STUDY OF MICROCIRCULATION OF PERIODONTAL TISSUES IN ELDERLY AND SENIOR PATIENTS

Subject. Studying periodontal microcirculatory parameters is a primary marker of the latency period of the general somatic structure. Currently, the main determinants of periodontal diseases have been observed for a long time, helping people apply disease control methods to additional patients. Objectives. The study of the possibility of using a non-invasive method for diagnosing microcirculation in periodontal tissues to develop a comprehensive treatment plan for elderly and senior patients. Methodology. The study consisted of two stages: a questionnaire survey and a clinical and laboratory examination of patients. Seventy-two respondents were asked to answer questions about their oral hygiene practices and the presence of general somatic diseases. Two groups were identified for the clinical and laboratory examination: the main group (A), which consisted of 30 patients aged 60 to 79 years; and the control group (B), which consisted of 42 patients aged 29 to 59 years. All patients underwent a standard dental examination, as well as a study of the average linear (Vs, cm/s) and volumetric (Qs, ml/s) blood flow velocity in periodontal tissues using ultrasound Dopplerography. Results. The most common condition in both groups was hypertension. Group A respondents primarily used a manual toothbrush, toothpaste, and an irrigator and visited the dentist once a year, while Group B used an electric toothbrush and floss and visited the dentist once every 6 months. Patients over 60 years old with cardiovascular disease were found to have vascular insufficiency in the oral tissues. Conclusions. The conducted study allows us to recommend that dentists, together with internists, develop a treatment and rehabilitation plan aimed at relieving the manifestations of diseases and improving the quality of life.