employee
Nizhniy Novgorod, Russian Federation
employee
Nizhniy Novgorod, Nizhny Novgorod, Russian Federation
employee
Nizhniy Novgorod, Nizhny Novgorod, Russian Federation
employee
Nizhniy Novgorod, Nizhny Novgorod, Russian Federation
student
Nizhniy Novgorod, Nizhny Novgorod, Russian Federation
student
Nizhniy Novgorod, Nizhny Novgorod, Russian Federation
student
Nizhniy Novgorod, Nizhny Novgorod, Russian Federation
Subject. The article discusses topical issues of polymorbidity of dental patients, particularly features of the dental status of patients with a cardiometabolic phenotype. The study of the oral cavity in the presence of multiple somatic pathology involves an interdisciplinary approach and requires dentists to develop additional professional knowledge. The polymorbidity of the cardiometabolic phenotype often leads to the appearance and development of organic and functional disorders of the hard tissues of the teeth and oral mucosa. This feature should be taken into account both by dentists and other medical specialists when observing and treating patients of this category. The aim of the study is to establish a relationship between qualitative disorders of the structure, function of organs and tissues of the oral cavity and the presence of cardiometabolic pathology. Methods. The study involved 60 patients hospitalized in the cardiology and neurological departments of Clinical Hospital No. 38 of Nizhny Novgorod, aged from 18 to 85 years. Case histories were studied where the selection criteria were: blood pressure, high density lipoproteins (HDL), and glucose concentration in the blood. To determine the dental status of patients used DMF, PMA and Green—Vermillon indexes. Results. In the course of the study, it was found that in 97 % of patients with metabolic syndrome, the DMF index exceeds the norm (DMF> 10); 50 % of patients showed moderate gingivitis, and in 27 % of patients - severe; 6% of patients show good oral hygiene; in 83 % of patients the level of hygiene is much lower: in 33 % of patients the level of hygiene is average, in 50 % the level is poor and in 9 % it is very poor. Conclusions. The results obtained indicate that dental morbidity has a pronounced polymorbidity.
dental status, oral diseases, gingivitis, caries, dental status, combined pathology, polymorbidity, cardiometabolic phenotype, metabolic syndrome, diabetes mellitus
1. Butrova, S. A., ed. Dedova, I. I. (2000). Metabolicheskiy sindrom i rol' abdominal'nogo ozhireniya v yego razvitii (voprosy patogeneza, proyavleniya, sovremennyye podkhody k lecheniyu) [Metabolic syndrome and the role of abdominal obesity in its development (issues of pathogenesis, manifestations, modern approaches to treatment)]. Ozhireniye. Metabolicheskiy sindrom. Sakharnyy diabet 2 tipa [Obesity. Metabolic syndrome. Type 2 diabetes mellitus], Moscow, 3843. (In Russ.)
2. Vertkin, A. L., Rumyantsev, M. A., Skotnikov, A. S. (2011). Komorbidnost' v klinicheskoy praktike [Comorbidity in clinical practice]. Arkhiv vnutrenney meditsiny [Archive of Internal Medicine], 2, 20. (In Russ.)
3. Vecherkina, Zh. V., Chirkova, N. V., Morozov, A. N., Chubarov, T. V., Smolina, A. A. (2018). Otsenka stomatologicheskogo statusa u detey podrostkovogo vozrasta s izbytochnoy massoy tela [Assessment of dental status in overweight teenagers]. Vestnik novykh meditsinskikh tekhnologiy. Elektronnoye izdaniye [Bulletin of new medical technologies. Electronic edition], 4, 1-8. (In Russ.)
4. Gazhva, S. I., Igolkina, N. A. (2013). Vzaimosvyaz' zabolevaniy vnutrennikh organov i sostoyaniya polosti rta [The relationship of diseases of internal organs and the state of the oral cavity]. Terapevticheskiy arkhiv [Therapeutic archive], 10, 116-118. (In Russ.)
