Issue: 2016, Vol. 21, No. 2
PROGRESSIVE GROWTH OF DESTRUCTIVE PHENOMENA IN ALVEOLAR PROCESS IN PATIENTS WITH SOMATIC DISEASES
- Keywords
- generalized parodontitis, general somatic pathology, osteoporosis, interalveolar septum, tooth, upper and lower jaws
- Abstarct
- Objective - to reveal the risk groups for parodontium tissue barrier resistance decrease and parodontium pathology progressive growth among patients with chronic diseases of organs and systems in general hospital. Material and methods . 78 patients aged 20-60 years were observed within 3 years at Khujand municipal hospital, among them 25 patients with the diseases of gastrointestinal tract, 27 patients with endocrine pathology and 26 patients with cardiovascular pathology. Generalized parodontitis of I stage was diagnosed in 34 (43,6%), that of II stage - in 32 (41,)%), that of III stage - in 12 (15,$%) patients. 56 persons without somatic diseases but with generalized forms of gingivitis (57,1%) and parodontitis of light stage (42,9%) were enrolled in control group. Parodontium and hygienic indices (Schiller - Pissarev number test, RMA index, stomatorrhagia index) were determined, orthopantomography and sighting radiography in need. Results . Certain and possible osteoporosis were found in all patients with somatic diseases in comparison with patients without such pathology. Possible osteoporosis had the tendency to transition to the certain one and it happened more often in patients with osteoporosis without excess calcium deposition in the zone of frontal teeth of upper and lower jaws in comparison with persons with the localization of this disease in the zone of frontal teeth of lower jaw only. The decrease of interdental alveolar septum height was revealed rarely in patients with heightened calcium deposition along alveolar process periphery than in patients without excess calcium deposition. Conclusions . Patients with generalized parodontitis and possible osteoporosis of alveolar bone should be attributed to the group of parodontium risk which was proved to be higher in localization of osteoporosis process at frontal zone of upper and lower jaws. The presence of heightened calcium deposition zones along the periphery of resorption alveolar bone was found to be favorable parodontological sign.
Ашуров