PERIODONTAL DISEASE

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PERIODONTAL DISEASE

Mansurova Bahora Hasanovna

Student of Asia International University.

msarvinoz996@gmail.com

https://doi.org/10.5281/zenodo.14038436

Abstract. There is review of the literature deals with an actual problem in dentistry which

is modern methods of treatment of periodontal disease. Diagnosis and treatment of periodontal

diseases are a modern problem of dentistry due to their high frequency and intensity of damage.

Periodontal disease is the most complex nosological unit among periodontal diseases. The

issue of the efficiency and having long-term results of treatment measures for this pathology

remains important nowadays. Modern methods and means of treatment which are described here

have a great importance for practical use in dental practice.

Key words: periodontal disease, PerioScan device, Vector, PRF-therapy.

ЗАБОЛЕВАНИЯ ПАРОДОНТА

Аннотация. В представленном обзоре литературы рассматривается актуальная

проблема в стоматологии -современные методы лечения пародонтоза. Диагностика и

лечение пародонтоза в связи с их высокой частотой и интенсивностью поражения

являются современной проблемой стоматологии. Пародонтоз представляют собой

наиболее сложную нозологическую единицу среди заболеваний пародонта. Вопрос об

эффективности и долговременности результатов лечебных мероприятий данной

патологии остается важным и на сегодняшний день. Описаны современные методы и

средства лечения, знание которых имеет большое значение для их практического

использования в стоматологической практике.

Ключевые слова: пародонтоз, аппарат PerioScan, Вектор, PRF-терапия.

INTRODUCTION:

Currently, one of the most pressing problems in dentistry is inflammatory periodontal

diseases. Periodontitis is the most complex nosological entity among periodontal diseases. The

development of periodontal diseases is unique to each patient, so treatment is primarily based on

an individual approach to the patient. It should be comprehensive and include not only the

elimination of gum disease symptoms, but also the normalization of periodontal tissues and the

impact on the general condition of the patient.

LITERATURE REVIEW:

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Of course, the means and methods that allow you to restore or improve the condition of the

main sources of tissue metabolism are important. The following groups of drugs are prescribed for

this:

■ antiseptics (Chlorhexidine 0.05% and 0.12%, Miramistin, etc.)

■ local injections of NSAIDs;

■ enzyme preparations (Trypsin, Chymotrypsin, etc.);

■ blood circulation improving agents (nicotinic, ascorbic acid, etc.);

■ vitamin preparations (vit. A, E, C, group B, etc.);

■ immunocorrective preparations (Imudon, Lizobact);

■ bacteriophages with mandatory introduction into the periodontal pocket under the

supervision of a doctor, training in independent introduction into the pockets;

■ homeopathic preparations (usually mouthwashes Stomatofit, Chlorophyllin, etc.) [1-4].

Symptomatic therapy is aimed at eliminating and reducing individual symptoms of the

disease that cause suffering to the patient:

painkillers (Nimesil, Nurofen, Nise, Ketorol, etc.);

■ preparations for relieving hypersensitivity of the necks and roots of the teeth (coating

teeth with fluoride-containing preparations in 1 or several doses depending on the situation).

Elimination of the bacterial component and occlusal loads:

■ removal of microbial plaque and prevention of its formation on the surface of teeth;

■ removal of mineralized deposits;

■ high-quality sanitation of carious defects with restoration of interdental contacts;

■ alignment of occlusal surfaces of teeth by selective grinding;

■ splinting of mobile teeth that are not capable of bearing the chewing load [5-9].

Alternative therapy (for example, homeopathy) is used in the treatment of periodontal

diseases in cases where the use of traditional treatment methods is impossible due to allergies or

severe concomitant diseases, as well as in the absence of sensitivity of microflora to drugs

commonly used in periodontology [10,11].

Methods of administering medications in periodontology:

■ rinsing is one of the main methods of administering medications both for periodontal

diseases and for diseases of the mucous membrane;

■ mouth baths;

■ applications to the pathological dental pocket Hyaludent No. 1,2,3, as well as to the

mucous membrane adhesive paste Solcoseryl, adhesive ointment Asepta;

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■ injections (homeopathic preparations Traumeel-S, Mucosa compositum submucosal; in

severe cases, antimicrobial therapy is prescribed intramuscularly);

■ dressings (self-adhesive films "Diplen - Denta" with various medicinal inclusions can be

used as an independent treatment, and used as a periodontal dressing to retain compositions of

antiseptics, antibiotics and anti-inflammatory drugs introduced into the pocket, on the marginal

periodontal or mucous element in a higher concentration than in films, the area of intervention

during the treatment of periodontitis is usually covered with a periodontal dressing - Periodontal

Pak, Soy Pak, Woco Pak, Sept Pak.);

■ physical methods (electrophoresis, phonophoresis, magnetophoresis);

■ traditional methods of administration - per os and intramuscularly (usually anti-

inflammatory and antimicrobial drugs for severe and moderate degrees of the disease);

■ subgingival administration involves the use of "delivery" systems that provide a high

concentration of drugs directly at the site of injury. These include: tetracycline and chlorhexidine

threads, doxycycline polymers, Periochips, etc. [12-18].

