Features of treatment of patients with generalized periodontitis with manifestations of psychoemotional stress

Abstract

Topicality. In the complex treatment of patients with generalized periodontitis, it is necessary to take into account the peculiarities of the etiology and pathogenesis of dystrophic-inflammatory periodontal diseases. Conditionally pathogenic microorganisms of the dental biofilm can exert their pathogenic effect only in case of a slight decrease in the local or systemic immune defense of the patient's body. The presence of stress has a significant impact on the resistance of the organism and, accordingly, on the development, course and treatment of periodontal diseases. This should be taken into account in the complex treatment of patients with generalized periodontitis. Considering this, a medical scheme for the preparation of patients with generalized periodontitis with the presence of psycho-emotional stress using a complex of adrenoblockers has been proposed. Aim of the study. To determine the clinical efficacy of the proposed complex of adrenoblockers in the complex treatment of patients with generalized periodontitis of the chronic course in the presence of psychoemotional stress. Material and methods. For this study, 40 patients were selected with a generalized chronic periodontitis with the presence of psychoemotional stress. Medicamental treatment was performed using the proposed premedication with a complex of adrenoblockers. A comprehensive survey of the condition of the periodontal tissues of patients before treatment and as soon as possible after treatment was carried out. To assess the clinical efficacy of treatment, a test of Schiller-Pisarev (1962), PMA index by C. Parma (1961), hygienic index OHI-S (1978), index PBI (H.R. Mühlemann, S. Son, 1971), periodontal index PI (A.L. Russel, 1956) were used. The level of psychological stress was assessed using the DASS-21 and Spielberger-Khanin questionnaires. Results. As a result of the investigation it was found that the usage of the proposed complex of adrenoblockers in the complex therapy of patients with chronic course of generalized periodontitis with the presence of psychoemotional stress can effectively inhibit the dystrophic-inflammatory process in periodontal tissues. This confirms by the decline in the index PMA, OHI-S, РВІ, PI at nearest observation terms. Conclusions. Usage of the proposed complex of adrenoblockers increases the effectiveness of treatment of chronic course of generalized periodontitis in patients with the presence of psychoemotional stress.

Keywords

• generalized periodontitis
• psychoemotional stress
• complex of adrenoblockers