Assessment of the hygienic and periodontal status of the oral cavity in patients diagnosed with pemphigus vulgaris during remission and exacerbation

Abstract

Introduction. Pemphigus vulgaris is characterized by the appearance of blisters on the skin and mucous membranes, which burst forming extensive erosions and ulcers. The painful erosions appearance complicates eating, speaking, oral hygiene and also favors the increase in soft and hard plaque, the presence of gingivitis, periodontitis, and changes in the oral microbiocenosis.Purpose of the study is the analysis of the hygienic and periodontal status of the oral cavity in patients diagnosed with pemphigus vulgaris based on an index score.Material and methods. The prospective cohort controlled study involved 20 patients with a confirmed diagnosis of pemphigus vulgaris, 10 of whom were at the stage of exacerbation of the disease and 10 at the stage of clinical remission, as well as 10 patients without oral mucosal pathology made up the control group. The pH of mixed saliva was measured and the average value of hygienic and periodontal indices (Silness-Loe, PBI, PMA, PI) was also determined.Results. The hygienic and periodontal status of patients with pemphigus vulgaris is worse than that of the control group.