DENTAL STATUS IN PATIENTS WITH CHRONIC HEART FAILURE UNDER DENTAL IMPLANTATION

The excellent results of dental implantation have led to the widespread use of this method in the treatment of edentulous patients, including those with heart disease. The objective of this study was to determine trends in dental indices in relation to the progression and severity of chronic heart failure in patients. The aim of the study was to examine changes in dental indices in patients with different functional classes of chronic heart failure during the postoperative period of dental implantation. Methodology. The study examined the dynamics of dental indices during the postoperative period of dental implantation in 215 edentulous patients with a history of chronic heart failure. Study results. The values of poor oral hygiene in patients with CHF FC I varied from 2.1 ±0.3 in 31 % of patients to 2.2 ±0.3 in 22.4 % of cases. In the CHF FC II subgroup, the indicator varied from 2.0 ±0.2 in 23.8 % of cases to 2.0 ±0.18 in 22 % of cases. In the CHF FC III subgroup, values ranged from 2.14 ±0.23 in 39.1 % of patients to 2.1 ±0.31 in 28.2 % of cases at one month of follow-up, and the highest values for poor oral hygiene were observed in the CHF FC III subgroup. Severe periodontal disease was detected in patients with CHF FC III in 26.1 % of cases, increasing to 28.2 % of cases by the month of observation. In the CHF FC I subgroup, the indicator occurred in 3.3 % of cases, unchanged by the month, compared to 7.3 % of cases in the CHF FC II subgroup. Conclusions. Due to the onset of organic disorders, patients with CHF III FC exhibit a poor compliance, resulting in poor oral hygiene and an increased risk of complications.