Abstract

The reasons for the chronization of periodontal tissue inflammation are still poorly understood, which determines the low effectiveness of preventive and therapeutic measures. The accumulated data allow us to consider the multifactorial nature of chronic generalized periodontitis as the most probable. The transition from health to disease occurs gradually and is accompanied by the depletion of the functional reserve and a decrease in the ability to adapt. Some research data are consistent with the modern understanding of the role of nervous, immune, hormonal, barrier mechanisms in the occurrence of CGP. The effectiveness of the dentist's work largely depends on the skills of integrative perception of the patient's health, a comprehensive assessment of the main parameters of homeostasis, background reactivity of the body. Highly effective diagnostic decisions should be made only on the basis of data from a wide range of diagnostic methods.

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