Modern Approaches to Surgical Treatment of Patients with Generalized Periodontitis and Osteopenia

Iryna Yarmoshuk, Mykola Rozhko, Lubomir 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.

93 patients underwent treatment and clinical observation. The patients were divided into three groups. Group I included 20 patients who underwent surgical treatment according to conventional procedure. Group II included 25 patients who underwent surgical treatment with local application of osteoplastic material “Easy Graft”. Surgical treatment in Group III (26 patients) was conducted using osteoplastic material “Easy Graft” and antiresorptive drug “Bonviva”. Experimental group consisted of 22 apparently healthy individuals. The obtained results indicated that surgical treatment using osteoplastic material and antiresorptive drug contributes to the most significant positive effect determined according to the dynamics of densitometric values. 

Combined use of osteoplastic material “Easy Graft” and antiresorptive drug “Bonviva” leads to stable process stabilization being confirmed by densitometric study indices both in early and in remote postoperative period.


Keywords


generalized periodontitis; osteopenia; osteoplastic material; antiresorptive drug

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References


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

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

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

Batig VM, Ostafijchuk MO, Prodanchuk AI. [Pathology of the periodontal tissue with systemic osteoporosis]. Bukovynskyi medychnyi visnyk. 2013;17, 3 (67):90–93

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 Abstract. Volgograd: 2012. 30 p.

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

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, Boonen S, Decramer M, Janssens W. COPD, Bone Metabolism, and Osteoporosis. Chest. 2011 Mar;139(3):648–657. DOI: http://doi.org/10.1378/chest.10-1427

Silva DR, Coelho AC, Dumke A, Valentini JD, de Nunes JN, Stefani CL, et al. Osteoporosis Prevalence and Associated Factors in Patients With COPD: A Cross-Sectional Study. Respir Care. 2011 Jul 1;56(7):961–968. DOI: http://doi.org/10.4187/respcare.01056

Graat-Verboom L, Spruit MA, van den Borne BEEM, Smeenk FWJM, Wouters EFM. Whole-Body versus Local DXA-Scan for the Diagnosis of Osteoporosis in COPD Patients. J Osteoporos. 2010;2010:1–6. DOI: http://doi.org/10.4061/2010/640878

Huk YuM, Haiko OH, ZymaAM OH, et al. Renthenivska densytometriia v otsintsi st




DOI: http://dx.doi.org/10.21802/gmj.2016.4.13

Copyright (c) 2017 Iryna Yarmoshuk, Mykola Rozhko, Lubomir Pelekhan

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