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Treatment of localized periodontitis in persons with diabetes mellitus type 2 with use of gingival adhesive balm

https://doi.org/10.33667/2078-5631-2019-1-5(380)-23-28

Abstract

In the complex treatment of chronic periodontitis, it is important to protect the periodontal tissues after surgical treatment. The aim of the work was to study the effectiveness of the use of gingival adhesive balm in the complex treatment of chronic localized periodontitis. To this end, in the 1st (17 people) group of patients a complex of therapeutic measures consisted in carrying out professional controlled oral hygiene, treating dental caries, and also replacing or restoring defective fillings or denture structures, as the elimination of a predisposing factor to the development and progression of localized periodontitis. Two criterion was used with the Mantel-Hansel correction for plausibility х2. After this, surgical treatment was performed (curettage). In the 2nd (35 people) group, similar dental measures were carried out, the surgical stage of which ended with the application of a protective coating on the surgical field in the form of an adhesive gum balm (VERTEX Co., Russia). The effectiveness of treatment was assessed using the OHI-S hygiene index, a Schiller-Pisarev test, determination of the gum capillary resistance by calculating the peripheral blood circulation index, as well as satisfaction and compliance. For statistical comparison of fractions with an assessment of the significance of differences, the Pearson's. On the basis of semi-quantitative research methods, it is shown that when using this tool after completing the surgical stage of treatment (curettage) against the background of good individual oral hygiene and the absence of inflammatory changes in the gingiva, hemomicrocirculation indexes improve, which is confirmed by the vacuum sample and peripheral blood circulation index values in periodontal tissues. The indicators of patient satisfaction with treatment and compliance are presented.

About the Authors

A. K. Iordanishvili
North-Western State Medical University n.a. I. I. Mechnikov; Military Medical Academy n.a. S. M. Kirov
Russian Federation


M. A. Zuykova
Military Medical Academy n.a. S. M. Kirov
Russian Federation


E. A. Khromova
North-Western State Medical University n.a. I. I. Mechnikov
Russian Federation


N. A. Udaltsova
St. Petersburg State University; Dental Clinic No 29; St. Petersburg
Russian Federation


O. V. Prisyazhnyuk
Dental Clinic No 29; St. Petersburg
Russian Federation


Review

For citations:


Iordanishvili A.K., Zuykova M.A., Khromova E.A., Udaltsova N.A., Prisyazhnyuk O.V. Treatment of localized periodontitis in persons with diabetes mellitus type 2 with use of gingival adhesive balm. Medical alphabet. 2019;1(5):23-28. (In Russ.) https://doi.org/10.33667/2078-5631-2019-1-5(380)-23-28

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)