Paraclinical evaluation of the effectiveness of treatment of chronic catarrhal gingivitis in patients-soldiers of the Armed Forces of Ukraine
Keywords:
chronic catarrhal gingivitis, military personnel, psycho-emotional state, paraclinical indicesAbstract
Introduction. Chronic catarrhal gingivitis is one of the most common periodontal diseases, most commonly found among military personnel of the Ukrainian Armed Forces. Constant stress, physical and psychological strain, as well as specific conditions of service may contribute to the development of this disease. Despite its prevalence, the problem of effective treatment of chronic catarrhal gingivitis in the military is still insufficiently studied. Today, there is a need to develop more effective and personalised treatment approaches that take into account the specificities of military service and, importantly, the psycho-emotional state of this cohort of patients. Objective: to evaluate the clinical efficacy of our proposed treatment complex for the management of chronic catarrhal gingivitis in patients-soldiers of the Armed Forces of Ukraine. Methods. Treatment of chronic catarrhal gingivitis was carried out in 22 patients – military personnel of the Armed Forces of Ukraine, in particular: 12 patients (54,54 %) were treated with the treatment complex developed by us (main group) and 10 patients (45,46 %) were treated according to the traditional method (control group). To quantify the clinical signs of periodontal tissue damage, the following were determined: papillary marginal-alveolar index (PMA); papillary bleeding index (PBI); the hygienic state of the oral cavity was characterised by the Greene J. Vermillion J index (OHI–S). The effectiveness of the treatment of periodontal tissue diseases was assessed by the following criteria: «stabilisation», «clinical well-being», «improvement», «no change» and «deterioration». Results. As a result of the study, it was found that in patients with chronic catarrhal gingivitis treated with the help of the treatment complex developed by us, «stabilisation» of the periodontal tissue condition was objectified in 66,67 % of the treated patients compared to 20,0 % of patients in the control group, in whom chronic catarrhal gingivitis was treated according to traditional methods, p1<0,01. At the same time, in patients with chronic catarrhal gingivitis of the main group, a reduction in the values of paraclinical indices was determined in relation to the baseline data: РMA – by 95,38 %, РВІ – by 80,56 %, OHI-S – by 50,0 %, p,p1<0,01. Conclusions. Thus, the results of clinical trials convincingly proved the effectiveness of the treatment complex developed by us for the management of chronic catarrhal gingivitis in patients-soldiers of the Armed Forces of Ukraine, which was confirmed by the positive dynamics of paraclinical indices РMA, PBI, OHI-S and «stabilisation» of periodontal tissue condition.
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