Aim. To identify the occupational risk of developing chronic generalized periodontitis and bruxism in limestone quarry workers.Materials and methods. We examined 214 workers of the limestone quarry, of which 66 patients were diagnosed with chronic generalized periodontitis, aggravated by bruxism, these patients were taken for treatment. Investigated the indices of hygiene, bleeding, periodontal, measured the depth of periodontal pockets. Electromyography of the temporal and masticatory muscles, microcirculation of periodontal blood flow, and radiography were performed. Established professional conditioning. The patented treatment we proposed: a children's phytogel for teeth and gums Karmolis was introduced into the pathological pockets and along the gingival margin, after which lasertophoresis was carried out according to the labile technique on the upper and lower jaws segmental. Fluctuorization, mouthguards, remedial gymnastics, self-massage – all these are the therapeutic measures offered by us.Results. After the treatment we carried out, the index of the indices improved, the speed and volume of blood flow in the periodontium increased, the temporal and masticatory muscles became less tense, all this indicates a favorable course of the therapy.Conclusions. Moderate CGP, aggravated by bruxism, are occupational diseases in limestone mining workers.
Relevance: the purpose of this work was to study the effectiveness of proposed treatment and rehabilitation complex for patients with generalized chronic periodontitis and bruxism.Materials and methods: we examined 73 patients aged 30 to 45 years diagnosed with generalized chronic periodontitis of moderate severity and bruxism. Control group included 15 healthy individuals of the same age for clarify normal functional parameters. Clinical, Doppler flowmetry and electromyographic methods were used for evaluation of the effectiveness of proposed treatment and rehabilitation complex.Results: the course of treatment resulted in the increase in blood flow perfusion volume by 37.7% (p < 0.05), of blood flow perfusion rate by 58.2% (p<0.05) from baseline values. At the same time, the decrease in bioelectric activity of temporal muscle at rest by 51.82% (p >< 0.05), at voluntary contraction – by 40.4% (p<0.05), the decrease in bioelectric activity of masseter muscle at rest – by 47.4% (p><0.05), at voluntary contraction - by 35.12% (p >< 0.05) from values before treatment, were observed.Conclusion: data obtained on the basis of electromyography and laser Doppler flowmetry showed that developed treatment and rehabilitation complex is an effective method for correcting the microcirculation in periodontal vessels and the functional activity of the muscles of maxillofacial area.
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