Subject of the study: to identify the relationship between the quality of life in patients with chronic generalized periodontitis and moderate periodontal disease with indicators before and after periodontal treatment.
Objective: to determine an integral assessment of the quality of life in patients with chronic generalized periodontitis and moderate periodontal disease before and after traditional periodontal treatment and with the use of new technologies.
Methodology. The study involved 120 patients aged 45-65 years with a diagnosis of chronic generalized periodontitis and moderate periodontal disease. The patients were divided into 2 groups: the main group (60 people) and the control group (60 people). The integrated assessment related to dental health was determined based on the questionnaire for determining the "dental health impact Profile OHIP-14"index. Patients of the main and control groups completed the questionnaire 3 times: before treatment, 6 and 12 months after treatment.
Results. Periodontal treatment with the use of new technologies in patients with chronic generalized periodontitis and periodontal disease of moderate severity showed an improvement in 3 main indicators of the quality of life level for the problem with food intake, the problem in communication and the problem in everyday life.
Conclusion. The use of directed tissue regeneration and the method of carboxytherapy for local treatment in patients with moderate periodontal disease in the main group compared to traditional treatment showed a significant positive dynamics of subjective signs. Reducing the clinical manifestations of diseases allowed patients to lead a full life, without experiencing the inconvenience associated with eating and communicating with people.
Relevance. Today, inflammatory periodontal diseases are one of the most common pathologies seen at dental appointments. During the treatment of these diseases, the main goal of the therapy is to reduce the intensity of inflammatory manifestations.Materials and methods. The article presents the results of the application of the original method of carboxytherapy to reduce the inflammatory component at the initial phase of the treatment of inflammatory periodontal diseases.The technique suggests the injection of 0.5–1.0 ml of medical carbon dioxide into the vestibular mucobuccal fold and the dental papillae region with a special injector. The study was conducted at the department of prosthodontics of Samara State Medical University. The study divided the patients into two groups. The control group underwent professional oral hygiene, and the main-group patients had an additional carboxytherapy treatment developed by the authors. The study evaluated the effectiveness of the treatment using the OHI-S, PMA, and Muhllemann indices and the restoration of blood filling using the periodontal bloo d flow assessment method.Results. After the treatment, the main group showed a statistically significant decrease in the assessed indices and blood circulation restoration in the periodontium, which indicates a significant effect of the method used. Allergic and toxic effects on the mucous membrane did not manifest in the carboxytherapy group during the observation period. Patients did not complain about pain and discomfort.Conclusion. So, based on the conducted studies, we can conclude that the method of carboxytherapy is highly effective as one of the elements of the c omplex treatment of periodontal diseases.
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