Along with classical methods of treating periodontitis, non-surgical treatment is carried out

using the Perioscan device [19].

PerioScan is an ultrasonic device that allows not only to remove deposits, but also to

recognize them thanks to a unique feedback system.

PerioScan is an intelligent, highly sensitive, new-generation ultrasonic device in which the

examination of the tooth surface is based on the analysis of ultrasound characteristics. When the

instrument comes into contact with enamel, crown or filling material during the examination of

the patient, the device not only analyzes the condition of the surface structures, but also detects the

dental tissue itself or artificial tooth material. As a result of this analysis, PerioScan provides an

objective assessment of the condition of the tooth surface, shows the presence of dental deposits

and (if necessary) signals the need for treatment. Therefore, the uniqueness of the device is that it

not only removes dental plaque, but also pre-recognizes it [20,21].

DISCUSSION:

Convenient color indication (green - clean surface, blue - presence of dental plaque) will

allow patients to observe the process of professional oral hygiene.

The Vector device is used for ultrasonic cleaning of periodontal tissues (with periodontitis

or periodontosis).

Gum retraction methods are carried out only on a healthy field. These include mechanical

(displacement with threads), surgical (with the help of preparation) and chemical (introduction of

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special drugs) methods. The retraction procedure is the pulling of the gum to improve the quality

of impressions during prosthetics [22].

Modern dentistry offers both traditional and new therapeutic methods for the treatment of

oral diseases. PRF therapy (also known in various sources as plasma therapy, "plasmolifting" [23])

is successfully used for the treatment and prevention of periodontal phenomena. It, as a natural

method of combating various diseases, appeared in 2004, when the positive effect of plasma on

various organ systems was discovered.

This procedure, which has no analogues, is based on PRF therapy technology.

This technique, called Plasmodent in dentistry, is successfully used in our clinic for the

treatment of atrophic and inflammatory diseases of the oral cavity, as well as for optimizing and

accelerating the regeneration of bone tissue during implantation and bone grafting.

The goal of plasma lifting is to achieve not just the removal of the inflammatory process

of periodontitis, but to start the process of natural restoration of the color, shape and structure of

the gums, and prevent the loss of bone tissue.

Plasmolifting is performed in the form of an injection of plasma obtained from the patient's

blood - autoplasma, into the problem area.

Plasma is injected locally into the damaged gum tissue, the site of the implant installation

or bone grafting during sinus lifting, extraction, in the area of osteosynthesis or installed membrane

in the soft tissues of the oral cavity and maxillofacial region in acute and chronic infectious and

inflammatory processes [24].

RESULTS:

Thrombocyte plasma introduced into tissues, due to the growth factors it contains, causes

capillary growth, normalizes hemodynamics, tissue respiration and metabolism. At the same time,

the process of strengthening bone tissue, forming a collagen matrix and bone with the participation

of bone morphogenetic collagen proteins, and activating local immunity occurs [25].

The components contained in plasma are absolutely natural for humans, they are not

mutagens and cannot cause cancer, tumors and other negative reactions.

In dental practice, plasma therapy is considered completely safe, since plasma is isolated

from the patient's blood. No chemical additives are added to it. Therefore, the risk of developing

allergic reactions is practically excluded. In addition, this is done absolutely painlessly: no

anesthesia is required [26,27].

Plasma therapy can be used in combination with various therapeutic methods and drugs,

including antibacterial, anti-inflammatory and immunomodulatory drugs [28].

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To obtain plasma, a small amount of blood (approximately 10 ml) is taken from the patient,

the blood is processed in a centrifuge under special conditions to separate the plasma itself from

other formed elements of the blood. The resulting platelet-rich plasma concentrate contains

specific proteins, the so-called growth factors, which participate in the regeneration of all tissues

of the div, attracting its own stem cells to the area of damage and stimulating their division [29-

35].

CONCLUSION:

Thus, the availability and knowledge of modern technologies, methods and means of

treating periodontal diseases is important for their practical use in dental practice.

