Оцінка ефективності лікування хронічного катарального гінгівіту в працівників птахофабрик за даними клінічних спостережень та параклінічних індексів

Abstract

Summary. The research of periodontal diseases provides the basis for a generalized conclusion that the occurrence of pathological changes in the teeth-containing tissues occurs when the general state of the organism changes, due to the action of a number of endogenous and exogenous factors that determine the approaches to the treatment and prevention of these diseases. Despite the automation and mechanization of poultry farms, an increasing percentage of poultry workers are exposed to adverse productive factors, which lead to occupational diseases, in particular periodontal diseases.The aim of the study – to evaluate the effectiveness of the developed scheme of treatment of chronic catarrhal gingivitis in poultry factory workers according to clinical observations and paraclinical indices.Materials and Methods. To evaluate the effectiveness of the treatment of chronic catarrhal gingivitis (CCG), there were 39 employees of poultry farms, whо were divided into 2 equal groups: the main (20 persons), in which treatment was performed according to the scheme we developed and control (19 people), where patients were treated for according to the “Protocols of the Ministry of Health of Ukraine” the provision of medical care in the specialty “Therapeutic Dentistry”.Results and Discussion. In case of poultry factory workers, patients with CCG, 1 month after treatment, the index of PI in the main group was (0.45±0.03) points, the value of the index of PMA decreased by 2 times: (12.28±2.28) %, the value of the index OHI- S corresponded to satisfactory hygiene: (0.98±0.02) points. Six months after treatment, patients in the main group who tested for stabilization of the periodontal index of PI with a value of (0.45±0.04) points, a decrease in the PMA index to (11.79±2.23) and an OHI-S index of (1.08±0.01) score. In 12–18 months, the value of the index of PI in the main group was (0.63±0.23) points, the index PMA fell to (14.37±2.26) %. The condition of oral hygiene according to the OНI-S index in the main group was assessed as “satisfactory” with a value of (1.28±0.04) points.Conclusions. In the main group, the elimination of the inflammatory process in the gums was clinically observed at all stages, which was confirmed by a decrease in the periodontal indices PMA up to (11.79±2.23) %, PI up to (14.37±2.26) %, a decrease in the index of the hygiene index OHI-S to (1.08±0.01) points. Thus, the proposed therapeutic model allowed to increase the efficiency and reduce the duration of treatment of chronic catarrhal gingivitis in workers of poultry farms.