Dental Status of Women With Pregnancy Complicated With Gestosis

Introduction. Gestosis (late toxicosis of pregnant women) — pathological conditions of the second half of pregnancy, characterized by a triad of main symptoms: edema (hidden and visible), proteinuria, hypertension. In the third trimester, during physiological pregnancy of women and, especially when it is complicated by gestosis, there is a decrease in salivation, an increase in the viscosity and acidity of the oral fluid, which significantly increases the severity of the course of inflammatory periodontal diseases. We have developed a method for local treatment and prevention of gingivitis in women with pregnancy complicated by preeclampsia using a chewing phyto-substrate. Purpose: to assess changes in the physicochemical and biochemical parameters of the oral fluid during the local treatment of gingivitis using a chewing phyto-substrate in pregnant women with gestosis. Materials and methods: the examination of pregnant women was carried out in cooperation with obstetricians-gynecologists at the clinical base of the Department of Obstetrics and Gynecology No. 2 at the City Clinical Hospital No. 8, Ufa. Physicochemical (salivation rate, kinematic viscosity, pH) and biochemical parameters (calcium, magnesium, phosphorus, protein) of the oral fluid were determined before and after complex treatment of gingivitis with the inclusion of a chewing phyto-substrate in pregnant women with gestosis. Conclusion: in the third trimester during physiological pregnancy and, especially when it is complicated by gestosis, there is a decrease in salivation, an increase in the viscosity and acidity of the oral fluid. The use of chewing phytosubstrate plates in complex treatment, containing 0.1 g of dry extract of the collection (oak bark, licorice alder, birch buds, chamomile flowers, thyme herb) and 1.0 g of beeswax, increases the rate of salivation by 1.5 times, reduces the viscosity of the oral fluid by 1.3 times and its acidity, which indicates the effectiveness of the proposed method of local treatment of gingivitis in pregnant women with preeclampsia.

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Changes in Physico-Chemical and Biochemical Indicators of Oral Fluid During Local Treatment of Gingivitis in Pregnant Women With Gestosis

Chuykin

Кудашкина

Akatyeva

et al. 2021

Actual Problems in Dentistry

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Effect of Complex Treatment of Gingivitis With the Use of Chewing Phytosubstrate in Women With Emergencies Caused by Pregnancy on the Content of Proinflammatory Cytokines in the Oral Fluid

Chuykin

Кудашкина

Yashchuk

et al. 2021

Actual Problems in Dentistry

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Introduction. Edema of pregnant women is a pathological condition in the second half of pregnancy, in which disorders of the functions of vital organs are noted and an exacerbation of chronic and sluggish inflammatory diseases occurs. Inflammatory periodontal disease and dental caries increase especially in the third trimester, and are most pronounced in complicated pregnancies. Changes in the cytokine profile in the mixed saliva of pregnant women reflect the state of local immunity and tissues of the oral cavity and indicate the participation of immunocompetent cells of the placenta and fetus in the response to the inflammatory process. Purpose: to characterize the effect of complex treatment of gingivitis with the use of a chewing phytosubstrate in women with edema caused by pregnancy on the level of pro-inflammatory cytokines (IL-1β, IL-6, TNF-α) in the oral fluid. Materials and methods: the level of cytokines IL-1β, IL-6, TNF-α in the oral fluid was determined before and after complex treatment of gingivitis with the inclusion of a chewing phytosubstrate in women with edema caused by pregnancy. Conclusion: Inclusion in the complex treatment of gingivitis in women with edema caused by pregnancy, a chewable phytosubstrate containing 0.1 g of dry matter extract (oak bark, alder stems, birch buds, chamomile flowers, thyme grass) and 1.0 g beeswax, has a pronounced therapeutic effect, reducing the content of pro-inflammatory cytokines in the oral fluid, which reflects the suppression of the inflammatory process.

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Peculiarities of Dental Diseases in Disturbances in Obstetric and Gynecological Status in Women With Emergency Caused by Pregnancy

Chuykin

Yashchuk

Akatyeva

et al. 2022

Actual Problems in Dentistry

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Introduction. The course of dental diseases in pregnant women is significantly affected by extragenital pathology, recorded in 95% of pregnant women and 40% of non-pregnant women of reproductive age. Objectives: to identify the relationship between changes in obstetric and gynecological status in women with edema caused by pregnancy and the frequency of dental diseases. Materials and methods. The study groups included 127 pregnant women, including 79 women with edema caused by pregnancy, which made up the 1st group and 48 women with the physiological course of pregnancy, who were included in the 2nd group. The dental status (indices of the CPU, PMA, IZN, the structure of gingivitis), anthropometric data, somatic complications, the results of a general blood test, analysis of coagulogram indicators, analysis of biochemical parameters of the blood of pregnant women, and a general analysis of urine were studied. Conclusion. When studying the relationship between dental status and somatic obstetric and gynecological pathology in pregnant women with diagnosed edema caused by pregnancy, gingivitis is often recorded in the oral cavity, the prevalence of diseases of the urinary system, which were detected in 36.7%, was diagnosed in second place, chronic arterial hypertension 15.2%, in the third – iron deficiency anemia 13.9%. Our data indicate that the complication of the course of the third trimester of pregnancy with edema is accompanied by a deterioration in periodontal status, oral hygiene, and a 100% prevalence of gingivitis.

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Dental Status of Women With Pregnancy Complicated With Gestosis

Cited by 3 publications

References 3 publications

Changes in Physico-Chemical and Biochemical Indicators of Oral Fluid During Local Treatment of Gingivitis in Pregnant Women With Gestosis

Changes in Physico-Chemical and Biochemical Indicators of Oral Fluid During Local Treatment of Gingivitis in Pregnant Women With Gestosis

Effect of Complex Treatment of Gingivitis With the Use of Chewing Phytosubstrate in Women With Emergencies Caused by Pregnancy on the Content of Proinflammatory Cytokines in the Oral Fluid

Peculiarities of Dental Diseases in Disturbances in Obstetric and Gynecological Status in Women With Emergency Caused by Pregnancy

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