Ultrastructural condition of periodontal disease in the improvement of fl ap operation in the treatment of patients with generalized periodontitis
DOI:
https://doi.org/10.11603/2311-9624.2017.4.8057Keywords:
generalized paradontitis, advanced fracture surgery, X-ray and ultrasound research.Abstract
Among all surgical dental diseases periodontal disease occupies one of the leading places, taking into account the prevalence of this pathology among the population and its negative consequences (loss of teeth and impaired functions of the tooth-jaw system). The severity of GP, frequent relapses and complications leads to a decrease in the quality of life of patients, signifi cant socio-economic losses, impaired chewing and speech.
The aim of the study – to increase the effectiveness of surgical treatment of patients with GP III degree of severity by improving certain technological steps in the operations of Tseshynskyi-Widman-Neimann.
Materials and Methods. We operated 46 patients with chronic generalized paradontitis (GP) of the III degree, divided into two groups: group I (20 people), which was the traditional modifi ed operation of Tseshynskyi-Vidman-Neimann; Patients of the group II (26 persons) – modifi ed operation of Teshynskyi-Vidman-Neimann, improved by the method of periost penetration with medical correction (using oral trays with miramistin and applications of methyluracil ointment with miramistin on periodontal tissues and postoperative sutures with application in the postoperative periods of the preparation “Glutargin “(First in injections No. 5 intravenous 5 ml (2 g) per 200 ml of 0.9 % sodium chloride solution 2 times a day and then in tablets – 4 tablets of 0.75 mg 3 times a day for a month).
Results and Discussion. After the treatment, it was found that the average rate of the Schiller-Pysariev sample was higher in patients of group I (2.5 ± 0.05%) compared with the corresponding index of group II (0.95±0.04 %). After treatment, the average index of bleeding index was (0.77±0.04) points in the group I and (0.32±0.04) points in the group II. The ultrastructural state of periodontal undergoes positive transformations in shorter terms in patients of the group II. Thus, the use of peristaltic penetration with medical correction in the surgical treatment of patients with a GP of the III degree has advantages over traditional treatment.
Conclusions. As a result of the research, the technological chain of the modifi ed Tseshynskyi-Vidman-Neimann operation was improved for the treatment of GP patients with a chronic course of the third degree through periosteal penetration. Ultrastructurally up to the twelfth month after operative intervention in the periodontitis of patients of the fi rst and second groups, a positive dynamics is observed; however, better morphological transformations occur in the periodontitis of patients who underwent periosteal penetration in combination with drug correction.
References
Agzamova, L.R. (2010). Optimizatsiya khirurgicheskogo lecheniya khronicheskogo generalizovannogo parodontita [Optimization of surgical treatment of chronic generalized periodontitis]. Meditsinskiy vestnik Bashkortostana – Medical Journal of Bashkortostan, (4), 97-102 [in Russian].
Zabolotnyy, T.D. (1990). Ultrazvukovaya ekhoosteometriya (UEOM) v diagnostike i lechenii zabolevaniy parodonta [Ultrasonic echoostometry (UEOM) in the diagnosis and treatment of periodontal diseases]. Metodika diagnostiki, lecheniya i profi laktiki osnovnykh stomatologicheskikh zabolevaniy – Methods of Diagnosis, Treatment and Prevention of Major Dental Diseases, 107-108 [in Russian].
Makhlynets, N.P. (2015). Kompleksne likuvannia khvorykh na heneralizovanyi parodontyt iz milkym prysinkom rota [Complex treatment of patients with generalized periodontitis with a small prick of the mouth]. Halytskyi likarskyi visnyk – Galician Medicinal Journal, (22), 2, 63-65 [in Ukrainian].
Melnychuk, A.S., Kashivska, R.S. & Vasylyshyn, U.R. (2013). Dynamika deiakykh biokhimichnykh pokaznykiv
rotovoi ridyny pid vplyvom kompleksnoho likuvannia khvorykh na heneralizovanyi parodontyt u rizni terminy
sposterezhennia [Dynamics of some biochemical parameters of oral liquid under the infl uence of complex
treatment of patients with generalized periodontitis in different terms of observation]. Stomatolohiia XXI
stolittia. Estafeta pokolin: nauk.-prakt. konf. z mizhnar. uch.: tez. dop., 2-3 kvitnia – Dentistry of the XXI century.
