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  • Clinical and epidemiological characteristics of inflammatory and aggressive lesions of periodontal tissues in patients with abnormal glucose homeostasis

    Редактор | 2016, Original articles, Practical medicine 08 (16) Pediatrics | 30 ноября, 2016

    Sh.F. DZHURAEVA, М.V. VOROBYEV

    Ivanovo State Medical Academy, 8 Sheremetyevskiy Ave., Ivanovo, Russian Federation, 153012

    Dzhuraeva Sh.F. ― D. Med. Sc., Professor of the Department of Dentistry №1, tel. +7-915-845-82-17, e-mail: dsharora@mail.ru

    Vorobyev M.V. ― D. Med. Sc., Associate Professor of the Department of Dentistry №1, tel. +7-905-156-32-26, e-mail: ivanovovita@mail.ru

    The article presents the clinical and epidemiological characteristics of full-scale examination of 1,055 patients with diabetes mellitus. The research results showed that the pathological changes severity in periodontal tissues is being enhanced in parallel with the augmentation of the glycolytic exchange compensation rate. Severe inflammatory and aggressive periodontal diseases are diagnosed in 5.7 % of cases at the diabetes compensation stage, and the spread of severe periodontal diseases has made up 14.5% and 27.0% correspondingly in people with sub- and decompensated exchange disorders. Results of the structural analysis of generalized periodontitis demonstrate that the pathologic process in periodontal tissues is noted as being progressed with the duration increase of the main disease and patient’s age. In the observation group of patients the condition of periodontal tissues has been recorded as normal in 13.8% of cases, periodontitis ― in 38%, which is lower by 62% as compared to people with diabetes.

    Key words: diabetes mellitus, periodontal diseases, epidemiology, prophylaxis, treatment.

    REFERENCES

    1. Gorbacheva I.A., Shestakova I.A. Pathogenic comorbidity diseases of the internal organs and the mouth. Parodontologiya, 2008, no. 3, pp. 3-5 (in Russ.).
    2. Dzhuraeva Sh.F., Ashurov G.G. The current generalized periodontitis depending on the integral indicator of nonspecific protection of the oral cavity in patients with insulin-dependent diabetes mellitus. Vestnik Ivanovskoy meditsinskoy akademii, 2009, vol. 14, no. 4, pp. 31-33 (in Russ.).
    3. Savchenko Z.I. Clinical and immunological characteristics of periodontal status in patients with type II diabetes mellitus. Klinicheskaya stomatologiya, 2011, no. 3, pp. 76-79 (in Russ.).
    4. Runge R.I. New approaches to dental care for patients with diabetes mellitus. Vrach-aspirant, 2013, pp. 163-168 (in Russ.).
    5. Joos S. ELSID ― Diabetes study-evaluation of a large scale implementation of disease management programmes for patients with type 2 diabetes. Rationale, design and conduct: A study protocol. BMC Public Health, 2005, vol. 5, p. 99.

    Метки: 2016, diabetes mellitus, epidemiology, periodontal diseases, Practical medicine 08 (16) Pediatrics, prophylaxis, Sh.F. DZHURAEVA, treatment, М.V. VOROBYEV

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