Abstract
The paper presents the results of a comparative study of microbial landscape features in patients with generalized periodontitis at pre-clinical and radiological stage of its development in 42 patients. The purpose of the study is a comparative study of the composition of microbiocenosis of periodontal tissues in patients with chronic catarrhal gingivitis (CCG) and chronic generalized periodontitis (CGP) at an early stage of development and development studies of microbiological criteria for early emergence of the destructive process in periodontal structures. We found that the microflora isolated from dento-gingival grooves is of importance in diagnostics to identify the etiology of chronic generalized catarrhal gingivitis (CGCG) and chronic generalized periodontitis in the early stages of its development. It was established that the presence of two or more types of fixed parodonto-pathogenic microorganisms in microbial association increases the likelihood of inflammatory and destructive events in periodontal tissues in patients with GCCG and is one of the reasons of is becoming CGP.
Highlights
Ɇɟɨɫɥɚɛɥɹɟɦɵɣ ɜ ɬɟɱɟɧɢɟ ɦɧɨɝɢɯ ɞɟɫɹɬɢɥɟɬɢɣ ɢɧɬɟɪɟɫ ɫɬɨɦɚɬɨɥɨɝɨɜ ɤ ɩɪɨɛɥɟɦɚɦ ɞɢɚɝɧɨɫɬɢɤɢ ɢ ɥɟɱɟɧɢɹ ɯɪɨɧɢɱɟɫɤɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɢɧɝɢɜɢɬɚ ɜ ɧɚɫɬɨɹɳɢɟ ɜɪɟɦɹ ɩɪɢɨɛɪɟɬɚɟɬ ɟɳɟ ɛɨɥɶɲɟɟ ɡɧɚɱɟɧɢɟ [2]. ɗɬɨ ɫɜɹɡɚɧɨ ɫ ɬɟɦ, ɱɬɨ ɧɟɫɦɨɬɪɹ ɧɚ ɞɨɫɬɢɝɧɭɬɵɟ ɭɫɩɟɯɢ ɜ ɢɡɭɱɟɧɢɢ ɷɬɢɨɥɨɝɢɢ, ɩɚɬɨɝɟɧɟɡɚ ɢ ɥɟɱɟɧɢɢ ɝɟɧɟɪɚɥɢɡɨɜɚɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɢɧɝɢɜɢɬɚ, ɜɧɟɞɪɟɧɢɟ ɜ ɩɪɚɤɬɢɤɭ ɩɨɫɥɟɞɧɢɯ ɧɚɭɱɧɨ-ɬɟɯɧɢɱɟɫɤɢɯ ɞɨɫɬɢɠɟɧɢɣ, ɩɟɪɟɯɨɞ ɡɚɛɨɥɟɜɚɧɢɹ ɜ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɵɣ ɩɚɪɨɞɨɧɬɢɬ ɩɪɨɞɨɥɠɚɟɬ ɪɚɫɬɢ [1]
Ȼɨɥɶɲɢɟ ɧɚɞɟɠɞɵ ɜ ɷɬɨɦ ɜɨɡɥɚɝɚɸɬɫɹ ɧɚ ɦɨɥɟɤɭɥɹɪɧɨ-ɝɟɧɟɬɢɱɟɫɤɢɟ ɫɩɨɫɨɛɵ ɜɵɞɟɥɟɧɢɹ ɩɚɪɨɞɨɧɬɚɥɶɧɵɯ ɛɚɤɬɟɪɢɣ, ɩɨɡɜɨɥɹɸɳɢɯ ɩɪɨɜɨɞɢɬɶ ɷɤɫɩɪɟɫɫ ɞɢɚɝɧɨɫɬɢɤɭ ɛɚɤɬɟɪɢɚɥɶɧɨɝɨ ɫɨɫɬɨɹɧɢɹ, ɪɚɡɥɢɱɧɵɯ ɛɢɨɬɨɩɨɜ
