PREVALENCE AND DIAGNOSTIC STRUCTURE OF PERIODONTAL DISEASES IN CHRONIC RHEUMATIC HEART DISEASE

The goal. This research addresses a significant scientific and practical challenge within modern therapeutic dentistry: assessing the periodontal status of patients suffering from chronic rheumatic heart disease.Material and Methods. The study analyzed the diagnostic structure and prevalence of dystrophic-inflammatory diseases of the periodontium in individuals diagnosed with chronic rheumatic heart disease, considering the clinical progression and severity of the condition. It involved examining 719 patients with chronic rheumatic heart disease from the rheumatology department of the Lviv Regional Clinical Hospital and 290 clinically healthy comparison subjects.Results and Discussion. The incidence of periodontal disease among patients with chronic rheumatic heart disease was found to be 92.49%, which is 13.18% higher than that in a comparable group. Dental examinations of patients with accompanying somatic pathologies revealed a high prevalence of periodontitis (92.49 ± 0.98%). An increased affliction of periodontal tissues was observed in younger age groups. The prevalence of generalized periodontitis was found to increase with the duration of the rheumatic disease, being diagnosed in all participants with a rheumatic disease duration of 10 years or more.Conclusions: the study's findings suggest that periodontal diseases are more prevalent in individuals with chronic rheumatic heart disease, particularly affecting younger demographics, with the severity and progression dynamics influenced by the duration of the underlying disease. This underscores the necessity for developing tailored comprehensive treatment and prevention strategies for dental diseases in this patient group, taking into account the nature and duration of the accompanying somatic disease.