vicharenko, M. M. Rozhko

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


Free counters!