5. Gazhva, S. I., Shkarednaya, O. V., Pyatova, E. D. (2013). Kompleksnyy podkhod k lecheniyu zabolevaniy slizistoy obolochki polosti rta u patsiyentov s khronicheskimi gastritami [An integrated approach to the treatment of diseases of the oral mucosa in patients with chronic gastritis]. Stomatologiya [Dentistry], 92, 6, 16-19. (In Russ.)
6. Gorbacheva, I. A. (2004). Yedinstvo sistemnykh patogeneticheskikh mekhanizmov pri zabolevaniyakh vnutrennikh organov, assotsiirovannykh s generalizovannym parodontitom [Unity of systemic pathogenetic mechanisms in diseases of internal organs associated with generalized periodontitis]. Stomatologiya [Dentistry], 3, 6-11. (In Russ.)
7. Gudaryan, A. A. (2003). Chastota i osobennosti klinicheskogo proyavleniya generalizovannogo parodontita pri razlichnykh komponentakh metabolicheskogo sindroma [The frequency and characteristics of the clinical manifestations of generalized periodontitis with various components of the metabolic syndrome]. Vestnik stomatologii [Bulletin of dentistry], 1, 20-25. (In Russ.)
8. Kaygorodov, V. A., Nurieva, N. S., Delets, A. V. (2017). Ispol'zovaniye ob"yektivnogo parodontal'nogo indeksa (opi) v issledovanii sostoyaniya parodonta u patsiyentov na antikoagulyantnoy terapii. Klinicheskiy sluchay [The use of an objective periodontal index (OPI) in the study of periodontal status in patients on anticoagulant therapy. Clinical case]. Problemy stomatologii [Problems of dentistry], 13, 3, 14-17. (In Russ.)
9. Kirsanov, A. I., Gorbacheva, I. A., Shabak-Spassky, P. S. (2000). Stomatologiya i vnutrenniye bolezni [Dentistry and internal diseases]. Parodontologiya [Periodontology], 4 (18), 23-25. (In Russ.)
10. Leus, P. A. (1990). Novyye metody monitoringa pervichnoy profilaktiki kariyesa zubov [New methods for monitoring primary prevention of dental caries]. Yerevan : Yerevan State Institute of Advanced Medical Studies, 20. (In Russ.)
11. Naumova, V. N., Maslak, E. E. (2013). Problema diabeta v real'noy stomatologicheskoy praktike (rezul'taty sotsiologicheskogo issledovaniya) [The problem of diabetes in real dental practice (results of a sociological study)]. Stomatologiya i sotsial'no-znachimyye zabolevaniya : sb. tr. 10-y Vseros. nauch.-prakt. konf [Dentistry and socially significant diseases : sat. tr 10th All-Russian. scientific-practical conf], St. Petersburg : Man, 174-176. (In Russ.)
12. Oganov, R. G., Drapkina, O. M. (2016). Polimorbidnost': zakonomernosti formirovaniya i printsipy sochetaniya neskol'kikh zabolevaniy u odnogo patsiyenta [Polymorbidity: patterns of formation and principles of the combination of several diseases in one patient]. Kardiovaskulyarnaya terapiya i profilaktika [Cardiovascular therapy and prevention], 15 (4), 4-9. (In Russ.)
13. Panova, E. I., Martyshkina, O. V., Danilov, V. A. (2013). Assotsiirovannaya s ozhireniyem patologiya: chastota, kharakter i nekotoryye mekhanizmy formirovaniya [Pathology associated with obesity: frequency, nature and some mechanisms of formation]. Sovremennyye tekhnologii v meditsine [Modern technologies in medicine], 5 (2), 108-113. (In Russ.)
14. Tsepov, L. M., Tsepova, Ye. L., Mikheyeva, Ye. A., Goleva, N. A., Nesterova, M. M. (2010). Polipatii u stomatologicheskikh bol'nykh (po dannym retrospektivnogo analiza meditsinskikh kart stomatologicheskikh bol'nykh) [Polypathy in dental patients (according to a retrospective analysis of medical records of dental patients)]. Vestnik Smolenskoy meditsinskoy akademii [Bulletin of the Smolensk Medical Academy], 2, 153-158. (In Russ.)
