This article presents the etiopathogenetic-based methods of treating patients with chronic generalized inflammatory-destructive periodontal diseases periodontitis, which are mostly multicomponent and are performed in stages. The comprehensive therapy of inflammatory-destructive periodontal diseases should include the identification of common and local endogenous and exogenous parodontopathogenic factors and disease predictors, with the aim of normalizing the microbioprofile in periodontal pockets, providing osteoregeneratory, biostimulating, and normalizing effects on the microhemocirculation, relying on the achievements of genetics and epigenetics, personalized, and meet the requirements of evidence.
Treatment of inflammatory periodontal diseases occupies one of the leading places at the present stage of development of dentistry. Analysis of clinical, functional and radiographic results of examination of patients with chronic generalized periodontitis of moderate extent before and after treatment showed that the inclusion in the complex of therapeutic measures as local antimicrobial therapy immobilized on polysorb of Doritricin for a short time gives a pronounced therapeutic effect.
Inflammatory periodontal disease is a common pathology and in some cases determine the partial loss of teeth. Studied hemodynamic indicators point to a steady improvement of blood circulation in the periodontal tissues after treatment by combination of immobilized diarizing, and laser radiation. Hemodynamic parameters of patients using clasp dentures with acrylic teeth are significantly lower than those of patients using clasp dentures with metal-ceramic teeth.
The methods of treatment of gingivitis and generalized periodontitis of mild severity are presented. Based on the analysis of modern views, it is concluded that the therapy of periodontal diseases of mild severity should be aimed at the normalization of the microflora of the gingival sulcus and oral fluid, optimization of dental occlusion, provide osteotropic, antihypoxic and anti-stress actions.
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