Improvement of the Effectiveness of Surgical Treatment of Patients with Generalized Periodontitis and Osteopenia

Abstract

The issue of surgical treatment of patients with generalized periodontitis and osteopenia is particularly topical. Numerous studies have confirmed the benefits of surgical treatment procedures using osteoplastic material to stimulate repair process of periodontal tissues. The objective of the research was to improve the effectiveness of surgical treatment of patients with generalized periodontitis and osteopenia through the combined use of osteoplastic material and antiresorptive drugs in the preoperative and postoperative periods. 80 patients underwent treatment and clinical observation. The patients were divided into 3 groups. Group I included 20 patients who underwent surgical treatment according to conventional procedure. Group II included 20 patients who underwent surgical treatment with local application of osteoplastic material “Easy Graft”. Surgical treatment in Group III (20 patients) was conducted using osteoplastic material “Easy Graft” and antiresorptive drug “Bonviva”. Experimental group consisted of 20 apparently healthy individuals. The obtained results indicated that surgical treatment with the use of osteoplastic material and antiresorptive drugs promoted the most significant positive effect which was determined according to the dynamics of clinical scores. The combined use of osteoplastic material “Easy Graft” and antiresorptive drug “Bonviva” leads to stable process stabilization being confirmed by clinical study indices both in early and in remote postoperative period.

Keywords

• generalized periodontitis
• osteopenia
• osteoplastic material
• antiresorptive drug