[Key dental challenges during COVID-19 pandemic: oral health monitoring in patients with chronic oral mucosal diseases].

Autor:	Gileva OS; E.A. Vagner Perm State Medical University, Perm, Russia., Libik TV; E.A. Vagner Perm State Medical University, Perm, Russia., Gibadullina NV; E.A. Vagner Perm State Medical University, Perm, Russia., Sivak EY; E.A. Vagner Perm State Medical University, Perm, Russia., Gavrilenko MS; E.A. Vagner Perm State Medical University, Perm, Russia., Beleva NS; E.A. Vagner Perm State Medical University, Perm, Russia., Zadorina II; E.A. Vagner Perm State Medical University, Perm, Russia.
Jazyk:	ruština
Zdroj:	Stomatologiia [Stomatologiia (Mosk)] 2021; Vol. 100 (6. Vyp. 2), pp. 8-15.
DOI:	10.17116/stomat20211000628
Abstrakt:	Objective: To develop an effective system of an interactive dynamic telemonitoring of oral health in patients with oral lichen planus (LP) during the COVID-19 pandemic. Material and Methods: The observational longitudinal prospective cohort study (follow-up for 12 months) involved 53 patients (19 men and 34 women aged 49-65 years) with various forms of LP in persistent remission. During the entire observation period dentists carried out telemonitoring (through a Telegram group) of oral health of patients with LP registering the preservation/coming out from remission, as well as the causes of exacerbation of LP. Results: The developed interactive monitoring system based on the use of available video feedback communication technologies (via Telegram, WhatsApp, Viber messengers) provided stable remission in 28.3% of patients with LP (mainly typical and hyperkeratotic forms) and effective relief of exacerbations (mainly erosive-ulcerative forms) associated with the new coronavirus infection COVID-19 in 35.8% of cases, exacerbation of concomitant systemic pathology (excluding COVID-19) in 16.9%, local traumatic risk factors in 15.1%, development of post-vaccination reactions in 3.9%. COVID-19-associated exacerbation of LP is a polymorphic symptom complex manifested by a change in classical clinical picture and heavier course of skin-mucosal dermatosis due to the addition of new, atypical for LP, manifested COVID-19-associated intraoral symptoms and generalization of skin lesions. Periods of exacerbation of LP in COVID-19 patients are significantly longer, with shorter remissions than in the prepandemic period. Conclusion: Interactive telemonitoring of oral health in patients with chronic oral mucosal diseases is a safe and effective tool for dispensary observation, management and maintenance of social communications during periods of social isolation.
Databáze:	MEDLINE
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