ОЦІНКА ЕФЕКТИВНОСТІ ЛІКУВАННЯ ЗАХВОРЮВАНЬ ПАРОДОНТА У ЖІНОК, ЯКІ ПРИЙМАЮТЬ ГОРМОНАЛЬНІ КОНТРАЦЕПТИВИ ЗА ДОПОМОГОЮ ЛАЗЕРНОЇ ДОППЛЕРІВСЬКОЇ ФЛОУМЕТРІЇ

Борисенко А. В.; Ватанха Т. В.; Мостовий С. Є.

doi:10.31435/rsglobal_ws/30092019/6705

Борисенко А. В. Зав.каф., проф., док.мед.наук, Україна, м. Київ, Національний медичний університет ім. О. О. Богомольця, кафедра терапевтичної стоматології.
Ватанха Т. В. ас. каф., Україна, м. Київ, Національний медичний університет ім. О. О. Богомольця, кафедра терапевтичної стоматології.
Мостовий С. Є. лікар-кардіолог та ФД, к.мед. наук, Україна, м. Київ, Медичний центр « Doctor Vera».

DOI: https://doi.org/10.31435/rsglobal_ws/30092019/6705

Keywords: periodontal disease, oral contraceptives, pharmaceutical composition, Normoven, Laser Doppler Flowmetry

Abstract

Urgency. Periodontal disease is the most common human diseases. As etiologic factors among systemic diseases an important role is played by disorders of the sexual system, especially in women. Due to the use of hormonal contraceptives with estrogens, they have developed periodontal disease. For the treatment of these lesions a special method of treatment is proposed. Laser Doppler flowmetry was used to evaluate the effectiveness of the treatment.
Aim: To determine the clinical effectiveness of the proposed method of complex treatment of periodontal diseases in women taking hormonal contraceptives for pregnancy planning, by estimating the blood flow in periodontal microvessels by laser Doppler flowmetry.
Materials and methods. Clinical studies performed on a group of 130 women taking hormonal contraceptives for pregnancy planning with periodontal diseases. Patients were conducted a comprehensive examination of periodontal tissue before treatment and after treatment. To evaluate the clinical efficacy of treatment used Schiller-Pisarev test 1962), the index of PMA by C.Parma (1961), hygienic index by Green J.C., Vermillion J.R. (1964). Laser Doppler Flowmetry was used to evaluate the treatment efficacy.
Results. As a result of the study it was found that the use of the proposed method of treatment with the drug "Normoven" can more effectively suppress dystrophic-inflammatory process in the tissues of the periodontium. This confirms ин the reduction of periodontal indices, improvement of oral hygiene, improvement of microcirculation in the tissues of periodontal patients.
Conclusions. The application of the proposed treatment method increases the level of microcirculation in the gums of women with periodontal diseases who have taken oral contraceptives for the purpose of pregnancy planning.

References

Borysenko A. V., Levitskiy A. P., Vatankha T. V. Vliyaniye gormonalnogo kontratseptiva na sostoyaniye parodonta krys. Topical Issues of Science and Education. 2017: 4: 21-25.

Danilevskiy N.F. Sistematika bolezney parodonta. Vіsnik stomatologії. 1994; 1: 17–21.

Danilevskiy N.F., Borysenko A.V. Zabolevaniya parodonta. – Kiyev: Zdorov’ya. 2000. 464 s

Dzgoeva M.G., Tibilova F.L., Dzgoeva Z.G., Hetagurov S.K., Tserekova A.A. Osobennosti mikrotsirkulyatsii v tkanyah parodonta u patsientov s arterialnoy gipertenziey v protsesse ortopedicheskogo lecheniya s ispolzovaniem implantatov. Sovremennaya ortopedicheskaya stomatologiya. 2018; 30:6-8.

Gerelyuk V.I. Rol lipidnih mediatoriv u perebigu generalizovanogo parodontitu ta efektivnist yih korektsiyi v kompleksnomu likuvanni: avtoref. dis. ... d-ra med. nauk: spets.: 14.01.22 «StomatologIya». Ivano- Frankivsk, 2001. - 36 s.

Green J. C., Vermillion J. R. The simplified oral hygiene index. JADA. 1964; 68: 7–13.

Guez D., Lesclous P., Saffar J. Ménopause et parodontites: la déficience en oestrogéne peut-elle affecter la sévérité d’une maladie inflammatoire. Journal de Parodontologie & d’Implantologie Orale. 2002; 21(3): 273-281.

Ibragimov T. I., Grinin V. M., Dorogokuplya Yu. A. [i dr.] Rol mikrotsirkulyatornykh narusheniy v patogeneze klimaktericheskoy parodontopatii zhenshchin. Rossiyskiy stomatologicheskiy zhurnal. 2005; 5: 47-49.

