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Тактика этапного лечения обострившегося хронического
генерализованного катарального гингивита
I.S. Mashchenko, N.B. Kuznyak, Aa. Shostenko
To cite this version:
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ɍȾɄ ɂ.ɋ. Ɇɚɳɟɧɤɨ *, ɇ.Ȼ. Ʉɭɡɧɹɤ **, Ⱥ.Ⱥ. ɒɨɫɬɟɧɤɨ **
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Ƚɍ «Ⱦɧɟɩɪɨɩɟɬɪɨɜɫɤɚɹ ɦɟɞɢɰɢɧɫɤɚɹ ɚɤɚɞɟɦɢɹ ɆɁ ɍɤɪɚɢɧɵ» * ɤɚɮɟɞɪɚ ɯɢɪɭɪɝɢɱɟɫɤɨɣ ɫɬɨɦɚɬɨɥɨɝɢɢ, ɢɦɩɥɚɧɬɨɥɨɝɢɢ ɢ ɩɚɪɨɞɨɧɬɨɥɨɝɢɢ (ɡɚɜ. – ɤ. ɦɟɞ. ɧ. ɇ.Ƚ. ɂɞɚɲɤɢɧɚ) ɭɥ. Ⱦɡɟɪɠɢɧɫɤɨɝɨ, 9, Ⱦɧɟɩɪ, 49044, ɍɤɪɚɢɧɚ Ƚɍ «Ȼɭɤɨɜɢɧɫɤɢɣ ɝɨɫɭɞɚɪɫɬɜɟɧɧɵɣ ɦɟɞɢɰɢɧɫɤɢɣ ɭɧɢɜɟɪɫɢɬɟɬ» ** ɤɚɮɟɞɪɚ ɨɪɬɨɩɟɞɢɱɟɫɤɨɣ ɫɬɨɦɚɬɨɥɨɝɢɢ (ɡɚɜ. – ɤ. ɦɟɞ. ɧ. ɇ.Ȼ. Ʉɭɡɧɹɤ) Ɍɟɚɬɪɚɥɶɧɚɹ ɩɥ., 2, ɑɟɪɧɨɜɰɵ, 58002, ɍɤɪɚɢɧɚ
SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine» *
Oral surgery, implantology and periodontology department Dzerzhinsky str., 9, Dnipro, 49044, Ukraine
e-mail: gudaryan@list.ru
SE «Bukovinian state medical university» **
Department of prosthetic dentistry
Theatralna sq., 2, Chernivtsi, 58002, Ukraine e-mail: office@bsmu.edu.ua
Ʉɥɸɱɟɜɵɟɫɥɨɜɚ ɝɟɧɟɪɚɥɢɡɨɜɚɧɧɵɣ ɩɚɪɨɞɨɧɬɢɬ, ɤɚɬɚɪɚɥɶɧɵɣ ɝɢɧɝɢɜɢɬ, ɦɢɤɪɨɛɢɨɰɟɧɨɡ .H\ZRUGV generalized periodontitis, catarrhal gingivitis, microbiocenosis
Ɋɟɮɟɪɚɬ Ɍɚɤɬɢɤɚ ɟɬɚɩɧɨɝɨ ɥɿɤɭɜɚɧɧɹ ɡɚɝɨɫɬɪɟɧɧɹ ɯɪɨɧɿɱɧɨɝɨ ɝɟɧɟɪɚɥɿɡɨɜɚɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɿɧɝɿɜɿɬɭ Ɇɚɳɟɧɤɨȱɋ ɄɭɡɧɹɤɇȻ ɒɨɫɬɟɧɤɨȺȺ ɍ ɫɬɚɬɬɿ ɩɪɟɞɫɬɚɜɥɟɧɿ ɪɟɡɭɥɶɬɚɬɢ ɩɨɪɿɜɧɹɥɶɧɨɝɨ ɜɢɜɱɟɧɧɹ ɨɫɨɛɥɢɜɨɫɬɟɣ ɦɿɤɪɨɛɿɨɰɟɧɨɡɭ ɹɫɟɧɧɢɯ ɬɤɚɧɢɧ ɬɚ ɦɿɫɰɟɜɨɝɨ ɿɦɭɧɿɬɟɬɭ ɜ 60 ɯɜɨɪɢɯ ɡ ɯɪɨɧɿɱɧɢɦ ɬɚ ɡɚɝɨɫɬɪɟɧɢɦ ɩɟɪɟɛɿɝɨɦ ɝɟɧɟɪɚɥɿɡɨɜɚɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɿɧɝɿɜɿɬɭ. ȼɢɹɜɥɟɧɨ, ɳɨ ɭ ɯɜɨɪɢɯ ɿɡ ɡɚɝɨɫɬɪɟɧɢɦ ɩɟɪɟɛɿɝɨɦ ɝɟɧɟɪɚɥɿɡɨɜɚɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɿɧɝɿɜɿɬɭ ɛɿɥɶɲ ɫɭɬɬɽɜɿ ɜɿɞɦɿɧɧɨɫɬɿ ɜ ɩɨɤɚɡɧɢɤɚɯ ɦɿɫɰɟɜɨɝɨ ɝɭɦɨɪɚɥɶɧɨɝɨ ɿɦɭ-ɧɿɬɟɬɭ ɩɨɪɿɜɧɹɧɨ ɡ ɝɪɭɩɨɸ ɩɚɰɿɽɧɬɿɜ ɡ ɯɪɨɧɿɱɧɢɦ ɩɪɨɹɜɨɦ ɡɚɯɜɨɪɸɜɚɧɧɹ, ɹɤɿ ɯɚɪɚɤɬɟɪɢɡɭɜɚɥɢɫɹ ɜɟɥɢɤɢɦ ɡɧɢɠɟɧɧɹɦ ɪɿɜɧɿɜ sIgA ɿ IgM ɬɚ, ɦɟɧɲɨɸ ɦɿɪɨɸ, ɩɿɞɜɢɳɟɧɧɹɦ IgG. ȼɫɬɚɧɨɜɥɟɧɨ, ɳɨ ɭɦɨɜɧɨ - ɩɚɬɨɝɟɧɧɚ ɫɬɪɟɩɬɨɤɨɤɨɜɚ ɦɿɤɪɨɮɥɨɪɚ ɩɨɫɿɞɚɽ ɩɪɨɜɿɞɧɟ ɦɿɫɰɟ ɜ ɟɬɿɨɥɨɝɿʀ ɯɪɨɧɿɱɧɨɝɨ ɝɟɧɟɪɚɥɿɡɨɜɚɧɨɝɨ ɤɚɬɚɪɚɥɶɧɨɝɨ ɝɿɧɝɿɜɿɬɭ, ɚ ɭ ɮɨɪɦɭɜɚɧɧɿ ɡɚɝɨɫɬɪɟɧɶ ɡɚɩɚɥɶɧɢɯ ɹɜɢɳ ɜ ɹɫɟɧɧɿɣ ɬɤɚɧɢɧɿ ɞɨɦɿɧɭɸɱɚ ɪɨɥɶ ɧɚɥɟɠɢɬɶ ɫɬɚɮɿ-ɥɨɤɨɤɚɦ ɬɚ ɝɪɢɛɚɦ ɪɨɞɭ Ʉɚɧɞɢɞɚ.
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microbiocenosis and local immunity in 60 patients with chronic and exacerbated chronic generalized catarrhal gingivitis. We found that in patients with exacerbated generalized catarrhal gingivitis there exist more significant differences in terms of local humoral immunity as compared with a group of patients with chronic manifestation of the disease, characterized by a large decrease in levels of sIgA and IgM and to a lesser extent, an increase in IgG. It was established that conditionally-pathogenic streptococcal microflora leads in the etiology of chronic generalized catarrhal gingivitis and staphylococcus and fungi of the genus Candida play the dominant role in formation of exacerbations of inflammation in the gingival tissue.
