Spectrum of periodontal pockets microflora in patients with generalized periodontitis after use of the therapeutic composition based on decametoxin
DOI:
https://doi.org/10.33295/1992-576X-2022-5-6-26Keywords:
decamethoxine, propolis, ethonium, generalized periodontitis, microfloraAbstract
Goal. Improving the scheme of treatment and prevention of periodontal diseases using a therapeutic composition based on decamethoxine.
Materials and methods. 70 patients with diagnosed chronic generalized periodontitis (35 people – main group (A); 35 people – comparison group (B)) aged 25 to 45 years were treated. Clinical examination of patients was performed according to the generally accepted methods: subjective (complaints, medical history, life history) and objective (examination, index assessment, determination of the level of gingival attachment). We conducted a study of the quantitative composition and spectrum of the microflora of periodontal pockets in patients with generalized periodontitis on the indicators: CFU (colony forming units); study of morphological, tinktorial, cultural and biochemical properties of the isolated microflora with subsequent determination of its genus and species, study of the dynamics of changes in oral microbiocenosis in patients during their treatment and rehabilitation of the proposed composition of drugs.
Results. We identified decrease in the level of normal microflora, an increase in the number of opportunistic pathogens in patients with generalized periodontitis, the formation of dominant species of microorganisms or fungi; the presence of stable associations of microflora, fungi, protozoa. After treatment, there was a significant decrease in the number of pathogenic and opportunistic microflora in periodontal pockets in patients with generalized periodontitis.
Conclusion. The proposed pharmacological composition DEPS is an effective antiseptic, after the use of which there was a decrease in the number of pathogenic and opportunistic microflora of periodontal pockets. It can be used in the maintenance phase to improve the generally accepted treatment and prevention of periodontal disease.
Downloads
References
Samaranayake L., Matsubara V.H. Normal oral flora and the oral ecosystem // Dent. Clin. North Am. - 2017; 61 (2): 199-215. doi: https://doi.org/10.1016/j.cden.2016.11.002 PMid:28317562
Shevchenko T.M., Rozhnieva I.L., Dyklenko T.V., Voronkova O.S. Porivnialna kharakterystyka skladu mikrobnykh asotsiatsii shlunkovo-kyshkovoho traktu liudyny v normi ta pry dysbiozi // Regulatory Mechanisms in Biosystems. - 2017; 8 (4): 497-500. doi: https://doi.org/10.15421/021776
Ebersole J., Kirakodu S., Chen J., Nagarajan R., Gonzalez O.A. Oral microbiome and gingival transcriptome profiles of ligature-induced periodontitis // J. Dent. Res. - 2020; 99 (6): 746-57. doi: https://doi.org/10.1177/0022034520906138 PMid:32075482 PMCid:PMC7243415
Almeida V.D.S.M., Azevedo J., Leal H.F., de Queiroz A.T.L., Filho H.P.D.S., Reis J.N. Bacterial diversity and prevalence of antibiotic resistance genes in the oral microbiome // PLoS One [Internet]. 2020 [cited 2021 Mar 17]; 15 (9): e0239664. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7523989/pdf/pone.0239664.pdf. doi: https://doi.org/10.1371/journal.pone.0239664 PMid:32991620 PMCid:PMC7523989
Ebersole J.L., Kirakodu S.S., Neumann E., Orraca L., Martinez J.G., Gonzalez O.A. Oral Microbiome and Gingival Tissue Apoptosis and Autophagy Transcriptomics. Front Immunol [Internet]. 2020 [cited 2021 Feb 23]; 11: 585414. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7604357/pdf/fimmu-11-585414.pdf. doi: https://doi.org/10.3389/fimmu.2020.585414 PMid:33193408 PMCid:PMC7604357
Xiao J., Fiscella K.A., Gill S.R. Oral microbiome: possible harbinger for children's health. Int J Oral Sci [Internet]. 2020 [cited 2021 Jan 17]; 12:12. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190716/pdf/41368_2020_Article_82.pdf. doi: https://doi.org/10.1038/s41368-020-0082-x PMid:32350240 PMCid:PMC7190716
Willis J.R, Gabaldуn T. The human oral microbiome in health and disease: from sequences to ecosystems. Microorganisms [Internet]. 2020 [cited 2021 Mar 17]; 8 (2): 308. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7074908/pdf/microorganisms-08-00308.pdf. doi: https://doi.org/10.3390/microorganisms8020308 PMid:32102216 PMCid:PMC7074908
Caselli E., Fabbri C., D'Accolti M., Soffritti I., Bassi C., Mazzacane S. et al. Defining the oral microbiome by whole-genome sequencing and resistome analysis: the complexity of the healthy picture. BMC Microbiol [Internet]. 2020 [cited 2021 Jan 22]; 20 (1):120. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236360/pdf/12866_2020_Article_1801.pdf. doi: https://doi.org/10.1186/s12866-020-01801-y PMid:32423437 PMCid:PMC7236360
Elsedawy H.F.S., Kemawi A.A.M., Almonuif A.H., Alrashdi E.O., Masae M.M.S., Abuharbah N. et al. Microbiology of Periodontal Diseases // Academic Journal of Research and Scientific Publishing. 2021; 2 (22): 71-82.
Genco R.J., LaMonte M.J., McSkimming D.I., Buck M.J., Li L., Hovey K.M. et al. The subgingival microbiome relationship to periodontal disease in older women //J. Dent. Res. - 2019; 98 (9): 975-84. Doi: https://doi.org/10.1177/0022034519860449 PMid:31329044 PMCid:PMC6651762
Trofimenko Yu.Iu., Zhorniak O.I., Fomina N.S., Burkot V.M., Kulyk A.V., Zhorniak P.V. Doslidzhennia efektyvnosti vykorystannia antyseptychnykh kompozytsii na osnovi dekametoksynu dlia obrobky endotrakhealnykh trubok z metoiu poperedzhennia rozvytku ventyliator-asotsiiovanoi pnevmonii u patsiientiv viddilennia intensyvnoi terapii // Visnyk Vinnytskoho natsionalnoho medychnoho universytetu. - 2020; 24 (1): 17-9. Doi: https://doi.org/10.31393/reports-vnmedical-2020-24(1)-03
Nazarchuk O.A. Doslidzhennia protymikrobnoi efektyvnosti suchasnykh antyseptychnykh zasobiv na osnovi dekametoksynu ta povidonu yodu // Perioperative Medicine. - 2019; 2 (1): 4-10. Doi: https://doi.org/10.31636/prmd.v2i1.1