VALIDITY OF COMPLEX MODERN RADIOLOGIC EXAMINATION OF PATIENTS WITH GENERALIZED MARGINAL PERIODONTITIS OF CHRONIC TREATMENT

Abstract

Purpose of the study. To conduct a comparative analysis of the clinical and Radiological state of the periodontal complex in patients with chronic traumatic marginal periodontitis. Traditional basic clinical methods of diagnosing the state of the marginal periodontium (periodontium) in 20 patients aged 20-35 years were used, using topical clinical indices reflecting the activity of inflammation and the depth of changes in the studied tissues. The radiological examination included orthopantomography, 3D computed tomography of the upper and lower jaws, using standard programs for determining the degree of osteoporosis activity in individual areas. The functional study of occlusal planes was studied using the T-scan method. Scientific novelty. A comparative analysis of objective clinical data of the marginal periodontium in chronic inflammation in conjunction with the registered traumatic nodes and supracontacts was carried out. The peculiarities of changes in the structure of the upper interalveolar membranes, depending on the presence or absence of supra (hyper) contacts, were revealed. It has been established that standard orthopantomography in patients with chronic traumatic marginal periodontitis of the initial-first degree is not sufficiently informative to determine the degree of change in the architecture of the bone spongy substance in the area of interdental membranes. In order to detail the state of these changes, it is necessary to perform a comparative analysis of bone tissue by digital 3D computed tomography of the jaws. This method, taking into account the existing traditional programs, objectively, in terms of quantitative and qualitative parameters, allows for a comparative topical characterization of the bone. The functional method of T-scan, from the point of view of evidence-based medicine, allows you to identify the presence of traumatic occlusion, supra- (hyper-) contacts, determine the force and time of closure of the dentition. The presented comprehensive diagnostics allows to detect, determine the quantitative and qualitative characteristics of changes in the bone tissue of the apex of the interalveolar membranes. Such a tactic of studying the condition of the marginal periodontium makes it possible to identify the etiotropic and pathogenetic features of chronic inflammation of marginal periodontitis in the initial stages, and to develop methods of treatment and prevention of further complications in the form of bone resorption and ligamentous periodontal apparatus.