DOI: https://doi.org/10.14739/2310-1210.2020.1.194649

Современные аспекты лечения генерализованного пародонтита у больных с соматической патологией

T. I. Рupin, O. M. Nemesh, Z. M Honta, I. V. Shylivskyi, K. A. Moroz, O. I. Bumbar

Аннотация


Цель работы – анализ научной литературы для изучения и обобщения данных о современных взглядах на лечение генерализованного пародонтита у лиц с тяжелыми общесоматическими заболеваниями.

Дистрофически-воспалительные заболевания тканей пародонта – полиэтиологические заболевания, течение которых взаимосвязано с патологическими процессами, возникающими вследствие нарушения функционирования важнейших систем организма. Комплексный подход к лечению заболеваний пародонта, предусматривающий совместно с локальной терапией диагностику и своевременное лечение соматической патологии, является важным условием достижения положительных результатов.

Представлены современные научные исследования общих патогенетически важных для генерализованного пародонтита и соматических заболеваний изменений (болезни сердечно-сосудистой, дыхательной, эндокринной, нервной систем, заболеваний ЖКТ), что позволяет составить более четкое представление о сущности генеза заболеваний пародонта и разработать эффективные лечебно-профилактические мероприятия.

Выводы. Продолжительность общесоматического заболевания увеличивает частоту и распространенность генерализованного пародонтита у людей разного возраста, осложняет течение со склонностью к прогрессированию. Этот факт требует особого подхода к лечению генерализованного пародонтита у пациентов с учетом патогенеза, особенностей течения и лечения фонового заболевания.

 

 

         


Ключевые слова


генерализованный пародонтит; заболевания пародонта; ткани пародонта; соматоформные расстройства; комплексное лечение; профилактика

Полный текст:

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Литература


Winning, L., & Linden, G. (2017). Periodontitis and Systemic Disease: Association or Causality? Current Oral Health Reports, 4(1), 1 7. https://doi.org/10.1007/s40496-017-0121-7

Fernandez-Solari, J., Barrionuevo, P., & Mastronardi, C. (2015). Periodontal Disease and Its Systemic Associated Diseases. Mediators Of Inflammation, 2015, Article 153074. https://doi.org/10.1155/2015/153074

Carrizales-Sepúlveda, E. F., Ordaz-Farías, A., Vera-Pineda, R., & Flores-Ramírez, R. (2018). Periodontal Disease, Systemic Inflammation and the Risk of Cardiovascular Disease. Heart, Lung and Circulation, 27(11), 1327–1334. https://doi.org/10.1016/j.hlc.2018.05.102

Yemelianova, N. Yu. (2019). Parodontalnyi status pry khronichnomu obstruktyvnomu zakhvoriuvanni lehen ta ishemichnii khvorobi sertsia [Paradontal status for chronic obstructive pulmonary disease and coronary heart disease]. Bulletin of problems biology and medicine, (1), pt. 2, 350 353. https://doi.org/10.29254/2077-4214-2019-1-2-149-350-353 [in Ukrainian].

Biloklyc'ka, G. F., & Kopchak, O. V. (2017). Novyi pidkhid do kompleksnoho likuvannia heneralizovanoho parodontytu, asotsiiovanoho z kardiovaskuliarnoiu patolohiieiu [A new approach to the comprehensive treatment of generalized periodontitis associated with cardiovascular disease]. Visnyk stomatologiy, 26(4), 30 35. [in Ukrainian].

Shylivskyi, I. V., Nemesh, O. M., & Honta, Z. M. (2016). Suchasni pohliady etiolohiiu ta patohenez zapalnykh zakhvoriuvan parodonta, yikh vzaiemozviazok iz patolohiieiu sechovydilnoi systemy (ohliad literatury ta vlasni doslidzhennia) [Modern concepts of etiology and pathogenesis of inflammatory periodontal diseases, their relationship with pathology of urinary system (review of the references and author’s own researches)]. Bukovinian Medical Herald, 20(1), 224 227. [in Ukrainian].

Nemesh, O. M., Honta, Z. M., Shylivskyi, I. V., & Skalat, A. P. (2011) Vzaimosvyaz' zabolevanii parodonta s somaticheskoi patologiei [The relationship of periodontal diseases with somatic pathology]. Stomatologicheskii zhurnal, (1), 18 21. [in Russian].

