Оцінка швидкості салівації, рН ротової рідини, стану тканин пародонта та гігієни порожнини рота у хворих з ураженням міжхребцевих дисків шийного відділу
| Jazyk: | ruština |
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| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Вісник проблем біології і медицини. |
| ISSN: | 2077-4214 |
| Popis: | Проведено дослідження швидкості слиновиділення, pH ротової рідини, стану тканин пародонта і гігієни порожнини рота у 74 пацієнтів із захворюваннями пародонта та патологією міжхребцевих дисків шийного відділу і 40 практично здорових осіб контрольної групи віком від 36 до 72 років. Встановлено, що клінічний перебіг захворювань пародонту у пацієнтів з ураженням міжхребцевих дисків шийного відділу супроводжується порушенням швидкості салівації, обумовленою симпатичним впливом вегетативної нервової системи, та зсув кислотно-лужної рівноваги у бік ацидозу, пов’язаного з незадовільним станом гігієни порожнини рота.Проведено исследование скорости слюноотделение, рН ротовой жидкости, состояния тканей пародонта и гигиены полости рта у 74 пациентов с заболеваниями пародонта и патологией межпозвоночных дисков шейного отдела и 40 практически здоровых лиц контрольной группы в возрасте от 36 до 72 лет. Установлено, что клиническое течение заболеваний пародонта у пациентов с поражением межпозвоночных дисков шейного отдела сопровождается нарушением скорости слюноотделения, обусловленной симпатическим влиянием вегетативной нервной системы, и сдвиг кислотно-щелочного равновесия в сторону ацидоза, связанного с неудовлетворительным состоянием гигиены полости рта. At present we can often observe changes of the clinical symptomatology and peculiarities of the clinical course of periodontal diseases against the background of concomitant diseases, having a certain effect on the whole body. The high incidence of periodontal tissue diseases in the patients with affected cervical intervertebral discs and peculiarities of their clinical course point to the necessity of a thorough study of the general and, in particular, of the local risk factors for their occurrence, being the reason for deterioration of the oral hygiene and contributing to essential changes of its biological balance. Taking into account the role of the biological environment condition in the development of dental diseases, the acid-base balance in particular, that is more often connected with the state of the oral hygiene, their study in the mentioned category of patients is of scientific and practical importance. Objective: determination of the salivation rate, pH of the oral liquid, state of the periodontal tissues and oral hygiene in the patients with affected cervical intervertebral discs (ACID). Materials and methods of the study. We performed dental examination of 74 patients with periodontal tissue diseases and pathology of cervical intervertebral discs and 40 apparently healthy persons of the control group aged from 36 up to 72 years. The examined were divided into groups according to the classification of A. A. Markosian: 48 patients of the main group and 26 persons of the control group made up a group of the 2nd period of the maturity age, of the elderly age 26 patients and 14 persons, respectively. The salivation rate and pH of the oral liquid were determined, the indices of Green-Vermillion, API, PMA, PI and screening test PSR were calculated. Results of the study. The clinical course of the periodontal diseases in the patients with ACID was accompanied by salivation dysfunction, conditioned by the sympathetic influence of the vegetative nervous system on the functional activity of salivary glands. The patients with ACID had acid-base displacement leading to acidosis that provided conditions for deterioration of the oral environment and negative influence on the periodontal tissues. The unsatisfactory condition of the oral hygiene according to Green-Vermillion index and the insufficient level of hygienic measures performed by elderly patients with ACID according to the API index pointed to availability of local risk factors for occurrence and development of periodontal tissue diseases. We revealed chronic inflammatory processes in the periodontal tissues of the patients of the 2nd period of the maturity age and elderly patients (moderate gingivitis according to the PMA index) and dystrophic ones, more evident with aging of the patients (chronic generalized periodontitis of the primary-1st degree of severity during the 2nd period of the maturity age and chronic generalized periodontitis of the 1st-2nd degree at the elderly age according to the PI index), while there were no such processes in the control groups. It confirmed the importance of the premorbid background for the development of periodontal diseases. According to the screening test PSR the patients with ACID, apart from the professional oral hygiene, were to undergo the anti-inflammatory therapy during the 2nd period of the maturity age and an advanced diagnostics with complex treatment at the elderly age, while in the control groups only professional oral hygiene was required. |
| Databáze: | OpenAIRE |
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