Віддалені результати комплексного лікування хворих із загостреним перебігом генералізованого пародонтита й переважанням парасимпатичної вегетативної нервової системи

Abstract

Objectives. The features of the clinical course of many diseases depend on the state of the patient’s autonomic system, in particular, the predominance of the sympathetic or parasympathetic autonomic nervous system. Given the close relationship of the vascular and nervous systems of the periodontium, the vegetative nervous system has an integrating role. This should be taken into account when treating patients with exacerbative course of chronic periodontitis, since these patients have certain problems with the state of general resistance. Given this, the proposed drug treatment regimen for the treatment of exacerbative course of generalized periodontitis in patients with a predominance of the parasympathetic autonomic nervous system.Aim. The determination of the long-term results clinical efficacy of the proposed complex treatment of patients with exacerbative course of generalized periodontitis in the presence of parasympathetic nervous system predominance.Materials and methods. Clinical investigation was conducted on groups of 60 patients with exacerbative course of generalized periodontitis and prevalence of the parasympathetic nervous system.. Medicamental treatment was performed using proposed sedation composition. Patients were conducted a comprehensive examination of periodontal tissue before treatment and after treatment. To evaluate the clinical efficacy of treatment used Schiller-Pisarev test (1962), the index of PMA by C. Parma (1961), OHI-S hygienic index (1964), the vacuum test by Kulazhenko (1961).Results. As a result of the investigation it was found that the usage of the proposed sedation composition in the complex therapy of patients with exacerbative course of generalized periodontitis can effectively inhibit the dystrophic-inflammatory process in periodontal tissues. This confirms by the decline in the index PMA, increase the time of formation of hematoma during the vacuum tests on Kulazhenko, improving oral hygiene in remote observation terms. Conclusions. Usage of the proposed sedation composition increases the effectiveness of treatment of exacerbative course of generalized periodontitis in patients with predominance of the parasympathetic nervous system. Key words: exacerbative course of generalized periodontitis, patients with predominance of the parasympathetic nervous system, sedation composition.