ALTERNATIVE VIEW ON PREPARATION FOR DENTAL IMPLANTATION OF YOUNG AGENT PATIENTS WITH CHRONIC LOCALIZED PERIODONTISM

Abstract

The most common cause of tooth loss are inflammation of periodontal tissues. A common method of eliminating defects in the dentition is dental implantation. However, the doctor, in the conditions of periodontal pathology, faces certain difficulties. Traditionally, the treatment of periodontal disease is often not justified, antibiotics. Therefore, a group of bacteriostatics with a wide spectrum of action attracts attention when it is possible to maintain the normal microflora of the oral cavity, to reduce the risk of adverse side effects of drugs. In particular, the widespread use of antibiotics does not provide the expected result. This is facilitated by the high allergization of the population precisely because of their uncontrolled use. Therefore, there is a need to reduce the use of these drugs in young patients in outpatient dental practice. Purpose of the study. Improving the effectiveness of preoperative preparation of young patients with chronic localized periodontitis in intraosseous dental implantation. Materials and methods. To determine the effectiveness of therapy, 47 people aged 18 to 35 years with chronic localized periodontitis, without concomitant somatic pathology, who needed intraosseous dental implantation, were examined. Patients consisted of two groups: the first included the bacteriostatic decamethoxin in the treatment complex: the solution of the drug Dekasan in the form of applications and irrigation and the restepsing tablet Septefril-Darnitsa in standard doses, in the second, the drug Angilex was used as an antibacterial therapy (active ingredient Hexetidine) in the form of applications and irrigations, and Gramidin resorption tablets (active ingredient Gramicidin C) were prescribed according to the instructions. Results and its discussion. The level of oral hygiene in both groups of patients affected the periodontal status, which were displayed in terms of the OHI-S O hygiene index: both groups ranged from 1.69 units. up to 2.58 units and averaged 2.14±0.3 units. The results of the microbiological efficacy of «Angilex» and «Gramidin» in relation to the conditional flora in patients of group I and in 87.0% of cases were excellent. However, after the end of the course of treatment after 3 weeks, the frequency of excretion from the periodontal pockets of microorganisms Bacteroides forsythus, Actinobacillus actinomycetemcomitans, Prevotella intermedia, Porphyromonas gingivalis, in 58% of patients had the same treatment. The use of bacteriostatics decasan, in patients of group I after 4–5 procedures in 87.5% of cases, periodontal indices corresponded to the norm. Up to 7–8 days in 100% of cases there was a complete regression of the clinical and paraclinical signs of chronic localized periodontitis. Microbiological studies showed the frequency of their discharge from the periodontal pockets after 4–5 procedures decreased. At the end of the course of treatment, the majority of patients in group I (in 85.3%) stated the complete elimination of the main pathogens of periodontitis. Findings. Thus, our studies have shown that the use of bacteriostatics in the preoperative preparation of young patients with chronic localized periodontitis without concomitant somatic pathology makes it possible to effectively achieve the elimination of periodontal bacteria and provide conditions for complete osteointegration of intraosseous structures.