Стан тканин пародонту у вагітних різних вікових груп

Abstract

There are numerous domestic and foreign studies of periodontal disease in pregnant women, but there are still a number of unresolved issues. The data about the development of periodontal tissue diseases in pregnant women in terms of age is not enough. The purpose of this work was to study the development of periodontal disease in pregnant women in different age groups. Material and methods. A survey of 83 women in the ІІ and ІІІ trimesters of pregnancy, aged 19-45 years, was divided into three groups according to age. Group I (34 people) included pregnant women aged 19-25 years, group II (29 people) had pregnant women aged 26-35 years, group III (20 people) comprised pregnant women aged 36-45 years. Periodontal and hygienic indices were determined to assess the clinical signs of periodontal disease (to assess the clinical signs of periodontal disease, periodontal and hygienic indices were determined (papillary-marginal-alveolar index, degree of bleeding gums, Schiller-Pisarev test, numerical value of Schiller-Pisarev test – Svrakov's number and simplified index of cavity hygiene). Results and discussion. The obtained results indicated a high level of periodontal disease in pregnant women. Periodontal disease was found in 74.7% of subjects. The study found a significant progression of periodontal tissue pathology in pregnant women over 26 years of age, indicating that women in this age group were at significant risk of periodontal disease. The obtained data indicated that the value of the bleeding index was the lowest in pregnant women with periodontal disease of group I, and the highest in women of group III. The value of the PMA index differed 1.3 times (p˂0.05) in pregnant women of groups I and II, 1.2 times (p˂0.05) in women of groups II and III, and 1.5 times (p˂0.05) in pregnant women of groups I and III. In addition, the likelihood of developing periodontal disease increased with age of women. Conclusion. The values of the Svrakov's number had a similar tendency to increase in age groups, as well as the results of the previously described indices. Hygiene in pregnant women of all ages who had periodontal disease was not very good. Thus, special attention should be paid to the timely diagnosis, treatment and prevention of periodontal disease in pregnant women, taking into account their age