Rationale for clinical and functional diagnosis of chronic gingivitis in children and adolescents
Abstract
Background. Despite the great variety of etiological factors, it has been noted that periodontal tissue inflammation is manifested by a disruption of the microcirculation mechanism that provides metabolic homeostasis in tissues. Studies have investigated the processes of vascular reactivity and microcirculation of periodontal tissue in children and teenagers, and it has been noted that, disturbance of the process is a pathophysiological process that stimulates the formation of a pathological state in periodontal tissue, effective advances in treatment and prevention have not been achieved.
Materials and methods. A total of 360 children and adolescents were examined, including; - 195 (54.2%) suffering from chronic catarrhal gingivitis (CCG) and 165 (45.8%) with chronic hypertrophic gingivitis (CHG). General clinical, laboratory and dental methods of investigation were performed.
Results. According to the results of a number of functional and clinical features occurring in CCH and CGH, statistics confirmed that 98.6% of patients have local circulatory disorders in the gums, tension of vascular tone, decreased peripheral resistance to blood flow, impaired vascular elasticity and negative results in blood rheology.
Conclusion. Thus, the obtained results once again confirm that the initial condition of children and adolescents diagnosed with CCG and CHG occurs against the background of poor oral hygiene, which increases with age. The studied clinical and functional processes serve as a scientific basis for future therapeutic and preventive measures.
About the Authors
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