Saint Peterburg, St. Petersburg, Russian Federation
employee
Saint Peterburg, St. Petersburg, Russian Federation
Saint Petersburg, St. Petersburg, Russian Federation
Saint Petersburg, St. Petersburg, Russian Federation
employee
Saint Peterburg, St. Petersburg, Russian Federation
employee
Saint Peterburg, St. Petersburg, Russian Federation
Sankt-Peterburg, St. Petersburg, Russian Federation
UDC 616.31
Relevance. Severe intestinal diseases, which include Crohn's disease and ulcerative colitis, are characterized by a chronic recurrent course, a high rate of complications, an unfavorable prognosis, prolonged drug therapy and manifestations in the oral cavity, such as a high level of carious process, non-carious lesions of the second group (increased abrasion, wedge-shaped defects, enamel erosions), gingivitis, periodontitis, plentiful plaque on the tongue and mucosal trauma. These features create difficulties in conducting high-quality professional hygiene, requiring maximum atraumatism and accuracy from the dentist. Objective. To select personal oral hygiene products and develop recommendations for using magnification techniques during professional oral hygiene procedures in patients with chronic intestinal diseases (Crohn’s disease). Methodology. In the presented clinical case, a patient with Crohn’s disease in an exacerbation stage was treated with a protocol for professional hygiene using a combined approach with three optical systems. This approach allowed effective removal of subgingival deposits without traumatizing or causing painful stretching of the sensitive oral mucosa. Simultaneously, individual hygiene was adjusted using a tongue scraper and moisturizing and anti-inflammatory agents. Results. Following the treatment, a significant improvement in hygiene indices was observed (OHI-S = 0.5, WTC = 2), with no bleeding on probing (SBI index = 0), no dry mucous membranes, or inflammation in the periodontal tissues. Conclusions. The developed recommendations for the use of optical systems are key for conducting effective, gentle professional hygiene procedures in patients with Crohn’s disease. They provide significant visual control and minimal trauma to the oral mucosa.
Crohn’s disease, endoscope, surgical microscope, binocular magnifiers, professional hygiene
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