Prevention of periodontal diseases

Periodontal disease according to mass surveys conducted in our country and in Europe, South and North America, there are at 30 - 40% of the population over the age of 40 years. Pathological processes in mucous membrane distributed somewhat smaller (3 - 5%), but they are closely related to the General condition of the body and are often a manifestation of the underlying disease.
Prevention of diseases of parodont
The value of this problem is wide spread of the disease, which is caused by the loss of a large number of teeth with this type of pathology dental system. Slacking and tooth decay is the result of the inflammatory-dystrophic processes in the tissues of parodentium, accompanied expressed atrophy of the bone of the alveolar process of the jaws. The materials of clinical and x-ray examinations show that the initial stages of periodontal disease is often not diagnosed with clinical examination, and can only be diagnosed radiographically. Meanwhile, late detection and early treatment of parodontosis subsequently hinder stabilization of the pathological process, reduce the effectiveness of the therapy. The losses of the teeth in the dentist exceed those in comparison with caries in 2 -5 times.
In recent years, the proposed objective methods of research of patients, allowing to detect the early stages of periodontal disease which may be implemented by specially trained nurses in medical-preventive dental institutions under the supervision of doctors-stomatologists (determination of capillary resistance gums Century by the Imperial kulazhenko, sample S. M. Bazarnova and others).
Determination of resistance of the capillaries of the mucous membranes of the oral cavity Century by the Imperial kulazhenko. Early determination of functional condition of periodontal tissues is of great diagnostic value. Century Imperial kulazhenko (1960) proposed an objective test to determine the functional value of the whole complex of periodontal tissues. He found that the resistance of the capillaries in the field of alveolar process varies in norm within 70 -100 C at vacuum 720 mm RT. Art. (40 mm residual pressure); inflammatory processes in periodontal tissues resistance of the capillaries is dramatically reduced. So, for periodontitis she was several times lower than in 94% of patients.
To determine the resistance of the capillaries, you can use the vacuum unit, built-in diagnostic and treatment table (included with CCS, 3 or used separately)and a vacuum apparatus is intended for treatment of parodontosis (stationary or portable HAC-1). Sample portable apparatus shown in Fig. 10.
The method of determining the resistance of the capillaries of the mucous membrane of the Desna Century by the Imperial kulazhenko is the following: sterile round tube diameter 7 mm is applied to the gums. The other end of the tube attached to the system, the vacuum system, which creates rarefaction of the air 720 mm RT. Art. (40 mm residual pressure). Simultaneously with the provision specified in the tube vacuum to start the clock.
8 tube drawn mucosa, it formed a separate extravasate that, together, form a hematoma. This process is visible through the transparent wall of the tube. The formation of extravasation is a measure of the resistance of the capillaries gums study area. OK it reaches 70-100 with, diseases of fabrics of parodont correspondingly lower (10 to 50 C).
The test Schiller - Pisareva. D. Surikov, Yu. Pisarev found that the blurring iodine-iodide-potassium solution cause staining in those areas where there is a profound defeat connective tissue. It is associated with the accumulation of large amount of glycogen in areas of inflammation.
If the applied treatment methods are effective, then the inflammatory process dies down or stops, and reduced the number of glycogen, and consequently, decrease the intensity of the color. The favorable outcome of the re-treatment of samples will or subprojectname (weak coloration), or negative (no color).
It is usually applied iodine-iodide-potassium solution: potassium iodide -2,0; iodine crystal - 1,0; water distilled - 40,0 [Svrakov D. Pisarev Yu, 1963].
Method of application: the patient during the examination grease mucous membranes inside this solution. Determine the degree of color and fix in history (maps survey) areas of intense darkening of the mucous membrane of the gums (Fig. 11).
The test C. M. Bazarnova. This sample gives an idea of the functional state of physiological systems of the connective tissue of steam-cost-don't and based on the principle of intradermal samples., R. Kavetsky.
Modification of the S. M. Bazarnova is that 0.1 ml of 0.25% solution tropinovogo give blue mucous membrane of the lower lip, not intradermally. Diameter formed spots measured immediately after 3 h after its formation.
The coefficient of the sample is calculated as the ratio of the square of the radius of the spot at the time of the introduction of paint to its radius after 3 hours In healthy he is 5 - 7. If the ratio of the samples below 5, it shows the oppression of the functional state of the connective tissues of parodentium, and if the above is about the activity.
Defining the saturation of tissues ascorbic acid. The saturation of tissues ascorbic acid is determined using paint til-maize (0.1% of the normal solution 2,6-dichlorophenol-dofinal). To do this, 0.1 ml of paint Tillmans injected intradermally in the area of the forearm. Time discoloration spots exceeding 10 min, indicates a lack of vitamin C in the body tissues.
The factors contributing to the development of periodontal disease. In the occurrence of diseases of parodont play the role of local and systemic factors in a specific relationship. Only localized, limited inflammatory periodontal lesions can develop under the influence of some local factors (mechanical injury, chemical irritation, and others).

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