Issue: 2017, Vol. 22, No. 2
THE EVALUATION OF REHABILITATION EFFICACY IN PATIENTS WITH PARODONTITIS ON THE BACKGROUND OF DIABETES MELLITUS
- Keywords
- rehabilitation, generalized parodontitis, inflammatory dystrophic injures of parodontium, diabetes mellitus, mouth nonspecific protection
- Abstarct
- Objective - to evaluate the efficacy of rehabilitation in patients with diabetes mellitus suffered from parodontium inflammatory dystrophic injures by the analysis of integral index for mouth nonspecific protection. Material and methods . 85 patients with diabetes mellitus II type and concomitant chronic generalized parodontitis were examined (57 women and 28 men aged 20-45 years). 47 patients with compensated diabetes mellitus and generalized parodontitis of light degree were enrolled into first group; 25 patients with diabetes mellitus at subcompensation stage and decompensation stage with parodontitis of moderate degree were enrolled into second group, 13 patients with diabetes mellitus at subcompesation stage and decompensation stage with severe parodontitis were enrolled into third group. Control group was composed of 37 patients with generalized forms of parodontitis of light and moderate degrees and without somatic diseases. Saliva lysozyme activity was studied by photonephelometry on the 15th, 30th days after therapeutic measures and in 6 and 12 months after rehabilitation course. Results . Saliva lysozyme activity in patients with diabetes mellitus despite the dependence on compensation degree was statistically more low in comparison with the parameters of control group at all degrees of parodontitis severity. After complex rehabilitation for parodontitis some positive changes of lysozyme activity of mixed saliva in patients with compensated and subcompensated diabetes mellitus were marked. The tendency to the diminishment of mixed saliva lysozyme activity was observed in 6 and 12 months in patients with decompensated diabetes mellitus. Conclusions . The efficacy of the treatment and the rehabilitation in patients with parodontitis on the background of diabetes mellitus II type depended on diabetes mellitus compensation and in its decompensation remained low; it required supplementary efforts of dentist and endocrinologist.
Джураева