Sloboda, M. T. (2017). Assessment of the quality of life through the SF-36 questionnaire in young patients with periodontal diseases and deforming dorsopathies. The Pharma Innovation, 6(2), pt. C, 183 185.

Honta, Z. M. (2013). Indeksna otsinka stanu tkanyn parodonta ta vyznachennia obsiahu parodontolohichnoi dopomohy khvorym na shyzofreniiu [Index Valuation of the Periodontal Tissues State and Determination of Amount of Periodontal Help in Patients Suffering from Schizophrenia]. Novyny stomatolohii, (2), 87 89. [in Ukrainian].

Tepla, T. O. (2017). Osoblyvosti perebihu, likuvannia i profilaktyky zakhvoriuvan tkanyn parodonta u patsiientiv z urazhenniamy mizhkhrebtsevykh dyskiv shyinoho viddilu (Avtoref. dis…kand. med. nauk). [Specific Characteristics of the Course, Treatment and Prevention of Parodontal Diseases in Patients with Cervical Intervertebral Disk Lesions]. (Extended abstract of candidate’s thesis). Vinnitsya. [in Ukrainian].

Vinogradova, O. M., & Shkrebnyuk, R. Yu. (2015). Dyferentsiini metody likuvannia zakhvoriuvan tkanyn parodonta na tli tsukrovoho diabetu [Differential methods of treatment of periodontal diseases against a background of diabetes]. Clinical & experimental pathology, 14(1), 205 208. [in Ukrainian].

Yanishevskii, K. A. (2018). Kliniko-patohenetychni mekhanizmy vzaiemozv’iazku ta vzaiemoobtiazhennia zakhvoriuvan parodonta pry ishemichnii khvorobi sertsia ta shliakhy yikh korektsii (Avtoref. dis…kand. med. nauk). [Clinical and pathogenetic mechanisms of interconnection and mutual burdens of periodontal diseases in coronary heart disease and ways of their correction]. (Extended abstract of candidate’s thesis). Kyiv. [in Ukrainian].

Boychenko, O. (2015). Otsinka efektyvnosti likuvannia heneralizovanoho parodontytu antyhipoksantamy metabolichnoi dii u khvorykh na ishemichnu khvorobu sertsia I-II stupeniv [Evaluation of effectiveness of generalized periodontitis treatment modality with antihypoxants of metabolic action in patients with coronary artery disease of I-II degree]. Actual Problems of the Modern Medicine: Bulletin of Ukrainian Medical Stomatological Academy, 15(1), 4‒7. [in Ukrainian].

Skalat, A. P. (2015). Viddaleni klinichni rezultaty kompleksnoho likuvannia zakhvoriuvan parodonta u khvorykh na tli spetsyfichnoi patolohii orhaniv dykhannia [Remote clinical results of treatment of periodontal disease in patients with specific background of respiratory]. Bulletin of Scientific Research, (2), 86 88. https://doi.org/10.11603/2415-8798.2015.2.5592 [in Ukrainian].

Zabolotnyi, T. D., Kordiyak, O. I., & Shkrebniuk, R. Y. (2017). Efektyvnist likuvalnykh zakhodiv u patsiientiv iz heneralizovanym parodontytom na tli tsukrovoho diabetu I typu z kardiomiopatiieiu za okremymy pokaznykamy rotovoi ridyny [The efficacy of therapeutic measures for patients with generalized periodontitis in context of type 1 diabetes mellitus with cardiomyopathy on separate parameters of the oral liquid]. Ukrainskyi stomatolohichnyi almanakh, (1), 19 22. [in Ukrainian].

Sanoyan, V. V. (2013). Otsinka efektyvnosti likuvannia khronichnoho heneralizovanoho parodontytu u khvorykh na tsukrovyi diabet typu 2 shliakhom zastosuvannia fizychnykh ta imunolohichnykh pokaznykiv rotovoi ridyny (Avtoref. dis…kand. med. nauk). [Evaluation of treatment effectiveness of chronic generalized periodontitis in patients with type 2 diabetes mellitus using physical and immunological parameters of oral fluid]. (Extended abstract of candidate’s thesis). Poltava. [in Ukrainian].

