Pathogenetic aspects in the treatment of chronic generalized marginal periodontitis in adolescents with idiopathic scoliosis

Relevance. The treatment and prevention of chronic generalized marginal periodontitis (CGMP) are most effective in adolescence. This stage is characterized by a «surge» of metabolic processes, a peak in the growth of bone mass, an increase in the incidence of pathology of the musculoskeletal system. Scientific evidence on the influence of the pathology of the supporting skeleton on the maxillofacial region allows us to consider dorsopathies and orofacial disorders as comorbid conditions. Aim. The increasing of the effectiveness of treatment and prophylactic measures of CGMP in adolescents with scoliosis. Materials and methods. A dental examination of 72 adolescents of 15-16 years old with a diagnosis of mild CGMP was conducted. Ultrasound osteodensitometry was performed. Determined: ultrasound propagation velocity (SOS), broadband ultrasound attenuation (BUA), bone tissue strength index (STF). The observation groups were formed - comparisons (GC) and main (MG), in which CGMP was treated in according to the generally accepted scheme. An antihomotoxic drug Osteobios (Guna, Italy) was additionally prescribed in the MG. The control group (CG) consisted of healthy peers. Results. In adolescents CGMP on the background of scoliosis before treatment, a decrease in all parameters of densitometry was observed (p<0,001). After treatment of CGMP, the process of bone remodeling proceeded positively on the background of receiving of «Osteobios». Revealed an increase of STF in comparison with the GC at 2,77%. The indicator BUA approached to the boundary value of the CG, which indicated a tendency of the increasing in bone mineral density. SOS changes were minor. Considering SOS in relation to the positive dynamics of BUA values, it is possible to assume that when receiving «Osteobios», the trabecular architectonics of bone tissue in a short time has time to undergo changes, expressed in "+". Conclusions. In adolescents suffering from scoliosis, the development of mild CGMP is characterized by structural and functional disorders of bone tissue. Receiving of "Osteobios" reception contributes to the positive dynamics of osteodensitometry indicators in the near term of observation. The inclusion in scheme of treatment CGMP in adolescence, suffering from scoliosis, "Osteobios" allows the adjustment of the structural and functional state of the bone tissue. In order to objectively assess of the effectiveness of the use of «Osteobios», it is actually to study the densitometry indicators in depending on the degree of spinal curvature. It is necessary to analyze the densitometry indicators in the long-term follow-up.

генерализованный пародонтит, лечение, подростки, сколиоз, marginal periodontitis, treatment, adolescents, scoliosis