Instruktsiia dlia medychnoho zastosuvannia likarskoho zasobu Yaryna (Yaryna). - No UA/11479/01/01 ot 16.03.2016; Nakaz MOZ Ukrainy vid 16.03.2016 No 197.

Ivanov V.S. Zabolevaniya parodonta. Moskva: MIA. 1998. 296 s.

Kopeykin V. N., Kushlinskiy N. E., Semenov I. Yu., Puzin M. N. Retseptory estrogenov v tkanyakh marginalnogo parodonta u bolnykh khronicheskim generalizovannym parodontitom. Stomatologiya. 1995; 74 (4):13-14

Korovkin V.V., Ippolitov Yu.A., Korovkina A.N. Lazernaya dopplerovskaya floumetriya v diagnostike vospalitelnyih zabolevaniy parodonta [Elektronnyiy resurs]. Lazernaya meditsina. 2016; 2: 46-51.

Kozlov V.I., Azizov G.A., Gurova O.A., Litvin F.B. Lazernaya dopplerovskaya floumetriya v otsenke sostoyaniya i rasstroistv mikrotsirkulyatsii krovi: metodicheskoye posobiye dlya vrachey. M.: Rossiyskiy universitet druzhby narodov. GNTs lazernoy meditsiny. 2012. 78 s.

Krechina E.K. Funktsionalnaya diagnostika v stomatologii: teoriya i praktika. Stomatologiya. 2012;5:15-17.

Krechina E.K., Mustafina F.K., Efremova N.V., Efimovich O.I., Maslova V .V. Osobennosti mikrotsirkulyatornyih narusheniy pri vospalitelnyih zabolevaniyah parodonta. Stomatologiya. 2014;6:28.

Krechina E.K., Mustafina F.N. Metod kapillyaroskopii v otsenke mikrotsirkulyatsii v tkanyah desnyi intaktnogo parodonta. Stomatologiya. 2010; 4:36-38.

Krechina E.K., Smirnova T.N. Sovremennyie podhodyi k otsenke pokazateley mikrogemodinamiki v tkanyah parodonta. Stomatologiya. 2017;96(1):28-32.

Krechina E.K. Ispolzovanie dopplerovskoy fluometrii v stomatologii: metodicheskie rekomendatsii MZ RF.- M., 1997. 12s.

Kulazhenko V.I. Parodontoz i ego lechenie s primeneniem vakuuma. Odessa, 1960. 145 s.

Lange D. E., Lübbert H., Alai-Omid W. Über die Anwendung und die Korrelation verschiedener Gingivitis- und Plaque- Indices. Deutsch Zahnärztl Z. 1974; 28:1239-1246.

Löe H. The Gingival Index, the Plaque Index and the Retention Index systems. J. Periodontol. 1967; 38: 610—612.

Maschenko I.S. Zabolevaniya parodonta. Dnepropetrovsk: KOLO, 2003. 272 s

Mintser O. P. Voronenko Yu.V., Vlasov V.V. Obroblennia klinichnykh i eksperymentalnykh danykh u medytsyni. Kyiv: Vyshcha shkola, 2003. 350 s.

Mühlemann H. R. Psychological and chemical mediators of gingival health. J. Prev. Dent. 1977; 4: 6-11.

Parma С. Parodontopathien. Leipzig, I.A. Verlag.1960. 203 s.

Povoroznyuk V.V., Mazur I.P. Kostnaya sistema i zabolevaniya parodonta. Kiyev, 2003. 446 s.

Seredyuk I.N. Kliniko-patogenetichni osoblivosti zastosuvannya protizapalnih zasobiv ta angioprotektoriv v kompleksnomu likuvanni generalIzovanogo parodontitu: avtoref. dis. ... kand. med. nauk: spets.: 14.01.22 «StomatologIya». Kyiv, 2005. 20 s.

Vatankha T. V., Levitskiy A. P., Borysenko A. V. Vplyv bіoflavonoidnogo angіoprotektora na stan parodonta u shchurіv. yakі otrimuvali gormonalniy kontratseptiv. Vіsnik stomatologії. 2017; 24 (3): 2-7.

Vishnyak G.N. Generalizovannyie zabolevaniya parodonta (parodontoz, parodontit). Kiev, 1999. 216 s.

Zhelnin E.V . Hirurgichna sanatssya porozhnini rota v osib, scho zaznali diyi ionizuyuchogo viprominyuvannya: avtoref. dis. ... kand. med. nauk: spets.: 14.01.22 «StomatologIya». Kyiv, 2006. 20 s.