Клинико-цитологическая оценка состояния пародонта пациентов с хроническим генерализованным пародонтитом при подготовке к ортопедическому лечению

Abstract

Literature data and own observations indicate that the risk of periodontal complications at various stages of dental prosthetics is associated with the clinical and functional state of the periodontal complex. After basic therapy in patients with chronic generalized periodontitis (CGP), an analysis of the clinical and morphofunctional state of the periodontium was performed. Cell differentiation index (CDI) and inflammatory-destructive (VDI) index, as well as the degree of microbial contamination (CIGP) were determined. The clinical condition of the periodontium of patients was assessed using periodontal and hygienic indices. The results of monitoring (3, 7, 14 and 21 days after surgical debridement of periodontal pockets) showed that the relief of the inflammatory process in the periodontium is observed as early as 14 days, according to the PMA 10,3 1,2 index (p2 0,05). The data of a cytological study of smears-imprints of the marginal epithelium of the periodontium indicate that the stabilization of inflammation and the reparative process in the integumentary epithelium becomes pronounced after 14 days, and the values of CDI (630,6 1,1) and VDI (3,5 1,2) reach the limits of the norm only by 21 days after curettage of periodontal pocket. Thus, in order to minimize the risk of periodontal complications, when planning the timing and scope of prosthodontic treatment for patients with CGP, it is recommended to use, among other things, a cytomorphological method that reflects an objective picture of the periodontal condition