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Proceedings of the National Academy of Sciences of Belarus, Medical series

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Integrated treatment of chronic generalized periodontitis in patients with somatic diseases

Abstract

Numerous epidemiological studies conducted in different countries, indicate a high prevalence and intensity of inflammatory periodontal disease in adults. Inflammatory changes in the tissues lead to periodontal bone loss, loss of teeth, chewing dysfunction, exacerbate the general condition of patients, which allows us to consider this issue not only medical but also social. A particular problem is chronic generalized periodontitis occurring against the backdrop of somatic pathology. CGP in these patients is characterized by a persistent course, frequent exacerbations due to lower general and local resistance. In patients with somatic and dental status, often there are signs of oral dysbiosis, the species composition of the microflora of the oral cavity and periodontal pockets content changes, the sensitivity of microorganisms to antibiotics and antiseptics varies, local immunity reduces. Literature data and our clinical observations suggest that the use of classical regimens of CGP in such patients, including medical and surgical methods of influence, is not always effective, so a search of new effective treatments using drugs with a complex effect on periodontal tissues is of current interest. This article describes a new integrated method of combined treatment of CGP of patients with somatic pathology using low-intensity laser radiation and probiotics for a better efficiency of treatment of this disease by 30 % compared with the standard treatment.

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Chukhrai I.G., Marchenko E.I., Bobkova I.L. Integrated treatment of chronic generalized periodontitis in patients with somatic diseases. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2014;(3):57-66. (In Russ.)

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ISSN 1814-6023 (Print)
ISSN 2524-2350 (Online)