More on the interpretationof gingival bleeding index in gerontodentistry

Крайнов, Сергей; Михальченко, В Ф; Попова, Александра; Фирсова, И В; Македонова, Ю А; Яковлев, А Т

doi:10.33925/1683-3759-2020-25-2-101-107

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…The more long-term and severe NIDDM is, microbiota resistance of oral mucosa is significantly lower, reactive conditions of oral mucosa, characteristics of periodontal tissue and mixed saliva are decreased accelerating destruction of periodontal tissues. Started with physiological strain, the process leads to broken adaptation and PD appears more severely on the background of the worst oral hygiene of patients with NIDDM [16,17,18,19].…”

Section: Discussionmentioning

confidence: 99%

Approaches to preventive periodontal care for geriatric patients with somatic disorders

et al. 2020

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During the last two decades the acute interest in longevity has been kept by the world’s scientific community in relation to quality of health of older adults and prevention of emerging diseases including oral disorders in the old age. This article presents the study of oral conditions in 100 patients between the ages of 60 and 69 who were divided into three groups. This study aims to define approaches to preventive periodontal care for elderly patients with comorbidities. The primary group included patients with periodontal disease (PD) and salivary gland dysfunction: Sjogren’s disease and syndrome, non-insulin dependent diabetes mellitus, chronic pancreatitis. Two experimental groups included patients with normal salivary gland function and PD as well practically healthy persons without PD and normal salivary gland function. A comparative analysis of the results showed spread of dental caries (100%) and periodontal diseases (80%). The clear correlation between periodontium complex inflammation and poor oral hygiene is defined, mostly with men (p<0.05). Structural and optical properties of mixed saliva significantly change subject to periodontium inflammation and xerostomia: severity of xerostomia corresponding to profound hemodynamic and microcirculatory changes causes more intensive structural developmental abnormalities of mixed saliva. The important component of the Periodontal Treatment Protocol is to help older people develop skills and controls of effective thorough tooth brushing.

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Section: Discussionmentioning

confidence: 99%

Approaches to preventive periodontal care for geriatric patients with somatic disorders

et al. 2020

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“…В основе указанного выше метода лежит движение жидкости через дентинные канальцы. При воздействии теплом или холодом на поверхность зуба движение жидкости в дентинных канальцах вызывает раздражение периферических волокон, в том числе и А-волокон, что и приводит к болевой реакции [6].…”

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On the question of choosing the most valid methods for diagnostics of pulpal hyperemia

Myasoedova,

Firsova,

Popova

et al. 2024

Journal of Volgograd State Medical University

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The choice of the most optimal methods for the diagnosis and treatment of reversible forms of pulpitis is an urgent issue of modern practical endodontics. The dental pulp is unique in its histological structure, innervation and microcirculation. Reversible forms of pulpitis (including pulp hyperemia) are associated with a number of morphological and functional changes in the neurovascular bundle, which, at their early stages, are not fully detected during clinical examination, and require the inclusion of additional functional diagnostic methods, which include not only in the assessment of the nerve elements of the pulp (EOD), but also the study of the state of microcirculation (LDF), a change in which can become a predictor of the inflammatory response. In order to determine the most valid method for assessing the condition of the pulp in reversible forms of pulpitis, 43 young people with a diagnosis of K04.00 (pulp hyperemia) deep caries were examined and treated. Each patient was assessed carious and intact (symmetrical) teeth. At the same time, in addition to clinical diagnostic methods, EOD and LDF were used (M and σ were evaluated). Within two weeks, after the treatment, in 2 patients with the highest values of EOD (19 and 21 μA at the time of the initial examination) and LDF (M: 21.14 and 23.56 arb. units and σ: 0.82 and 0.85 conventional units) was diagnosed with irreversible pulpitis, which required a different treatment strategy. Therefore, when diagnosing reversible forms of pulpitis, it is necessary to be guided not only by the data of a clinical examination (which is undoubtedly the main and determining one), but also to assess the state of the vascular and nervous elements of the pulp, changes in which often anticipate the clinical manifestations of the pathology of the pulp of the tooth.

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Клинико-Цитологическая Оценка Состояния Пародонта Пациентов С Хроническим Генерализованным Пародонтитом При Подготовке К Ортопедическому Лечению

Firsova,

Alehanova,

Krainov

et al. 2023

Journal of Volgograd State Medical University

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Literature data and own observations indicate that the risk of periodontal complications at various stages of dental prosthetics is associated with the clinical and functional state of the periodontal complex. After basic therapy in patients with chronic generalized periodontitis (CGP), an analysis of the clinical and morphofunctional state of the periodontium was performed. Cell differentiation index (CDI) and inflammatory-destructive (VDI) index, as well as the degree of microbial contamination (CIGP) were determined. The clinical condition of the periodontium of patients was assessed using periodontal and hygienic indices. The results of monitoring (3, 7, 14 and 21 days after surgical debridement of periodontal pockets) showed that the relief of the inflammatory process in the periodontium is observed as early as 14 days, according to the PMA 10,3 1,2 index (p2 0,05). The data of a cytological study of smears-imprints of the marginal epithelium of the periodontium indicate that the stabilization of inflammation and the reparative process in the integumentary epithelium becomes pronounced after 14 days, and the values of CDI (630,6 1,1) and VDI (3,5 1,2) reach the limits of the norm only by 21 days after curettage of periodontal pocket. Thus, in order to minimize the risk of periodontal complications, when planning the timing and scope of prosthodontic treatment for patients with CGP, it is recommended to use, among other things, a cytomorphological method that reflects an objective picture of the periodontal condition

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More on the interpretationof gingival bleeding index in gerontodentistry

Cited by 5 publications

References 8 publications

Approaches to preventive periodontal care for geriatric patients with somatic disorders

Approaches to preventive periodontal care for geriatric patients with somatic disorders

On the question of choosing the most valid methods for diagnostics of pulpal hyperemia

Клинико-Цитологическая Оценка Состояния Пародонта Пациентов С Хроническим Генерализованным Пародонтитом При Подготовке К Ортопедическому Лечению

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