Ɂɬɚɤ, ɩɨɥɭɱɟɧɧɵɟ ɞɚɧɧɵɟ ɨɛ ɨɫɨɛɟɧɧɨɫɬɹɯ ɦɢɤɪɨɛɢɨɰɢɧɨɡɚ ɨɤɨɥɨɡɭɛɧɵɯ ɬɤɚɧɟɣ ɭ ɛɨɥɶɧɵɯ ɯɪɨɧɢɱɟɫɤɢɦ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɵɦ ɩɚɪɨɞɨɧɬɢɬɨɦ ɫɜɢɞɟɬɟɥɶɫɬɜɭɸɬ, ɱɬɨ ɞɨɦɢɧɢɪɭɸɳɚɹ ɪɨɥɶ ɜ ɪɚɡɜɢɬɢɢ ɜɨɫɩɚɥɢɬɟɥɶɧɨ–ɞɟɫɬɪɭɤɬɢɜɧɨɝɨ ɩɪɨɰɟɫɫɚ ɜ ɩɚɪɨɞɨɧɬɟ ɩɪɢɧɚɞɥɟɠɢɬ ɩɚɪɨɞɨɧɬɨɝɟɧɧɵɦ ɛɚɤɬɟɪɢɹɦ
Summary
Ɇɟɨɫɥɚɛɥɹɟɦɵɣ ɜ ɬɟɱɟɧɢɟ ɦɧɨɝɢɯ ɞɟɫɹɬɢɥɟɬɢɣ ɢɧɬɟɪɟɫ ɫɬɨɦɚɬɨɥɨɝɨɜ ɤ ɩɪɨɛɥɟɦɚɦ ɞɢɚɝɧɨɫɬɢɤɢ ɢ ɥɟɱɟɧɢɹ ɯɪɨɧɢɱɟɫɤɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɢɧɝɢɜɢɬɚ ɜ ɧɚɫɬɨɹɳɢɟ ɜɪɟɦɹ ɩɪɢɨɛɪɟɬɚɟɬ ɟɳɟ ɛɨɥɶɲɟɟ ɡɧɚɱɟɧɢɟ [2]. ɗɬɨ ɫɜɹɡɚɧɨ ɫ ɬɟɦ, ɱɬɨ ɧɟɫɦɨɬɪɹ ɧɚ ɞɨɫɬɢɝɧɭɬɵɟ ɭɫɩɟɯɢ ɜ ɢɡɭɱɟɧɢɢ ɷɬɢɨɥɨɝɢɢ, ɩɚɬɨɝɟɧɟɡɚ ɢ ɥɟɱɟɧɢɢ ɝɟɧɟɪɚɥɢɡɨɜɚɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɢɧɝɢɜɢɬɚ, ɜɧɟɞɪɟɧɢɟ ɜ ɩɪɚɤɬɢɤɭ ɩɨɫɥɟɞɧɢɯ ɧɚɭɱɧɨ-ɬɟɯɧɢɱɟɫɤɢɯ ɞɨɫɬɢɠɟɧɢɣ, ɩɟɪɟɯɨɞ ɡɚɛɨɥɟɜɚɧɢɹ ɜ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɵɣ ɩɚɪɨɞɨɧɬɢɬ ɩɪɨɞɨɥɠɚɟɬ ɪɚɫɬɢ [1]. Ɉɞɧɚɤɨ ɩɪɚɤɬɢɱɟɫɤɢ ɧɟɢɡɭɱɟɧɧɵɦ ɨɫɬɚɟɬɫɹ ɜɨɩɪɨɫ ɨ ɫɨɫɬɨɹɧɢɢ ɦɢɤɪɨɛɢɨɰɟɧɨɡɚ ɭ ɛɨɥɶɧɵɯ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɵɦ ɩɚɪɨɞɨɧɬɢɬɨɦ ɧɚ ɧɚɱɚɥɶɧɵɯ ɫɬɚɞɢɹɯ ɡɚɛɨɥɟɜɚɧɢɹ, ɢ ɨ ɬɨɦ ɤɚɤɢɟ ɫɩɟɰɢɮɢɱɟɫɤɢɟ ɢɡɦɟɧɟɧɢɹ ɩɪɨɢɫɯɨɞɹɬ ɩɪɢ ɷɬɨɦ ɜ ɛɚɤɬɟɪɢɚɥɶɧɨɣ ɮɥɨɪɟ ɨɤɨɥɨɡɭɛɧɵɯ ɬɤɚɧɟɣ [6]. Ɋɥɟɞɨɜɚɬɟɥɶɧɨ, ɜɨɩɪɨɫɵ, ɤɚɫɚɸɳɢɟɫɹ ɜɵɹɫɧɟɧɢɹ ɢɡɦɟɧɟɧɢɣ ɦɢɤɪɨɛɢɨɥɨɝɢɱɟɫɤɨɝɨ ɩɪɨɮɢɥɹ ɩɚɪɨɞɨɧɬɚɥɶɧɵɯ ɬɤɚɧɟɣ ɭ ɛɨɥɶɧɵɯ ɯɪɨɧɢɱɟɫɤɢɦ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɵɦ ɩɚɪɨɞɨɧɬɢɬɨɦ ɧɚ ɧɚɱɚɥɶɧɨɦ ɷɬɚɩɟ ɟɝɨ ɪɚɡɜɢɬɢɹ ɜ ɫɪɚɜɧɢɬɟɥɶɧɨɦ ɩɥɚɧɟ ɫ ɛɢɨɰɟɧɨɡɨɦ ɩɚɰɢɟɧɬɨɜ, ɫɬɪɚɞɚɸɳɢɯ ɤɚɬɚɪɚɥɶɧɵɦ ɝɢɧɝɢɜɢɬɨɦ, ɩɪɟɞɫɬɚɜɥɹɸɬɫɹ ɜɟɫɶɦɚ ɚɤɬɭɚɥɶɧɵɦɢ ɢ ɬɪɟɛɭɸɬ ɞɚɥɶɧɟɣɲɟɝɨ ɢɡɭɱɟɧɢɹ ɫ ɰɟɥɶɸ ɢɯ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɤɚɤ ɞɨɩɨɥɧɢɬɟɥɶɧɵɯ ɤɪɢɬɟɪɢɟɜ ɩɪɢ ɩɪɨɜɟɞɟɧɢɢ ɞɢɮɮɟɪɟɧɰɢɚɥɶɧɨɣ ɞɢɚɝɧɨɫɬɢɤɢ ɷɬɢɯ ɡɚɛɨɥɟɜɚɧɢɣ.
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