EFFECTIVENESS OF THE PROPOSED DIFFERENTIATED MEDICATION SUPPORT IN PATIENTS WITH GENERALIZED PERIODONTITIS IN THE LONG PERIOD

The purpose of the study is clinical and radiological evaluation of the effectiveness of the proposed differentiated medical support after surgery in the complex treatment of patients with generalized periodontitis of II and III degrees of severity, depending on the state of the body's reactivity in the long term. Materials and methods of the study. We carefully examined 216 patients diagnosed with generalized periodontitis of II and III severity. All patients were divided into groups depending on the state of the body's reactivity according to clinical and laboratory criteria. Immediately after curettage or flap surgery, the proposed differentiated drug correction was performed. The effectiveness of treatment was assessed by the results of clinical and radiological examinations after 6 months, 1 and 2 years. Results of the study. In the long term, after 2 years, in patients with generalized periodontitis of the main groups (patients with hyperand hyporeactivity of the body, who in addition to the conventional complex treatment received the proposed medical correction), the percentage of stabilization of the inflammatory and destructive process in periodontal tissues was commensurate with that in the comparison group (patients with normal body reactivity) and reached, respectively, 78.3 and 78.9% of cases. In the control group, stabilization was recorded, on average, 10% less often. Conclusion. The proposed differentiated medical support contributes to the stable clinical and radiological stabilization of the pathological process in generalized periodontitis.