FEATURES OF THE DENTAL STATUS OF POLYMORBIDE PATIENTS WITH A CARDIOMETABOLIC PHENOTYPE

Abstract

Subject. The article discusses topical issues of polymorbidity of dental patients, particularly features of the dental status of patients with a cardiometabolic phenotype. The study of the oral cavity in the presence of multiple somatic pathology involves an interdisciplinary approach and requires dentists to develop additional professional knowledge. The polymorbidity of the cardiometabolic phenotype often leads to the appearance and development of organic and functional disorders of the hard tissues of the teeth and oral mucosa. This feature should be taken into account both by dentists and other medical specialists when observing and treating patients of this category. The aim of the study is to establish a relationship between qualitative disorders of the structure, function of organs and tissues of the oral cavity and the presence of cardiometabolic pathology. Methods. The study involved 60 patients hospitalized in the cardiology and neurological departments of Clinical Hospital No. 38 of Nizhny Novgorod, aged from 18 to 85 years. Case histories were studied where the selection criteria were: blood pressure, high density lipoproteins (HDL), and glucose concentration in the blood. To determine the dental status of patients used DMF, PMA and Green—Vermillon indexes. Results. In the course of the study, it was found that in 97 % of patients with metabolic syndrome, the DMF index exceeds the norm (DMF> 10); 50 % of patients showed moderate gingivitis, and in 27 % of patients - severe; 6% of patients show good oral hygiene; in 83 % of patients the level of hygiene is much lower: in 33 % of patients the level of hygiene is average, in 50 % the level is poor and in 9 % it is very poor. Conclusions. The results obtained indicate that dental morbidity has a pronounced polymorbidity.