SPECTRO-COLORIMETRIC ASSESSMENT OF THE EFFECT OF THERAPEUTIC AND PROPHYLACTIC MEASURES ON THE FUNCTIONAL STATE OF THE GINGIVAL MICROCAPILLARY BED OF PATIENTS WITH VARYING DEGREES OF PERIODONTAL TISSUE DAMAGE

Abstract

Periodontitis, which is a chronic inflammatory disease of the periodontium, causes functional tissue hyperemia under the influence of mechanical stress. In this context, hyperemia depends on the state of capillaries, the tone of the vessel walls and is subject to internal factors, cellular response and the adequacy of the vasomotor system. Purpose of the study. Study of the functional state of the gingival microcapillary bed in patients with periodontitis in the process of prophylactic measures using spectrocolorimetric assessment. Materials and methods. The study involved 63 patients with varying degrees of periodontal tissue damage aged 35-60 years. The patients were divided into 2 groups. Treatment of patients in the main group was accompanied by the use of the developed complex. The spectra of light reflection of the gums and their color parameters were recorded using an automatic spectro-colorimeter "Pulsar". A statistically significant difference between alternative quantitative features with a distribution corresponding to the normal law was evaluated using Student’s t-test. The difference was considered statistically significant at p<0.01. Research results. The results of the studies conducted in the initial state showed that in patients with periodontitis of both groups under the influence of a regulated chewing load, spasm of the gingival capillaries was noted, that is, a decrease in them. A smaller decline in the values of color coordinates after chewing load in relation to the comparison group may indicate certain positive changes in the state of the microcapillary bed (spasm of capillaries almost disappeared and an increase in blood flow in them was observed compared to the initial data) of the gums in patients with periodontitis under the influence of prophylactic measures. Conclusions. The developed complex, which included drugs with detoxifying, immunomodulating, anti-inflammatory, periodontal protective effects, regulating microbiocenosis, led to a certain normalization of the functional state of the gingival microcapillary bed in patients of the main group and to a decrease in the degree of inflammation in them, which correlated with an improvement in their dental status.