REFERENCES

1.

Современные методы лечения и профилактики заболеваний пародонта./Абаев З. М.,

Домашев Д. И., Антидзе М. К. и др.//Стоматология. - 2012. - Т. 91 (4). - С. 72-74.

2.

Янушевич О.О., Дмитриева Л.А., Ревазова З.Е. Пародонтит XXI века: Руководство для

врачей. - М.: ГЭОТАР-Медиа, 2016.

3.

Проблема устойчивости возбудителей одонтогенных инфекций к антибиотикам и

разработка экспресс-метода выявления устойчивых штаммов./ Царев В. Н., Лабазанов

А. А., Ипполитов Е. В. и др.//Клиническая стоматология. - 2016. № 4 (80). - С. 46-51.

4.

Модина Т.Н., Маклакова И.С. Применение синтетического гидроксиаппатита при

закрытии костных дефектов в амбулаторной хирургии. Экспериментальные и

клинические исследования.//Пародонтология. - 2012.Т. 17 (1). - С. 47-51.

5.

Устранение

рецессий,

современный

подход

к

пластической

хирургии

пародонта./Рунова Г. А., Гугкаева З. Д., Выборная Е. И., Вайцнер Е. Ю.//Медицинский

совет. - 2011. - № 7-8. - С. 107-109.

6.

Кунин А.А., Ерин С.В., Сорокина М.А. Оценка показаний к хирургическим методам

лечения заболеваний пародонта.//Вестник новых медицинских технологий. - 2010. -

Т. 17 (2). - С. 210-213.

7.

Сирак С.В., Казиева И.Е., Мартиросян А.К. Клиническое и экспериментальное

применение остеопластических материалов в сочетании с электромагнитным

излучением

для

ускорения

регенерации

костных

дефектов

челюстей.//Фундаментальное исследование. - 2013. - № 5-2.- С. 389-393.

8.

Морфологическая оценка синглетной фотокситерапии в лечении заболеваний

пародонта в экспериментальном исследовании./ Базикян Э.А., СырниковаН.В.,

Noyabr, 2024-Yil

19

ЧунихинА.А., Зайратянц О.В.//Стоматология. - 2018. - Т. 97 (1):. - С. 22-26.

https://doi.ore/10.17116/stomat201897122-26.

9.

Чунихин А.А., Базикян Е.А., Зайратянц О.В. Оценка эффективности наносекундной

лазерной терапии заболеваний пародонта в эксперименте.// Российская стоматология.

- 2017. - Т. 10 (4). - С. 3-7. https://doi.org/10.17116/rosstomat20171043-7.

10.

Яременко А. И., Зерницкий А. Ю., Зерницкая Е. А. Экспериментальное исследование

фракционного лазерного воздействия на регенерацию костной ткани в зоне

аугментации.//Пародонтология. - 2016. - № 1 (78).- С. 18-21.

11.

Мартусевич А.А., Перетягин С.П., Мартусевич А.К. Молекулярные и клеточные

механизмы

действия

синглетного

кислорода

на

биосистемы.//

Современныетехнологиивмедицине. - 2012. - № 2. - С. 128-134.

12.

Базикян Э. А., Сырникова Н. В., Чунихин А. А. Перспективные лазерные технологии

в лечении заболеваний пародонта.//Пародонтология. - 2017. - № 3 (84).- С. 55-59.

13.

Antimicrobial photodynamic therapy - a discovery that came from the pre-antibiotic era in

the new periodontal therapy./Oruba Z., Labuz P., Matsyk V., Khomyshin-Gaevskaya

M.//Photodiagnostics Photodynamics. - 2015. - V. 12 (4). - P. 612-618.

https://doi.org/10.1016/j.pdpdt.2015.10.007.

14.

Effect of the concentration ofphenothiazine photosensitizers in antimicrobial photodynamic

therapy on bone loss and immune-inflammatory response of induced periodontitis in

rats./Garcia V. G. Longo m Ju Gualberto E. U., Bosco A.F., Nagata M.J.H., Ervolino e

Feodoro L.G.//J Periodontal Res. - 2014.- V. 49(5). - P. 584-594. https://doi.org/10.1111/jre.

12138.

15.

Effect of low-level laser therapy as an adjuvant in the treatment of periodontitis induced in

rats treated with 5-fluorouracil chemotherapy./Teodoro L.H., Longo m, Ervolino e, Duque

s, ferro-Alves ml, Assem N.Z., Luzada L.M., Garcia V. G.//JPeriodontal Res. - 2016. - V.

