American Journal Of Social Sciences And Humanity Research
144
https://theusajournals.com/index.php/ajsshr
VOLUME
Vol.05 Issue05 2025
PAGE NO.
144-145
10.37547/ajsshr/Volume05Issue05-35
Treatment of Dental Erosion in Patients with Gallbladder
Pathology
Yakubova Sarvinoz Rakhmonkul Kizi
Samarkand State Medical University, Samarkand, Uzbekistan
Received:
28 March 2025;
Accepted:
24 April 2025;
Published:
26 May 2025
Abstract:
Typical clinical signs of erosion are the presence of a smooth silk-glazed, sometimes dull surface with an
intact enamel zone along the gum margin. At later stages, further morphological changes can be detected,
resulting in the formation of a depression in the enamel, the width of which exceeds its depth.
Keywords:
Defects, tooth decay, erosive, food and drinks.
Introduction:
Erosion on the vestibular surface of teeth
should be distinguished from wedge-shaped defects,
which are located at the cement-enamel border or
apically in relation to it. The crown part of wedge-
shaped defects, as a rule, has a sharp border and is
located at right angles to the surface of the enamel, and
the "bottom" of the apical part reaches the surface of
the root. Thus, the depth of the wedge-shaped defect
exceeds its width. Erosive defects should also be
differentiated from increased tooth erasure, in which
the defects are often flat, have smooth shiny areas with
clear boundaries, while, as a rule, there are
corresponding signs on the teeth antagonists.
Many researchers have noted that wines and popular
low-alcohol carbonated drinks have a low pH and can
cause erosion.As for drinks, in terms of dental erosion,
those with a lower pH and a higher buffer capacity are
of interest, which include hundreds of beverage
options available for sale. Their erosive potential varies
within each group, depending on the brands and even
the geographical region. For example, there are reports
that drinks of the same composition differ in their
erosive potential due to differences in the content of
calcium and fluorides in the local water used in their
production.
Interestingly, in most obvious cases of erosion of an
exogenous nature, there is always a connection with
behavioral and lifestyle factors. Thus, a relationship has
been established between erosion and excessive
consumption of specific foods such as citrus fruits,
lemon and orange juice, fruit purees or fruit juices with
pulp, soft drinks with cola additives and drinks with
citrus additives. Frequent consumption of herbal teas,
which are popular among the population and
considered "healthy" drinks, can have a high erosive
potential.
1. The use of hygiene products designed for teeth with
hyperesthesia.
2. The use of professional means to reduce tooth
sensitivity by sealing dentinal tubules (adhesives,
desensitizers,
remineralizing
therapy,
deep
fluoridation, surface sealants).
3. Filling of defects.
4. Depulpation of teeth with increased sensitivity.
Modern technologies for the treatment of dental
hypersensitivity do not always have a lasting effect.
Innovative technology of prevention and treatment of
dentin hypersensitivity during professional oral
hygiene in patients with periodontal diseases
Thus, there are currently a large number of drugs
available to reduce dental hypersensitivity, but this
problem remains relevant.
The purpose of this study is to increase the
effectiveness of treatment in the interdisciplinary
interaction of a dentist and a general practitioner in
dental hard tissue erosions associated with pathology
of the gallbladder and biliary tract.
American Journal Of Social Sciences And Humanity Research
145
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American Journal Of Social Sciences And Humanity Research (ISSN: 2771-2141)
To achieve this goal, the following tasks will be set:
The prevalence, frequency and severity of dental hard
tissue erosion in patients will be studied.
2. The rate of gingival fluid secretion will be determined
in patients without erosion and gallbladder and biliary
tract pathology; with dental hard tissue erosion; with
dental erosion and gallbladder and biliary tract disease.
3. The method for preventing the occurrence and
further development of dental hard tissue erosion will
be improved.
4. The need for planning treatment for patients with
dental erosion and gallbladder and biliary tract disease
will be substantiated with the ultimate goal of
stabilizing existing erosion and preventing the
occurrence of new ones, with the participation of a
dentist, therapist and gastroenterologist.
5. An analysis of the effectiveness of treatment results
for patients with dental hard tissue erosion and
gallbladder and biliary tract pathology will be
conducted.
The research material and methods used to carry out
this research work
. 120 patients who sought dental
care at the Samarkand Regional Dental Clinic, aged 45
to 60 years, will be examined, including a control group
of 20 practically healthy people. All patients in the main
group will be divided into the following groups
depending on the treatment performed:
Group 1
–
60 patients with erosions of hard dental
tissues, without gallbladder pathology
Group 2
–
60 patients with erosions of hard dental
tissues with gallbladder and biliary tract pathologies
The following research methods will be used:
a) clinical and dental methods
b) clinical and functional
c) biochemical
d) statistical methods.
CONCLUSIONS
Based on the clinical and biochemical studies
conducted in patients with dental erosion and
pathology of the gallbladder and biliary tract, the role
of total bilirubin and its fractions, alkaline phosphatase,
C-reactive protein, chlorides in oral fluid will be
determined. A non-invasive method for studying the
biochemical parameters of total bilirubin and its
fractions, alkaline phosphatase in gingival fluid during
exacerbation of diseases of the gallbladder and biliary
tract can significantly increase the effectiveness of
dental erosion treatment.
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