Agaidarova G. M.

MODERN METHODS OF TREATMENT OF PERIODONTAL DISEASE

Bashkir State Medical University, Ufa, Russia.

The prevalence of periodontal disease in society is not reduced, and significance of the study this section of dentistry and the need for training highly qualified specialists is increasing [6]. Support, or support, the apparatus of the tooth — a complex, multicomponent education, which connects the tooth with the tooth in the alveolar bone of the cell in which it is located. To effectively perform this task, this unit should possess a number of properties: significant mechanical strength, ability to dynamic restructuring in accordance with masticatory loads, high activity, physiological and reparative regeneration, pronounced barrier and protective properties [5].

Treatment prognosis depends largely on timely diagnosis. Early diagnosis of the disease helps to prevent its progression and avoid serious loss of alveolar bone mass. In addition, because aggressive periodontitis tends to family predisposition, it is necessary to conduct a survey of relatives for early diagnosis of the disease in other family members [7].

As an innovative method of treatment of periodontal disease today, more and more sounds a PRP injection in the tissues of the body platelet rich plasma obtained from patient's blood [3, 4, 5]. Use the liquid fraction of blood. Get blood from a vein, processed in a centrifuge, and injected on a transitional fold of the upper and lower jaw. A course of 3-5 visits with an interval of 7 days [4].

Photodynamic therapy (PDT) is also a non-invasive approach of disease, combining the combination of the laser energy from the photosensitizer to obtain molecules of singlet oxygen and free radicals, effective in killing bacterial cells. PDT has a high clinical efficiency and several benefits as: reduction of processing time subgingival sites, destruction of microorganisms in a short period of time, the lack of need for anesthesia and damage to neighboring tissues, as well as the development of resistant forms of bacteria [2,8,9, 10].

In recent years these modern methods proved to be a promising direction, which are popular among doctors, as a non-surgical treatment of periodontitis.

A review of the literature and research on the topic of nonsurgical treatment of periodontitis has shown that this pathology may be treated successfully therapeutic methods [1, 10]. Because such treatment leads to the cessation of disease progression, resolution of inflammation, reduce the depth of periodontal pockets, a significant reconstruction of alveolar defects. Based on these data, the treatment plan should begin with a main or secondary machining techniques and antimicrobial therapy in conjunction with systemic antibiotics. It is recommended to start antibiotic treatment 24 hours before SRP, or other methods of mechanical removal of dental plaque and continue to use in parallel to these procedures. 4-6 weeks is the re-assessment of the patient's mouth. If there are no significant changes in the initial stages of therapy, the doctor may repeat the treatment, using various combinations of antibiotics and possible treatments. Only in case of absence of effect you should go for surgical treatment.

Literature.

1. Антонова М. В., Сущенко А. В., Свирина М. С. Комплексный подход в лечении хронического генерализованного пародонтита с применением фитотерапии // Системный анализ и управление в биомедицинских системах. – 2012. – Т. 11, № 3. – С. 622–625.

2. Буланкина М.К., Аверьянов С.В., Богданов И.Р., Гуляева О.А. Photodynamic therapy for the treatment of periodontitis // Приднепровский научный вестник. 2017. Т. 4. № -3. С. 8-10.

3. Гуляева О.А. Возможности применения тромбоцитарной аутологичной плазмы в стоматологии // Dental Magazine. - 2017. - №3. - С. 26-28.

4. Гуляева О.А. Способ лечения гипертрофического гингивита у пациентов с несъемной ортодонтической техникой с применением инъекционной формы аутологичной тромбоцитарной плазмы / патент на изобретение RUS 2626826 08.11.2016

5. Гуляева О.А., Аверьянов С.В. Профилактика воспалительных осложнений после дентальной имплантации // Пародонтология. – 2017. – № 2. – С. 84-88.

6. Гуляева О.А., Аверьянов С.В., Солодкий В.Г., Овечкина М.В., Ахмеров Р.Р., Зарудий Р.Ф., Тухватуллина Д.Н., Саляхова Г.А. Применение аутологичной тромбоцитарной плазмы в стоматологии //Учебное пособие. -Уфа.- 2016.- 75 с.

7. Заболевания пародонта Под общей редакцией профессора Ореховой Л.Ю. / 3 12 М: Поли Медиа Пресс, 2004. С.

8. Стоматологическая заболеваемость населения России. Состояние тканей пародонта и слизистой оболочки рта / под ред. О. О. Янушевича. — Москва: МГМСУ, 2008. — 228 с.

9. Galieva O.V., Averyanov S. V., Gulyaeva O.A., Djumeev R.M., Gareeva D.V.Application of photodynamic therapy in the complex treatment of periodontal diseases // Nauka i studia 2017 № 8(169). - С. 25-29.

10. Takasaki A.A., Aoki A., Mizutani K. et al. Application of antimicrobial photodynamic therapy in periodontal and peri-implant diseases // Periodontology. 2009. Vol. 51(1). P. 109–140