Relaunch of Generations: Sciences. Pract. Conf. from International Student: Theses of Reports, April 2-3, Odesa,
-190 [in Ukrainian].
Prots, H.B., Piuryk, V.P. & Solodzhuk, Yu.I. (2016). Otsinka pokaznykiv markeriv kistkovoho remodeliuvannia v kompleksnomu likuvanni heneralizovanoho parodontytu [Evaluation of indicators of markers of bone remodeling in the complex treatment of generalized periodontitis]. Halytskyi likarskyi visnyk – Galician Medicinal Journal, (23), 2, 34-37 [in Ukrainian].
Piuryk, V.P., Ohiienko, S.A. & Piuryk, Ya.V. (2016). Sposib stymuliatsii reparatyvnykh protsesiv u parodonti
[A method of stimulation of reparative processes in parodontium]. Pat. No 93799 Ukraina, MPK A61V 17/24
(2006.01). Zaiavnyky i patentovlasnyky Piuryk, V.P., Ohiienko, S.A., Piuryk, Ya.V. No u 2014 05833. Zayavl. 29.09.2014; opubl. 10.10.2014, Byul. No 19 [in Ukrainian].
Piuryk, V.P., Ohiienko, S.A. & Piuryk, Ya.V. (2016). Sposib korektsii osteohenezu pry likuvanni khvorykh na
tyazhku formu heneralizovanoho parodontytu [Method of correction of osteogenesis in the treatment of patients with severe forms of generalized periodontitis]. Pat. No 105402 Ukraina, MPK A61V 17/24 (2006.01). Zaiavnyky i patentovlasnyky Piuryk, V.P., Ohiienko, S.A. & Piuryk, Ya.V. No. a 2015 00601; zayavl. 26.01.2015; opubl. 25.03.2016, Biul. No. 6 [in Ukrainian].
Piuryk, V.P., Ohiienko, S.A. & Piuryk, Ya.V. (2016). Sposib kompleksnoho likuvannia khvorykh na heneralizovanyi parodontyt II-III stupenia [A method of complex treatment of patients with generalized periodontitis of ІІ-ІІІ degrees]. Pat. No. 111458 Ukraina, MPK (2016.01) A61V 17/24 (2006.01) A61K 31.00 A61R 1/02 (2006.01). Zayavnyky i patentovlasnyky Piuryk, V.P., Ohiienko, S.A., Piuryk, Ya.V. – No. a 2015 08662; zayavl. 07.09.2015; opubl. 25.04.2016, Byul. No. 8 [in Ukrainian].
Piuryk, V.P., Ohiienko, S.A. & Piuryk, Ya.V. (2016). Pidvyshchennia efektyvnosti mukohinhivoosteoplastyky
v likuvanni khvorykh na tiazhku formu hene ralizovanoho parodontytu shliakhom mnozhynnoi penetratsii
periostu [Improvement of the effectiveness of mucogingivo-osteoplasty in the treatment of patients with severe forms of generalized periodontitis by multiple penetration of periosteum]. Halytskyi likarskyi visnyk – Galician Medicinal Journal, (23), 2, 37-40 [in Ukrainian].
Piuryk, V.P. (1993). Transplantatsiia kistkovoho mozku pry likuvanni parodontytu i kistkovykh porushen shchelep [Bone marrow transplantation in the treatment of periodontitis and bone disorders of the jaws]. Doctor’s thesis: Ivano-Frankivsk med. in-t. Kyiv [in Ukrainian].
López, А., Nart, J. & Santos, A. (2011). Assessment of morbidity after periodontal resective surgery. Periodontol., (82), 11, 1563-1569.
Muhlemann, H.R. & Son, S. (1971). Gingival sulcus bleeding – a leading symptom in initial gingivitis.
Helvetia Odontologia Acta, (15), 107-113.
