CURRENT TRENDS IN IMPROVING PERIODONTAL CARE FOR DISORDERS OF THE BALANCE OF THE MICROFLORA OF THE ORAL CAVITY

This paper presents an overview of Russian and foreign literature sources on improving periodontal care for disorders of the balance of the oral microflora associated with various comorbid conditions. The clinical and epidemiological characteristics of chronic inflammatory periodontal diseases in various age groups of the population are described in detail, which is defined as unfavorable and remains an urgent problem not only in dentistry, but also in medicine in general, since chronic foci of oral cavity infection cause, in addition to tooth loss and impaired function of the dental system, the development of focal diseases of parenchymal organs. At the same time, the review outlines the etiological factors of the development of chronic periodontitis, where the leading importance is given to the periodontopathogenic microflora, where the severity of dysbiosis largely depends on the presence of various general somatic diseases leading to dysbiosis. In addition, there is information on the pathogenetic mechanisms of the formation and development of inflammatory and destructive processes of periodontal tissues, including rapidly progressive periodontitis. Chronic periodontitis has a multifactorial origin and a complex pathogenetic mechanism of development, which cause certain difficulties in carrying out therapeutic, preventive and rehabilitative measures. In this regard, the provision of qualified dental care with an interdisciplinary approach is theoretically and scientifically justified, which will ensure the effectiveness of the measures taken, contributing to improving the quality of life of patients. According to a number of researchers, during the comprehensive medical and social rehabilitation of patients with chronic periodontitis, a positive clinical effect of restoring the microbiota of the periodontal pocket and oral cavity is noted. Taking into account the above, the names of prebiotics, probiotics and eubiotics are presented in detail, indicating their dosage and course of treatment for chronic periodontitis combined with oral dysbiosis. This situation confirms the practical importance of conducting etiopathogenetic therapy of inflammatory periodontal diseases, taking into account the imbalance of the microflora of the periodontal pocket. Meanwhile, when drawing up an individual plan of therapeutic and preventive measures for chronic periodontitis, there is a need for additional diagnostic research methods related to determining the severity of dysbiosis, which form a personalized approach to therapy and prevention.

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