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Ƚɍ «Ⱦɧɟɩɪɨɩɟɬɪɨɜɫɤɚɹ ɦɟɞɢɰɢɧɫɤɚɹ ɚɤɚɞɟɦɢɹ ɆɁ ɍɤɪɚɢɧɵ» ɤɚɮɟɞɪɚ ɯɢɪɭɪɝɢɱɟɫɤɨɣ ɫɬɨɦɚɬɨɥɨɝɢɢ, ɢɦɩɥɚɧɬɨɥɨɝɢɢ ɢ ɩɚɪɨɞɨɧɬɨɥɨɝɢɢ (ɡɚɜ. – ɤ. ɦɟɞ. ɧ. ɇ.Ƚ. ɂɞɚɲɤɢɧɚ) ɭɥ. Ⱦɡɟɪɠɢɧɫɤɨɝɨ, 9, Ⱦɧɟɩɪ, 49044, ɍɤɪɚɢɧɚ
SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine» Oral surgery, implantology and periodontology department
Dzerzhinsky str., 9, Dnipro, 49044, Ukraine e-mail: gudaryan@list.ru
Ʉɥɸɱɟɜɵɟɫɥɨɜɚ ɞɟɧɬɚɥɶɧɚɹ ɢɦɩɥɚɧɬɚɰɢɹ, ɨɞɨɧɬɨɝɟɧɧɚɹ ɢɧɮɟɤɰɢɹ, ɮɨɬɨɞɢɧɚɦɢɱɟɫɤɚɹ ɬɟɪɚɩɢɹ,
ɨɫɬɟɨɢɧɬɟɝɪɚɰɢɹ
.H\ZRUGV dental implantation, odontogenic infection, photodynamic therapy, osseointegration ɊɟɮɟɪɚɬɈɫɨɛɥɢɜɨɫɬɿɛɟɡɩɨɫɟɪɟɞɧɶɨʀɿɦɩɥɚɧɬɚɰɿʀɩɪɢɧɚɹɜɧɨɫɬɿɯɪɨɧɿɱɧɢɯɜɨɝɧɢɳɨɞɨɧɬɨɝɟɧɧɨʀɿɧɮɟɤɰɿʀ Ƚɭɞɚɪ¶ɹɧɈɈȾɪɨɛɹɡɝɨɆȽɒɚɦɪɚɣȺɇ ɍ ɫɬɚɬɬɿ ɩɪɟɞɫɬɚɜɥɟɧɿ ɪɟɡɭɥɶɬɚɬɢ ɡɚɫɬɨɫɭɜɚɧɧɹ ɪɨɡɪɨɛɥɟɧɨɝɨ ɥɿɤɭɜɚɥɶɧɨ-ɩɪɨɮɿɥɚɤɬɢɱɧɨɝɨ ɤɨɦɩɥɟɤɫɭ ɬɚ ɟɮɟɤɬɢɜɧɿɫɬɶ ɛɟɡɩɨɫɟɪɟɞɧɶɨʀ ɿɦɩɥɚɧɬɚɰɿʀ ɜ 66 ɩɚɰɿɽɧɬɿɜ ɿɡ ɯɪɨɧɿɱɧɢɦɢ ɜɨɝɧɢɳɚɦɢ ɨɞɨɧɬɨɝɟɧɧɢɯ ɿɧɮɟɤɰɿɣ ɭ ɩɟɪɢɚɩɿɤɚɥɶɧɿɣ ɞɿɥɹɧɰɿ. Ɇɟɬɚ ɞɨɫɥɿɞɠɟɧɧɹ – ɩɿɞɜɢɳɟɧɧɹ ɩɪɨɮɿɥɚɤɬɢɱɧɢɯ ɡɚɯɨɞɿɜ ɡɚɩɚɥɶɧɨ-ɿɧɮɟɤɰɿɣɧɢɯ ɭɫɤɥɚɞɧɟɧɶ ɿ ɨɩɬɢɦɿɡɚɰɿɹ ɨɫɬɟɨɿɧɬɟɝɪɚɰɿɣɧɢɯ ɩɪɨɰɟɫɿɜ ɩɪɢ ɛɟɡɩɨɫɟɪɟɞɧɿɣ ɿɦɩɥɚɧɬɚɰɿʀ ɩɿɫɥɹ ɜɢɞɚɥɟɧɧɹ ɡɭɛɿɜ, ɡ ɩɟɪɢɚɩɿɤɚɥɶɧɢɦɢ ɜɨɝɧɢɳɚɦɢ ɯɪɨɧɿɱɧɨʀ ɿɧɮɟɤɰɿʀ. ȼɫɬɚɧɨɜɥɟɧɨ, ɳɨ ɡɚɫɬɨɫɭɜɚɧɧɹ ɪɨɡɪɨɛɥɟɧɨɝɨ ɦɟɞɢɱɧɨɝɨ ɤɨɦɩɥɟɤɫɭ ɫɭɩɪɨɜɨɞɭ ɛɟɡɩɨɫɟɪɟɞɧɶɨʀ ɿɦɩɥɚɧɬɚɰɿʀ, ɹɤɢɣ ɜɤɥɸɱɚɽ ɜɢɤɨɪɢɫɬɚɧɧɹ ɦɿɫɰɟɜɨʀ ɮɨɬɨɞɢɧɚɦɿɱɧɨʀ ɬɟɪɚɩɿʀ, ɛɚɝɚɬɨɝɨ ɬɪɨɦɛɨɰɢɬɚɦɢ ɮɿɛɪɢɧɭ ɜ ɹɤɨɫɬɿ ɿɧ'ɽɤɰɿɣ ɿ ɦɟɦɛɪɚɧ, ɞɨɡɜɨɥɢɥɨ ɫɬɜɨɪɢɬɢ ɫɩɪɢɹɬɥɢɜɢɣ ɮɨɧ ɞɥɹ ɡɚɩɨɛɿɝɚɧɧɹ ɪɨɡɜɢɬɤɭ ɡɚɩɚɥɶɧɨ-ɿɧɮɟɤɰɿɣɧɢɯ ɭɫɤɥɚɞɧɟɧɶ ɭ ɩɟɪɢɿɦɩɥɚɧɬɧɿɣ ɡɨɧɿ ɿ ɫɬɜɨɪɢɥɨ ɫɩɪɢɹɬɥɢɜɟ ɬɥɨ ɞɥɹ ɨɫɬɟɨɿɧɬɟɝɪɚɰɿʀ ɿɦɩɥɚɧɬɚɬɿɜ ɭ 97,1% ɞɨɫɥɿɞɠɭɜɚɧɢɯ.
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