Antonenko, M., Komisarenko, Yu., Zelinska, N., Sayapina, L., Znachkova, O., & Maliy, D. (2018). Obhruntuvannia vkliuchennia vitaminu D3 v kompleksne likuvannia heneralizovanoho parodontytu, asotsiiovanoho z tsukrovym diabetom I ta II typu. [Background of input vitamin D3 in the integrated treatment of generalized parodonity associated with diabetes mellitus І and ІІ type]. Suchasna stomatolohiia, 1, 45-49. [in Ukrainian].

Minko, L. Yu. (2012). Osoblyvosti klinichnoho perebihu, likuvannia ta profilaktyka heneralizovanoho parodontytu u khvorykh na pervynnyi hiperparatyreoz (eksperymentalno-klinichne doslidzhennia) (Avtoref. dis…kand. med. nauk). [Features of clinical course, treatment and prevention of generalized periodontitis in patients with primary hyperparathyroidism (clinical experimental study)]. (Extended abstract of candidate’s thesis). Lviv. [in Ukrainian].

Slaba, O. M. (2013). Kliniko-metabolichne obgruntuvannia likuvannia ta profilaktyky heneralizovanoho parodontytu u zhinok iz zalizodefitsytnoiu anemiieiu (Avtoref. dis…kand. med. nauk). [Clinical and metabolic substantiation of treatment and prevention of generalized periodontitis in women with iron deficiency anemia]. (Extended abstract of candidate’s thesis). Lviv. [in Ukrainian].

Slaba, O. M. (2015). Klinichna efektyvnist zastosuvannia likuvalno-profilaktychnoho heliu u kompleksnomu likuvanni heneralizovanoho parodontytu u zhinok iz zalizodefitsytnoiu anemiieiu [Clinical efficiency of the therapeutic and preventive gel in the complex treatment of generalized periodontitis in women with iron deficiency anemia]. Lvivskyi medychnyi chasopys, 21(1), 19 23. [in Ukrainian].

Sichkoriz, Kh. A. (2017). Klinichno-laboratorne obgruntuvannia kompleksnoho likuvannia ta profilaktyky zakhvoriuvan parodonta u khvorykh iz khronichnym hepatytom С (Avtoref. dis…kand. med. nauk). [Clinical laboratory substantiation of complex treatment and prevention of periodontal diseases in patients with chronic hepatitis C]. (Extended abstract of candidate’s thesis). Lviv. [in Ukrainian].

Patalakha, O. V. (2019). Osoblyvosti imunnoi vidpovidi ta optymizatsiia likuvannia heneralizovanoho parodontytu u khvorykh z toksychnym opioidnym hepatytom (Avtoref. dis…kand. med. nauk). [Peculiarities of Immune Response and Optimization of Generalized Parodontitis Treatment of Patients with Toxic Hepatitis in Case of Opioid Dependence]. (Extended abstract of candidate’s thesis). Kharkiv. [in Ukrainian].

Patalakha, O. V., & Loskutova, I. V. (2018). Kompleksne likuvannia heneralizovanoho parodontytu v narkozalezhnykh khvorykh na toksychnyi hepatyt [Efficiency of treatment of generalized parodontitis in drug-dependent patients with toxic hepatitis]. Visnyk naukovykh doslidzhen, (2), 103 109. https://doi.org/10.11603/2415-8798.2018.2.9089 [in Ukrainian].

Маtviychuk, Kh. B., Serhiyenko, О. М., & Кaminskyi, V. І. (2015). Ozonoterapiia heneralizovanoho parodontytu u patsiientiv z uskladnenniamy vyrazkovoi khvoroby dvanadtsiatypaloi kyshky [Ozone therapy of generalized periodontitis in patients with complications of duodenal peptic ulcer disease]. Bukovynskyi medychnyi visnyk, 19(1), 105 107. [in Ukrainian].

Shvets, I. Ye. (2016). Likuvannia heneralizovanoho parodontytu u khvorykh na khronichni zapalni protsesy shlunkovo-kyshkovoho traktu z vykorystanniam mineralnoi vody kurortu Morshyn (Avtoref. dis…kand. med. nauk). [Treatment of generalized periodontitis in patients with chronic inflammatory processes of the gastrointestinal tract using mineral water of the Morshyn resort]. (Extended abstract of candidate’s thesis). Lviv. [in Ukrainian].

