Shemelko M. Surgical methods of treatment and prevention of postoperative complications as a preparatory stage of prosthetic rehabilitation of patients with generalized periodontitis

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0415U000885

Applicant for

Specialization

  • 14.01.22 - Стоматологія

03-04-2015

Specialized Academic Board

Д 26.613.09

Essay

Evaluation of the data reported by heads of dental surgery departments from ten public district dental clinics of Kyiv which are indicative of a high incidence of periodontal tissue diseases and the need to improve current treatment regimens for patients with GP, hence the relevance of research. To achieve the set goal there were examined 75 patients with generalized periodontitis stage II-III by studying the nature of GP clinical course, biochemical parameters of blood, the immune status, function of the thyroid gland, iodine saturation of the body and condition of the bone tissue. According to the result of our research splinting roots of mobile teeth with encircling suture at the level length of 1/3-2/3 using polyglycolide synthetic material and filling bone pockets with osteoplastic material Bio-oss allows increasing the effectiveness of surgical treatment of GP patients by stabilizing the teeth, improving the regeneration of the bone tissue. The postoperative use of Jodis - concentrate as corrective and therapy contributes to avoiding complications in the periodontal tissues, normalizing iodine provision, thyroid function, increasing the immune status and accelerating postoperative rehabilitation of the patients. The analysis of markers of bone metabolism in GP patients (stage II-III) included into the main group where there was used Bio-oss osteoplastic material and Calcium D3 Nycomed bone-seeking drug are indicative of the positive dynamics of bone remodeling in all phases of observation. The designed and implemented diagnostic and therapeutic algorithm of pre- and postoperative management in GP stage II-II is seen as effective, safe and accessible in dental practice.

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