THE ROLE OF NON-DRUG METHODS IN THE SUPPORTIVE PERIODONTAL THERAPY COMPLEX
Abstract and keywords
Abstract (English):
Vospalitel'nye zabolevaniya parodonta ser'eznaya stomatologicheskaya, obschemedicinskaya i social'naya problema. Nesmotrya na sovershenstvovanie metodov diagnostiki i vnedrenie novyh tehnologiy pri lechenii vospalitel'nyh zabolevaniy parodonta slozhno dobit'sya stoykoy remissii i povysit' kachestvo zhizni pacientov. Medikamentoznaya terapiya imeet takie nezhelatel'nye posledstviya kak allergicheskie reakcii, vyrabotka rezistentnosti k antibakterial'nym sredstvam, disbakterioz, v svyazi s chem aktual'na problema nemedikamentoznyh metodov v podderzhivayuschey parodontal'noy terapii. V obzore predstavleny dannye ob osnovnyh aspektah podderzhivayuschey parodontal'noy terapii. Reshayuschim dlya uspeshnoy podderzhivayuschey parodontal'noy terapii yavlyayutsya postoyannyy kontrol' za reinfekciey v parodontal'nyh karmanah, poetomu kraeugol'nym kamnem v sisteme podderzhivayuschey parodontal'noy terapii yavlyaetsya ustranenie bioplenki v komplekse professional'noy gigieny polosti rta. Celenapravlennymi schadyaschimi sposobami minimal'no invazivnoy apparatnoy terapii, pozvolyayuschey dobit'sya razrusheniya bioplenki, iz dostupnyh na segodnyashniy den', yavlyayutsya metody Vector (Durr, Germaniya) i Perio-Flow (EMS, Shveycariya). Principom metoda Vector yavlyaetsya obrabotka parodontal'nogo karmana poliruyuschey suspenziey gidrokisapatita kal'ciya za schet gidrodinamicheskogo vozdeystviya, voznikayuschego pod vozdeystviem ul'trazvukovoy energii nepryamoy podachey cherez rezonansnoe kol'co, a metoda Perio-Flow – vozdushno-abrazivnoe vozdeystvie poroshkom glicina diametrom chastic 25 μm. Principial'no raznye sposoby pozvolyayut dobit'sya polnogo mehanicheskogo razrusheniya bioplenki v trudnodo-stupnyh uchastkah. Podderzhivayuschaya parodontal'naya terapiya s postoyannym kontrolem motivacii k individual'noy gigiene i regulyarnym professional'nym udaleniem bioplenki etiopatogeneticheski obosnovana i yavlyaetsya zalogom uspeshnyh rezul'tatov lecheniya i profilaktiki vospalitel'nyh zabolevaniy parodonta.

Keywords:
vospalitel'nye zabolevaniya parodonta, podderzhivayuschaya parodontal'naya terapiya, bioplenka, Vector, Perio-Flow
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