• Impact of comprehensive treatment on microbiocenosis of periodontal tissues in adolescents with catarrhal gingivitis and chronic gastroduodenitis

Impact of comprehensive treatment on microbiocenosis of periodontal tissues in adolescents with catarrhal gingivitis and chronic gastroduodenitis

SOVREMENNAYA PEDIATRIYA.2018.6(94):27-33; doi 10.15574/SP.2018.94.27

Lisetska I. S., Rozhko M. M., Kutsyk R. V.
IvanoFrankivsk National Medical University, Ukraine

The key elements of the aetiology and pathogenesis of periodontal diseases according to the contemporary conception are quantitative and qualitative changes in the oral cavity microflora composition — reducing the amount of normal flora, increasing commensals, excessive contamination of periodontal pathogens with a simultaneous deterioration of oral hygiene, reducing local and general immunity, which more often occur in the presence of somatic diseases.

Objective: to determine the efficacy of the developed therapeutic and preventive comprehensive management focused on the microbiocenosis correction of the periodontal tissues in adolescents with catarrhal gingivitis and chronic gastroduodenitis by microbiological monitoring before and after treatment and in long-term period.

Materials and methods. The study included 38 adolescents aged 12 to 18 years with generalized catarrhal gingivitis (GCG) and chronic gastroduodenitis, who made up the main group. The comparison group comprised 25 same aged adolescents with a diagnosed GCG, who had no complaints of somatic health violations at the time of the study and were not under regular medical check-up with allied specialists. The outcome monitoring of the gingival microbiocenosis changes was carried out before and after the treatment, and in six month period.

Results. On the background of the developed therapeutic and preventive comprehensive management of children with GCG and associated gastroduodenitis, the well-defined changes in the gingival microbiocenosis were observed. A long-term normalization of the resident and transient normal flora was achieved, as well as a reduction in the proportion of pathogenic aerobic microorganisms in the oral microbiocenosis of the examined adolescents.

Conclusions. The proposed therapeutic and preventive comprehensive management provides a reduction in the massivity and frequency of the gingival mucosa colonization by pathogenic aerobic microflora (β-hemolytic streptococcus, Staphylococcus aureus and Candida).

Key words: catarrhal gingivitis, chronic gastroduodenitis, adolescents, microbiocenosis, comprehensive management.

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Article received: Apr 18, 2018. Accepted for publication: Oct 01, 2018.