51 (5). - P. 669-680. https://doi.org/10.1111/jre.12347.

16.

Additional effect of antimicrobial photodynamic therapy in induced periodontal diseases.

Animal

studies

with

histomorphometric,

immunohistochemical,

and

cytokine

assessment./Oliveira P.G., Sousa I., Novaes Junior A.B., select MJR tabs, Messora Mr

Palioto D.B. et al.//Med Sci lasers. -2016. - V. 31(7). - P. 1275-1283.

https://doi.org/10.1007/s10103-016-1960-5.

17.

Antimicrobial photodynamic therapy in combination with periodontal treatment: an

experimental model./ Belinello-Souza El., Alvarenga L.H., Lima-Lea s, Almeida P. et

Noyabr, 2024-Yil

20

al.//Photodiagnostics

Photodyn

Ther.

-

2017.

-

V.

18.

-P.

275-278.

https://doi.org/10.1016/j.pdpdt.2017.03.008.

18.

Фурцев Т.В., Липецк Е.А. Сравнительный анализ эффектов диодного лазера и

фотодинамической терапии в комплексном лечении хронического пародонтита

средней степени тяжести.//Российский стоматологический журнал. - 2012. - № 2. - С.

35-37.

19.

Оптимизация методов лечения пародонтита легкой и средней степени тяжести с

применением ФДТ и лазерной дезактивации пародонтальных карманов./Гажва С.И.,

Шматова С.О., Горячева Т.П., Худошин С.В.// Современные проблемы науки и

образования. - 2014. - № 6. - С. 1070.

20.

Effectiveness ofphotodynamic therapy in comparison with antibiotics as an adjunct to

scaling and root planing in the treatment of periodontitis: systematic review and meta-

analysis./Akram Z., Hyder T., Al-Hamoudi N. et al.// Photodiagnostics Photodyn Ther. -

2017. - V. 19. - P. 86-92. https://doi.org/10.1016/j.pdpdt.2017.05.007.

21.

Krasnovsky A., Kozlov A. Laser photochemistry of oxygen. Application to studies of the

absorption spectra of dissolved oxygen molecules.//J of Biomedical Photonics &

Engineering.

-

2017.

-

V.

3

(1).

-

P.

010302-1-010302-10.

https://doi.org/10.18287/JBPE17.03.010302.

22.

Chuniknin A.A., Bazikyan E.A., Pikhtin N.A. A laser unit for photodynamic therapy and

robot-assisted microsurgery in dentistry.//Tech PhysLett. -2017. - V. 43(6). - P. 507-510.

https://doi.org/10.1134/S1063785017060074.

23.

Разработка наносекундного лазерного модуля в составе роботизированного

многофункционального хирургического комплекса для малоинвазивной терапии

патологии челюстно-лицевой области и определения его воздействия на плазму

крови./Чунихин А.А., Саакян М.Ю., Гажва С.И., Базикян Э.А.//Современные

технологии

в

медицине.

-

2016.

-

T.

8

(4).

-

C.

30-35.

https://doi.org/10.17691/stm2016.8.4.04.

24.

Лукичев М. М., Ермолаева Л. А. Современные представления о роли микрофлоры в

патогенезе заболеваний пародонта.//Институт стоматологии. - 2018. - № 1. - С. 92-94.

25.

Жакупбекова

С.

Н.

Современные

методы

лечения

заболеваний

пародонта.//Актуальные проблемы ВИЧ-инфекции. - Караганда: Издательство КГМУ,

2014. - С. 98.

Noyabr, 2024-Yil

21

26.

Алиева Р. К., Нагиева С. А. Изучение применения озонированного масла в лечении

заболеваний пародонта у детей, страдающих сахарным диабетом I типа.//Кавказские

стоматологические новости. - 2017. - № 24. - С. 89-96.

27.

Меркулов С. Я., Цацурина А. С. Опыт применения геля «Холисал» в лечении

заболеваний пародонта // Маэстро стоматологии. - 2012. - № 4 (48).

28.

Эффективность склерозирующей терапии при гипертрофическом гингивите с

пародонтитом/Караков К. Г., Власова Т. Н., Авшарян Д. С., Оганян А. В.//Врач-

стоматолог. - 2013. - № 1. - С. 44-45.

29.

Система иммобилизации при переломах челюстей, гладкая шина-скоба и крепления

/Ройтбурд Г. Л., Митин Н. Е., Тихонов В. Е., Житенев М. А., Егоров И. В., Сабитов А.

В., Юмашев В. А. // Патент № 163314, Россия, 2016.