15. Prasol, A. S., Vlasov, A. V., Ogurtsov, S. I. (2013). Stomatologicheskiye aspekty simptomov metabolicheskogo sindroma [Dental aspects of symptoms of metabolic syndrome]. UKRAÍ̈NS'KIY STOMATOLOGÍCHNIY AL'MANAKH [UKRAINIAN DENTAL ALMANA], 113-114. (In Russ.)
16. Kirillova, V. P., Postnikov, M. A., Sultanova, N. I., Serazetdinova, A. R., Kostionova-Ovod, I. A. (2017). Primeneniye protivovospalitel'nykh zubnykh past v kompleksnom lechenii zabolevaniy parodonta u bol'nykh sakharnym diabetom [The use of anti-inflammatory toothpastes in the complex treatment of periodontal diseases in patients with diabetes mellitus]. Problemy stomatologii [Problems of dentistry], 13, 3, 18-23. (In Russ.)
17. Solntseva, A. V. (2009). Endokrinnyye effekty zhirovoy tkani [Endocrine effects of adipose tissue]. Meditsinskiye novosti [Medical News], 3. 7-11. (In Russ.)
18. Khripkov, V. N., Zelenskiy, V. A., Agranovich, N. V. (2018). Psikhoemotsional'nyy i vegetativnyy status stomatologicheskikh bol'nykh na fone kardiovaskulyarnoy patologii [Psycho-emotional and vegetative status of dental patients on the background of cardiovascular pathology]. Problemy stomatologii [Problems of Dentistry], 14, 3, 67-72. (In Russ.)
19. Tsepov, L. M., Nikolaev, A. I. (1998). Patologiya parodonta kak proyavleniye somaticheskikh zabolevaniy (obzor literatury) [Periodontal pathology as a manifestation of somatic diseases (literature review)]. Parodontologiya [Periodontology], 1, 38-31. (In Russ.)
20. Sharabchiev, Yu. T., Antipov, V. V., Antipova, S. I. (2014). Komorbidnost' - aktual'naya nauchnaya i nauchno-prakticheskaya problema meditsiny XXI veka [Comorbidity - an actual scientific and scientific-practical problem of medicine of the XXI century]. Meditsinskiye novosti [Medical News], 6, 6-11. (In Russ.)
21. Starfield, B., Lemke, K. W., Terence B. et al. (2003). Comorbidity: Implications for the Importance of Primary Care in ‘Case’ Management. Ann Fam Med, 1 (1).
22. Elter, J. R., Catherine, M. E., Off enbacher, S. (2004). Relationship of periodontal disease and tooth loss to prevalence of coronary heart disease. J. Periodontology, 75, 782-790.
23. Fejerskov, O., Kidd, E. A. M. (2008). Dental Caries: The Disease and its Clinical Management. Copenhagen .: Blackwell Munksgaard, Oxword, 360.
24. Flegal, K. M., Carroll, M. D., Kit, B. K., Ogden, C. L. (2012). Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA, 307, 491497.
25. Howell, T. H., Ridker, P. M., Ajani, U. A. (2001). Periodontal disease and risk of subsequent cardiovaseular disease in U. S. male physicians. J. Am. Coll. Cardiol, 37, 2, 445-450.
26. Maltoui, C., Bourgeois, D., Bouchard, P. (2006). Type of diabetes and periodontal indicators: epidemiology in France 2002-2005. J. Periodont. Res, 41, 253-258.
27. Merchant, A. T., Oranbandid, S., Mayer-Davis, E. J. (2012). Oral care practices and A1c among youth with type 1 type 2 diabetes. J Periodontol, 83, 7, 856-863.
28. Sellayah, D., Sikder, D. (2013). Food for thought: understanding the multifaceted nature of orexins. Endocrinology, 154 (11), 3990-3999. http://dx.doi.org/10.1210/en.2013-1488.
29. Shalnova, S. A., Oganov, R. G., Deev, A. D. et al. (2015). On behalf of the study participants essays-RF. The combination of coronary heart disease with other noncommunicable diseases in the adult population of the population: association with age and risk factors. Cardiovascular Therapy and Prevention, 4, 44-51.
