The earliest results of comprehensive treatment of patients with chronic generalized parodontitis with the predominance of the parasympathetic nervous system

Abstract

Introduction. In clinical Ukrainian and foreign research papers there are many publications dealing with the treatment of patients suffering from generalized periodontitis. However, there remain a number of issues which have not been covered, including the influence of the autonomic nervous system on the development, course and treatment of periodontal diseases. The aim of the study. Increase the effectiveness of treatment for patients with chronic generalized periodontitis with the predominance of the parasympathetic nervous system. Materials and methods. A comprehensive examination of the periodontal tissue condition involved 60 patients. The proposed scheme of medical therapy was applied to the patients in the main group for the comprehensive treatment. The patients from the comparison group were treated similarly to the patients in the main treatment group, but without premedication drugs. Results. It was found that the application of the proposed premedication in the comprehensive therapy of patients with generalized periodontitis can effectively suppress the degenerative-inflammatory process in periodontal tissues. It is confirmed by the PMA index decreasing, increasing the time of the hematoma formation during the vacuum test by Kulazhenko, and by improving the level of the oral hygiene. Conclusions. The proposed treatment technique allows eliminating the manifestations of inflammation and achieving stabilization of the dystrophic-inflammatory process in the periodontium in shorter periods. In the nearest terms of observation, earlier and expressed normalization of clinical and laboratory parameters, that characterize the dystrophic-inflammatory process in periodontal disease, is noted.

Keywords

• generalized periodontitis
• parasympathetic nervous system