The effectiveness of the treatment of patients with exacerbative course of generalized periodontitis with manifestations of psychoemotional stress
DOI:
https://doi.org/10.33295/1992-576X-2020-2-24Keywords:
generalized periodontitis, psychoemotional stress, complex of adrenoblockers, long-term observation termsAbstract
Abstract. To date, the most important etiological factor in the occurrence of periodontal diseases (inflammatory, dystrophic-inflammatory) is considered to be periodontal pathogenic microflora of the dental biofilm. To realize its pathogenic potential, it is important to have a favorable effect of certain system factors. A special place among these systemic factors is psychological stress, the spread of which is constantly growing. This should be taken into account in the complex treatment of patients with generalized periodontitis. Considering this, a medical scheme for the preparation of patients with exacerbative course of generalized periodontitis with the presence of psycho-emotional stress using a
complex of adrenoblockers has been proposed.
Objective: to determine the clinical efficacy of the proposed complex of adrenoblockers in the complex treatment of patients with exacerbative course of generalized periodontitis in the presence of psychoemotional stress.
Material and research methods. For this study, 50 patients were selected with a generalized chronic periodontitis exacerbative course with the presence of psychoemotional stress. Medicamental treatment was performed using the proposed premedication with a complex of adrenoblockers. A comprehensive survey of the condition of the periodontal tissues of patients before treatment and after treatment was carried out. To assess the clinical efficacy of treatment, a test of Schiller-Pisarev (1962), PMA index by C. Parma (1961), hygienic index OHI-S (1978), index PBI (H.R. Muhlemann, S.Son, 1971), periodontal index PI (A.L. Russel, 1956) were used. The level of psychological stress was assessed using the DASS-21 and Spielberger-Khanin questionnaires.
Results. As a result of the investigation it was found that the usage of the proposed complex of adrenoblockers in the complex therapy of patients with exacerbative course of generalized periodontitis with the presence of psychoemotional stress can effectively inhibit the dystrophic-inflammatory process in periodontal tissues in a long-term of the investigation. This confirms by the decline in the index PMA, OHI-S, РВІ, PI at nearest term of observation.
Conclusions. Usage of the proposed complex of adrenoblockers increases the effectiveness of treatment of exacerbative course of generalized periodontitis in patients with the presence of psychoemotional stress at nearest observation terms.
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