Shvets, I. E, Markov, A. V, Moroz, K. A, & Pupin, T. I. (2015). Kliniko-imunolohichna efektyvnist mineralnoi vody kurortu Morshyn v kompleksnii terapii heneralizovanoho parodontytu u khvorykh z khronichnym hastrytom [Clinical and Immunological Efficacy of Mineral Water Resort Morshyn in the Complex Therapy of Patients with Generalized Periodontitis in Which Chronic Gastritis]. Visnyk problem biolohii i medytsyny, 4(2), 364 366. [in Ukrainian].

Shylivskyy, I. V. (2013). Efektyvnist kompleksnoho likuvannia heneralizovanoho parodontytu u khvorykh na sechokam’ianu khvorobu v umovakh kurortu m. Truskavets [Еffectiveness of the complex treatment of generalized periodontitis of people suffering from urolithiasis at health resort Truskavets]. Novyny stomatolohii, (2), 90 94. [in Ukrainian].

Zabolotnyі, T. D., Shylivskyі, І. V., Nemesh, O. M., Kurochka, I. M., & Shvets, I. E. (2014). Efektyvnist zastosuvannia mineralnykh vod u kompleksnii terapii zakhvoriuvan parodonta. Ohliad literatury [Effekt of Using Mineral Waters in Complex Treatment of Periodontal Diseases. Literature Review]. Novyny stomatolohii, (2), 65 69. [in Ukrainian].

Shylivsky, I. V. (2009). Vykorystannia pryrodnykh faktoriv Prykarpattia v kompleksnomu likuvanni zakhvoriuvan parodonta u khvorykh sechokamianoiu khvoroboiu (Avtoref. dis…kand. med. nauk). [Usage of natural factors of Prykarpattya in the complex treatment of periodontal diseases of persons suffering from urolithiasis]. (Extended abstract of candidate’s thesis). Kyiv. [in Ukrainian].

Zaliznyak, M. S. (2015). Kompleksne likuvannia khvorykh na heneralizovanyi parodontyt iz suputnim osteoartrozom ta otsinka yoho efektyvnosti. [Coplex treatment of generalized periodontitis with concomitant osteoartritis and estimation of its efficiency]. Visnyk naukovykh doslidzhen, (3), 79 82. https://doi.org/10.11603/1681-276Х.2015.3.5200 [in Ukrainian].

Honta, Z. M. (2010). Osoblyvosti klinichnoho perebihu, likuvannia ta profilaktyky zakhvoriuvan parodonta u khvorykh na shyzofreniiu (Avtoref. dis…kand. med. nauk). [Features of clinical course, treatment and prophylaxis of periodontal diseases in patients with schizophrenia]. (Extended abstract of candidate’s thesis). Lviv. [in Ukrainian].

Honta, Z. M. (2014). Klinichna efektyvnist kompleksnoho likuvannia zakhvoriuvan parodonta u khvorykh na shyzofreniiu [Clinical effectiveness of complex treatment of periodontal diseases in patients with schizophrenia]. Bukovynskyi medychnyi visnyk, 18(1), 26 28. [in Ukrainian].

Batih, V. (2018). Likuvannia zahostrenoho perebihu heneralizovanoho parodontytu u khvorykh z perevazhanniam sympatychnoi nervovoi systemy [The treatment of exacerbated course of generalized periodontitis in patients with a predominance of the sympathetic nervous system]. Suchasna stomatolohiia, (1), 37 39. [in Ukrainian].

Kononova, O. V. (2018). Obhruntuvannia antyoksydantnoi dii medykamentoznoi kompozytsii dlia likuvannia khvorykh na heneralizovanyi parodontyt z psykhosomatychnym stresom [The substantiation of antioxidant action of medicamentous composition for treatment of patients with generalized parodontitis and psychosomatic stress]. Visnyk problem biolohii i medytsyny, 1(1), 355 359. https://doi.org/10.29254/2077-4214-2018-1-1-142-355-359 [in Ukrainian].


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