The main postulate of periodontal treatment is the elimination of factors injuring periodontal disease, creating conditions for the normalization of its properties. Structures with additional supports on the intraosseous implants are optimal for orthopaedic treatment. The possibilities and conditions for surgical intervention on periodontal tissues and implantation in patients with varying severity of chronic GP were generally poorly understood.The aim of the study – to improve the treatment of patients with partial edentia and chronic generalized periodontitis by including dental implantation to the complex of therapeutic measures.Materials and Methods. There are presented the results of 360 patients with varying severity degrees of generalized periodontitis who underwent surgery on periodontal tissues with dental implantation.Results and Discussion. Our research showed that implantation in patients with mild generalized periodontitis can achieve consistently good results regardless the method of treatment. Simultaneous surgery on periodontal tissues and the dental implantation shortens treatment duration in 1.5–2 times without compromising its quality. It is shown that in patients with moderate and severe degrees of generalized periodontitis it is appropriate to perform periodontal surgery separately followed by dental implantation to prevent postoperative complications and implant loss. When planning for dental implants and periodontal surgical intervention it is necessary to determine the quality of bone remodeling to assess the structural and functional state of bone tissue and differentiated destination osteotropic drugs that promote positive postoperative period.Conclusions. Therefore, in order to increase the effectiveness of dental implantation and surgical periodontal intervention, bone remodelling markers should be determined to assess the structural and functional status of bone tissue and for the differentiated use of osteotropic drugs, which will contribute to the positive development of the postoperative period. Simultaneous surgical intervention on periodontal tissues and dental implantation in 1.5–2 times reduces the duration of treatment without reducing its quality. In patients with moderate to severe degrees, it is expedient to carry out surgical interventions with subsequent dental implantation in order to prevent postoperative complications and loss of implants.
Features of compensatory angiogenesis of periodontal tissues in eldery patients with generalised periodontitis influenced tunnel revaskularization and quercetinSummary. This article submissions examination and treatment of 30 persons aged 60 74 years with no signs of periodontal pathology and patients with chronic generalized periodontitis of II III severity. For the purpose of comparative characteristics of treatments performed using X rays, reoparodontohrafiy, ultrasound osteometry bone jaws, carried out the analysis of the functional state of the endothelium of vascular endothelial growth factor (VEGF), levels of tumor necrosis factor (TNF) and kapilyaryzation of periodontal tissues to treat and dynamics . All patients were conducted generally accepted treatment of chronic generalized periodontitis , including closed curettage of periodontal pockets. 3 groups of patients on the background of basic therapy of periodontal handled tunnel revascularization with combined use of quercetin per os. It was established that with age in healthy elderly decrease in the number of functioning capillaries per unit area of fabric. The important role of the endothelium in providing adequate compensatory angiogenesis in aging shows the relationship of vascular endothelial growth factor levels of endothelium vazodylatation. Clinical determined that the combined use of revascularization tunnel and quercetin kapilar stabilization drug in treatment of elderly patients with generalized periodontitis stimulates metabolism in periodontal tissues, stabilizes the clinical and radiological picture considerably prolongs remission.
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