Features of preoperative preparation for intraosseous dental implantation in patients with generalized periodontitis
Особенности дооперационной подготовки к дентальной внутрикостной имплантации больных с генерализованным пародонтитом
Alexander Gudaryan 1, Igor Samoilenko 1
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1 Dnipropetrovsk medical Academy Ministry of health of Ukraine, Dnipropetrovsk, Ukraine
J CLIN MED KAZ, Volume 3, Issue 37, pp. 19-25.
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ABSTRACT
Study purpose: Improving the effectiveness of rehabilitation in patients with generalized periodontitis during preoperative preparations for dental implantation, by improving methods of antimicrobial therapy and correction of immunological and biochemical disturbance.
Research methods: Clinical, microbiological (PCR), immunological and biochemical studies in 42 patients generalized parodontitis, selected to conduct dental implantation. In the main group (32 patients) the preoperative preparation was carried out on the developed technique using Photodynamic therapy, immunomodulator IL-2 recombinant (ronkoleukin) and antioxidant mexidol.
In the control group (31 patients) passed on the preoperative preparation and traditional generally accepted the plan.
Results. In the main group of mild inflmmatory-infectious process in periodontal tissues and resistant (not less than one year) clinicoradiological remission, normalization of studied immunological and biochemical indices reached 93.8% of cases. In the comparison group, a positive result of treatment observed at 74.4% of the patients.
Conclusions: developed and proven method combined preparations for dental implantation of patients with generalized periodontitis by clinical studies demonstrated advantage over existing traditional, due to optimization of sanation of periodontal tissues, as well as correction of immunological and biochemical irregularities identifid in such patients.
CITATION
Gudaryan A, Samoilenko I. Features of preoperative preparation for intraosseous dental implantation in patients with generalized periodontitis. Journal of Clinical Medicine of Kazakhstan. 2015;3(37):19-25.
REFERENCES
- Parasevich V.L. Dental’naja implantologija (Dental implants), Osnovy teorii i praktiki, Minsk, 2002, 356 р.
- Vasil’ev A.V., Ulitovskij S.B., Vasil’ev N.V., Sharonov I.V. Prakticheskie aspekty klinicheskoj dental’noj implantologii: [Atlas-rukovodstvo] (The practical aspects klïnïçeskoy dental implants: [Atlas Guide]), Izd. «Chelovek», SPb., 2010.
- Mashhenko I.S., Samojlenko I.A. Kliniko–immunologicheskij monitoring v posleoperacionnom periode u bol’nyh posle vnutrikostnoj dental’noj implantacii (Clinical and immunological monitoring in the postoperative period in patients after intraosseous dental implantation), Medichnі perspektivi, 2013, T. 18, No.4, pp. 13-19.
- Gudar’jan A.A., Samojlenko I.A. Immunologicheskie narushenija u bol’nyh generalizovannym parodontitom v faze dlitel’noj klinicheskoj remissii do i posle vnutrikostnoj dental’noj implantacii kak prichina pereimplantitov (Immunological disorders in patients with generalized periodontitis in the phase of long-term clinical remission before and after intraosseous dental implantation as a cause pereimplantitov), Medichnі perspektivi, 2012 T. 18, No.4, p. 74.
- Kolenko Ju.G. Kliniko-immunologicheskoe i biohimicheskoe obosnovanie osobennostej kompleksnogo lechenija generalizovannogo parodontita u bol’nyh s razlichnymi immunnymi narushenijami/ Ju.G. Kolenko, A.G. Dimitrova, O.O. Shereka (Microbiological justify a differentiated approach to the use of antibiotic therapy in the treatment of mandible fractures in young adults), Sovremennaja stomatologija, 2010, No.1, pp.59-61.
- Periodontal Response to Mechanical Non-Surgical Therapy: A Review. Gary Greenstein, Journal of Periodontology, 1992, Vol. 63, No. 2.
- Gudar’jan A.A., Mashhenko I.S., Idashkina N.G. Kliniko - laboratornaja jeffektivnost’ HELBO – terapii u bol’nyh periimplantitom (Clinical - laboratornaya Efficiency HELBO - in the therapy of patients peryymplantytom), Medichnі perspektivi, 2013, T. 18,No. 4, pp. 19-26.
- Antimicrobial photodynamic therapy in the nonsurgical treatment of perioimplantitis/ A.B. Novaes, H.O. Schwartz-Filho, R.R. Oliveira, M. Feres, Lasers Med, 2012, No.27, pp.389-395.
- Knopka K. Photodynamic therapy / K. Knopka, T. Goloski, Dent.Res, 2007, Vol.86, pp.694 -707.
- Latjushina L.S. Kliniko-immunologicheskaja ocenka lokal’noj immunokorrekcii ronkolejkinom v kompleksnom lechenii bol’nyh s flegmonami cheljustno-licevoj oblasti (Clinical and Local Area ymmunolohycheskaya evaluation of immune Roncoleukin in Integrated Treatment of patients with phlegmon chelyustno-lytsevoy region), Vestnik novyh medicinskih tehnologij, 2008, No.2, pp.182-185.
- Gerasimenko M.Ju. Amhadova M.A. Hrykova A.G. Gadzhiev R.S. Amhadov I.S. Primenenie fljuktuoforeza meksidola posle sinusliftinga u pacientov s hronicheskimi vospalitel’nymi procesami v verhnecheljustnoj pazuhe (Application flyuktuoforeza meksydola after synuslyftynha in patsyentov with chronic vospalytelnыmy processes in the maxillary sinus), Rossijskij stomatologicheskij zhurnal, 2014, No. 4, pp.29-33.
- Prosvirova E.P. Kliniko-labolatornaja ocenka jeffektivnosti meksidola v kompleksnom lechenii hronicheskogo generalizovannogo parodontita (Clinical and laboratory evaluation of the effectiveness mexidol in treatment of chronic generalized periodontitis), Prosvirova E.P. Dmitrieva L.A., Parodontologija, 2004, No.3(32), pp.28-34.
- Dimitrova A.G. Ocenka jeffektivnosti razlichnyh immunomoduljatorov v kompleksnom lechenii generalizovannogo periodontita u lic molodogo vozrasta (18-25 let) (Evaluating the effectiveness of different immunomodulator in treatment of generalized periodontitis in young adults), A.G. Dimitrova, Ju.G. Kolenko, sovremennaja stomatologija, 2013, No.2, pp.38- 39.
- Olejnik O.I., Vusataja E.V., Popova V.S. Kompleksnyj podhod k lecheniju rannih form vospalitel’nyh zabolevanij parodonta (An integrated approach to the treatment of early forms of inflammatory periodontal diseases), Molodoj uchenyj, 2015, No.5(85), pp.75-78.
- Kak opisyvat’ statistiku v medicine. Annotirovanoe rukovodstvo dlja avtorov, redaktorov i recencentov (Annotated Guide to the authors, editors and reviewers), T.A. Lang, M.Sessik; per. s angl. pod red. V.P. Leonova, M.: Prakticheskaja medicina, 2011, 480 p.
- Manchini G. Immunochemical quantitation of antigens by single radial immunodiffusion, G.Manchini, A.O. Garbonara, S.F. Heremans, Immunochemistry, 1965,Vol. 2, No. 6, pp. 234-235.
- Leus P.A. Znachenie nekotoryh indeksov v jepidemiologicheskih issledovanijah boleznej parodonta (The value of some indices in epidemiological studies of periodontal diseases), Stomatologija, 1990, T. 69, No.1, pp.80 -83.