Shevchuk M. Features of providing periodontal care to the patients with general somatic pathology.

Theoretical generalization and new solution of the scientific and practical problem of dentistry that grounds on the improvement of the efficiency of treatment and prevention of periodontal diseases in the patients with accompanying general somatic diseases in the hospital is presented in the dissertation. As a result of conducted studies, found that distribution of periodontal diseases in the patients of Lviv Regional Clinical Hospital with cardiovascular, neurological, gastroenterological and rheumatological pathology was in average 75,59±1,89%, and was highest in patients with rheumatic diseases – 83,58±3,20% (р<0,05). The prevalence of periodontal disease in patients with cardiovascular disease (74,17±4,00%), neurological (73,44±3,90%) and gastroenterological diseases (70,77±3,99%) was almost the same and did not differ the probability of the obtained data among themselves (p>0,05).The effectiveness of the treatment using the proposed schemes contributed to a significant improvement in clinical, immuno-inflammatory, endothelial, stressful symptoms in patients with periodontal disease in somatic diseases. It was found that 12 months after treatment, „stabilization” of the periodontal condition was observed, at CPITN ≤ 2, in 82,76% of treated persons of the main group, where for the treatment of periodontal disease we used our proposed scheme based on polypeptide drugs, which was 2 times more than in patients of the comparison group – 40,74% (p<0,01), where the treatment of periodontal disease was carried out according to traditional methods, and at CPITN> 2, in 68,18% of people in the main group, which was 4 , 6 times more than in patients of the comparison group – 14,71% (p<0,01). At the same time, “increase" of the pathological process in periodontal tissues, at CPITN ≤ 2, was diagnosed in 44,44% of subjects in the comparison group and was not observed in any patient of the main group, and at CPITN > 2, in 64,70% of treated persons of the comparison group, which was in 3,56 times more than in patients of the main group – 18,18% (p<0,01), which indicated the lack of traditional treatment of periodontal disease in this category of patients.