STUDY OF THE DYNAMICS OF INDEX INDICATORS AFTER COMPLEX TREATMENT FOR GENERALIZED PERIODONTITIS IN PATIENTS WITH RHEUMATOID ARTHRITIS AT THE CPITN INDEX VALUES > 2
DOI:
https://doi.org/10.35220/2523-420X/2024.1.7Keywords:
generalized periodontitis, rheumatoid arthritis, index assessment of periodontal status, complex treatmentAbstract
The aim of the study. Evaluating the effectiveness of the developed scheme for complex treatment of generalized periodontitis (GP) in patients with rheumatoid arthritis (RA) according to the dynamics of periodontal and hygienic indices. Research methods. Periodontal treatment was performed in 78 patients with GP against the background of RA. Inclusion criteria: GP in patients with RA. Exclusion criteria: GP in patients with other somatic pathology, pregnancy, lactation. All patients were divided into 2 groups: the main group – 44 patients (56,41%), whose treatment was carried out using the developed scheme of complex treatment for GP, and the comparison group – 34 patients (43,59%), whose GP treatment was carried out according to generally accepted protocols. Professional oral hygiene was performed for the patients of the study groups, a set of individual hygiene products was prescribed: brushes of the “Colgate Total” series, “Prodental” toothpaste, “Octenidol MouthWash” rinse, “Colgate Total” interdental brushes, “Colgate Total Pro- Gum Health” floss. The developed GP treatment scheme for patients in the main group included local (“Solcoseryl, dental adhesive paste”, “Actovegin-gel”) and general therapy (“Chondroitin Active”, “Coenzyme Q10”). The dynamics of the index values of the PMA, OHI-S, CPITN and the vacuum capillary resistance test (VCRT) values of the gums were evaluated according to the method of V. I. Kulazhenko before treatment, after treatment, 3, 6 and 12 months after treatment. Results of the study. After 12 months, patients in the main group showed improvement in all index scores, while in the comparison group, the values of the corresponding indicators did not significantly differ from the initial values. Conclusions. Complex treatment for GP with the CPITN index values > 2 points against the background of RA, using the developed scheme, contributed to the elimination of inflammation, improvement of oral hygiene and normalization of hemodynamics in periodontal tissues, which was confirmed by the positive dynamics of index scores in the immediate and long-term follow-up periods.
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