THE IMPACT OF ACUTE CORONARY SYNDROME ON THE LOCAL INFLAMMATORY PATTERN IN CHRONIC GENERALIZED PERIODONTITIS
DOI:
https://doi.org/10.35220/2523-420X/2025.3.11Keywords:
chronic generalized periodontitis, inflammation, markers of inflammationAbstract
Aim of the study. To investigate the impact of acute coronary syndrome in the early stage of the disease on the clinical course of chronic generalized periodontitis. Materials and methods of the study. There were 26 participants in total, aged 52±6.2 years. Group I included 22 patients with CHP, group II included 4 patients with CHP, who were invited to participate in the study within 1 month after acute coronary syndrome (ACS). For clinical assessment of the course of chronic generalized periodontitis, the following indices were used: periodontal pocket depth (PPD), gingival bleeding index (PBI), Hygiene Index (GI), Ramjorde index, Miller tooth mobility index, Inflammation Index (PMA). In addition, a comparison of periodontal indicators of 4 patients after ACS with data recorded in outpatient charts during the last visit to the ACS was conducted. The scientific novelty consists in conducting a clinical assessment of the impact of acute coronary syndrome on the course of chronic generalized periodontitis for the first time in Ukraine. The periodontal pocket depth (PPD) in the studied group I was within 3.69±1.0* mm; in the group II: “after” ACS in the range of 3.87±1.2¥ mm (p=0.75*), “before” ACS – 3.75±0.7 mm (p=0.85¥); the gingival bleeding index (GBI) in the group I was 1.88± 0.08*, in the group II “after” ACS – 2.2± 0.4¥ (p=0.52*), “before” ACS – 1.98±0.8 (p=0.64¥); hygiene index (GI) – 2.51±0.04* points, 2.79±0.1¥ (p=0.004*) and 2.61±0.08 (p=0.89¥), respectively; The value of the Ramjorde index in group I was 3.85±0.2*, in group II “after” ACS it was 4.07±0.9¥ points (p=0.72*), “before” ACS – 4.01±0.7 (p=0.24¥); points; the Miller tooth mobility index in patients in group I was 3.61±0.37* points, in patients in group II “after” ACS – 3.79±0.62¥ (p=0.67*) points, “before” ACS – 3.66±0.44 (p=0.24¥), respectively; The inflammation index (IMI) in group I was within 32.2±0.17*, “after” ACS – 40.1±0.35¥ (p=0.008*), “before” ACS – 34.3±0.47 (p=0.77¥) points. Conclusions.Acute heart failure does not significantly affect the clinical course of chronic generalized periodontitis. Studies of patients with chronic heart failure in the period up to 1 month after ACS showed no differences between the values of periodontal indices “before” and “after” ACS and periodontal indices of patients after ACS and patients who did not have ACS.
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