Features of oral care in the treatment of periodontitis in patients who have undergone a new coronavirus infection COVID-19

Abstract

A new coronavirus infection (COVID-19) leads to changes in the oral cavity, which makes it important to consider the optimal use of oral care products. The aim of the work was to evaluate the effectiveness of the use of preventive toothpastes with herbal components, along with the use of antiseptic rinses, in the treatment of elderly patients suffering from chronic generalized periodontitis and against the background of postcovid syndrome. 48 elderly patients with postcovid syndrome suffering from chronic generalized periodontitis of moderate severity were examined, who underwent the generally accepted complex treatment of periodontitis, but the methods of individual oral care differed due to the inclusion of rinses to the toothpastes used in the technique. It has been established that in elderly people suffering from periodontitis against the background of a new coronavirus infection, there are large violations of hemomicrocirculation in periodontal tissues, as well as a high incidence of periodontal pathogens. It was also noted that toothpastes in combination with mouthwashers are highly effective for individual oral hygiene in such patients. Despite the relatively identical clinical characteristics of oral hygiene and indicators of the condition of periodontal tissues, the use of a rinse aid with chlorhexidine during the week at the beginning of complex treatment helps to reduce the frequency of detection of periodontal pathogens, which is important for the secondary prevention of periodontitis and its recurrence.