Increasing the effectiveness of complex influence on the condition of parodontal tissue in patients with diseases of the digestive system and having fixed dentures

Abstract

The study is dedicated to analyzing the effectiveness of comprehensive treatment of periodontal tissues in patients with digestive system diseases who use non-removable prostheses. The work considers the connection between periodontal diseases and digestive system disorders, emphasizing the importance of an integrated approach to treatment. A significant number of patients were included in the study, various clinical and biochemical parameters were evaluated, and a comprehensive methodological approach was used, including statistical analysis. The results of the study showed that a combined approach to treatment significantly improved the oral cavity and periodontal condition in these patients, suggesting greater effectiveness of such integrated strategies for treating periodontal diseases in individuals with digestive system disorders and non-removable dental prostheses. The findings of the study are significant for developing more effective methods of treating periodontal diseases, especially for patients with concurrent digestive system diseases. Objective: to develop and evaluate new methods of comprehensive treatment of the periodontium in patients with digestive system diseases who use non-removable prostheses. Materials and Methods: The study was conducted at the Department of Dentistry of Bukhara State Medical Institute in the years 2020–2023. Participants: 138 patients, aged 18–60, including 101 men and 37 women. Age group distribution: 78 people aged 18–39, 39 people aged 40–49, 21 people aged 50–65. All patients suffered from chronic generalized periodontitis of varying severity, had digestive system diseases, and used non-removable prostheses. The main group included 108 patients with gastrointestinal tract exacerbations: 52 with metal bridge prostheses, 28 with metal-ceramic prostheses, and 28 with dental prostheses on dental implants. The control group consisted of 30 patients: 12 with metal bridge prostheses, 10 with dental prostheses on dental implants, and 8 with metal-ceramic prostheses. Results: The treatment improved clinical-hygienic indicators in patients, reducing OHI-S and PMA indices. The microbial population in the oral cavity significantly decreased, particularly the levels of Lactobacillus and Streptococcus mutans. The effectiveness of the treatment was higher in the first group, with improved microflora and a reduction in pathogens. The use of Traumeel-S, HelboBlue, and ALT-Vostok model 03 contributed to the improvement of periodontal health. Patients experienced a restoration of metabolic processes in periodontal tissues, an increase in the levels of L-arginine and citrulline, and a decrease in nitrates and urea. The integrated approach proved effective in correcting the condition of the periodontium in patients with gastrointestinal diseases and non-removable prostheses.