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Post a Comment Evaluation of effectiveness of complex treatment of chronic generalized periodontitis using original splinting design
- Authors: Astashina N.B.1, Rogozhnikova E.P.1, Arutyunov A.S.2, Malginov N.N.2, Kazakov S.V.1
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Affiliations:
- E.A. Vagner Perm State Medical University
- A.I. Yevdokimov Moscow State University of Medicine and Dentistry
- Issue: Vol 38, No 6 (2021)
- Pages: 83-93
- Section: Methods of diagnosis and technologies
- URL: https://journals.rcsi.science/PMJ/article/view/96321
- DOI: https://doi.org/10.17816/pmj38683-93
- ID: 96321
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Abstract
Relevance. The relevance of the study is dictated by the high prevalence of periodontal disease among young people and by the need to search for new approaches to periodontitis treatment in order to increase the effectiveness of treatment at early stages of pathological process.
Objective. To evaluate the effectiveness of complex treatment of chronic generalized periodontitis (CGP) of mild severity using a removable splinting construction made according to the author's technique.
Materials and methods. At the orthopedic stage of the complex treatment of mild CGP, splinting constructions were used for 47 young patients: in the main group (n = 16) – the author’s treatment and preventive splint, in the first comparison group (n = 15) – a removable metal splint, in the second comparison group (n = 16) – a fixed adhesive fiber splint. Periodontal hemodynamics was assessed using ultrasound Doppler analysis 1, 6 and 12 months after the therapeutic measures and tooth immobilization. To identify the possible negative impact of the treatment on the quality of life (QOL) in patients with splint constructions, we used the OHIP-14-Ru questionnaire; the follow-up period was 1.3, 6, and 12 months.
Results. Dental immobilization contributed to the improvement of blood flow in the periodontal tissues in the short and long term follow-up, so after 12 months: Vam in the main group increased by 39,8 % and amounted to 0,397 ± 0,004 cm / s, in patients of the comparison groups – Vam was 0,329 ± 0,006 cm / s and 0,335 ± 0,003 cm / s, respectively, that is 15,4 % and 18,4 % higher compared with the figures before treatment. The quality of life index for patients using splinting constructions made according to the author's technique, by the OHIP-14-Ru questionnaire was assessed as good 1 year after (3.46 ± 0.59).
Conclusions. The use of the proposed original orthopedic design in a complex plan for mild periodontitis treatment helps to improve regional blood circulation and stabilize the pathological process.
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##article.viewOnOriginalSite##About the authors
N. B. Astashina
E.A. Vagner Perm State Medical University
Author for correspondence.
Email: nb.astashina@Gmail.com
MD, PhD, Associate Professor, Head of Department of Orthopedic Dentistry
Russian Federation, PermE. P. Rogozhnikova
E.A. Vagner Perm State Medical University
Email: nb.astashina@Gmail.com
Candidate of Medical Sciences, Assistant, Department of Orthopedic Dentistry;
Russian Federation, PermA. S. Arutyunov
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Email: nb.astashina@Gmail.com
MD, PhD, Professor, Professor of Department of Dental Prostheses Technologies
Russian Federation, MoscowN. N. Malginov
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Email: nb.astashina@Gmail.com
MD, PhD, Professor, Head of Department of Dental Prostheses Technologies
Russian Federation, MoscowS. V. Kazakov
E.A. Vagner Perm State Medical University
Email: nb.astashina@Gmail.com
Candidate of Medical Sciences, Associate Professor, Associate Professor of Department of Orthopedic Dentistry
Russian Federation, PermReferences
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