SPECTRUM OF THE PERIODONTAL POCKET MICROFLORA IN PATIENTS WITH CHRONIC PERIODONTITIS OF MODERATE SEVERITY

Abstract

AIMS:. to evaluate the dental status and quantitative composition of the microflora of the periodontal pocket in patients with periodontitis, taking into account gender differences. MATERIALS AND METHODS: The object of the study: 39 patients aged 40-60 years with chronic generalized periodontitis of moderate severity. Research design: observational, cohort, multicenter, prospective. The study scheme: examination of patients using basic and additional dental methods in order to make a diagnosis; patients diagnosed with chronic generalized periodontitis of moderate severity included in the study were divided into two groups: men and women. The following were carried out: assessment of the hygienic condition of the mouth (OHI-S index), the degree of gingival inflammation (PMA index), quantitative assessment of the microflora of periodontal pockets (DENTOSCREEN®, NPF Litech LLC, Russia). The results were statistically processed and their gender differences were analyze. Statistical processing of the research results was carried out using the Microsoft Office Excel 2016 program with the Data Analysis add-ons and AtteStat 12.0.5. RESULTS:. The quantitative composition of the microflora of the periodontal pocket in patients with moderate periodontitis had statistically significant gender differences in relation to an increase in the number of microorganisms Fusobacterium nucleatum and Prevotella intermedia and the frequency of occurrence of Porphyromonas gingivalis in the male sample compared with the female (φ*emf=1.736, p0.05). The index assessment of dental status confirmed the hypothesis of significant differences between the male and female samples in terms of plaque index (OHI-S) and the PMA index characterizing the degree of gingival inflammation. CONCLUSIONS:. The results of the study indicate the importance of oral hygiene in the prevention of chronic periodontitis, and can be used to optimize algorithms for complex treatment of patients with periodontal diseases. In particular, an increase in the frequency of dispensary examinations and professional oral hygiene in combination with training and control of individual oral hygiene in men compared with women.