PECULIARITIES OF PREOPERATIVE PREPARATION IN THE TREATMENT OF GENERALIZED PARODONTAL DISEASES IN ATIENTS WITH MUSCULOSKELETAL DYSFUNCTION OF THE TEMPOROMANDIBULAR JOINTS AND EATING DISORDERS

The rational use of various surgical methods significantly increases the quality and efficiency of treatment of generalized diseases of pаrodontal tissues in patients with TMJ dysfunction and eating disorders, and also prolongs the period of stabilization of the disease and reduces the number of relapses. The success of surgical treatment depends on the quality of preoperative preparation and appropriate postoperative support. Aim: to increase the effectiveness of surgical treatment of generalized periodontal tissue diseases in patients with TMJ dysfunction and eating disorders by substantiating a personalized approach to the correction of delayed-type hypersensitivity at the stage of preoperative preparation. The study was conducted with the participation of 135 people aged 26–40, who were diagnosed with generalized parodontitis, I–II degree, chronic course, and a control group of 56 practically healthy people. According to the results of the study, it was established that in the vast majority of patients with generalized parodontitis, I–II degree, chronic course, hypersensitivity of the delayed type to one or simultaneously two streptococcal and staphylococcal antigens, as well as to bone antigen, was detected. The study of the first stage showed that according to the data of the RGML in patients with chronic pharyngitis, stage I–II, GUT to streptococcus was detected in 85 cases out of 135, which was 62.9 ± 1.81 %, P < 0.01 with a migration index (MIF) of 0.1–0.5 versus 24.7 ± 0.62 % in the control group. GUT to staphylococcus in patients of the main group according to the RGML data was observed in 61.5 ± 4.14 %, P < 0.01 (migration index 0.3–0.5), while in the control group this indicator was equal to 0. Conclusions: we consider it expedient to include specific microbial hyposensitization followed by immunization in the list of measures for preoperative preparation for surgical intervention on parodontal tissues in patients with TMJ dysfunction and eating disorders.