employee
Tyumen', Tyumen, Russian Federation
Tyumen', Russian Federation
employee
Omsk, Omsk, Russian Federation
Chronic parodontitis takes the special place among the inflammatory parodontium diseases because of its prevalence, the significant influence on the patient’s life quality, necessity of having long complex treatment. The adherence to the treatment is one of the leading factors effecting on the treatment of diseases. Objective of the study is to estimate the effectiveness of the standard complex therapy of chronic parodontitis in the patients having different levels of the adherence to the treatment. Methodology. 107 patients (male and female) aged 30-40 having chronic mild and moderate parodontitis were examined. The dental examination included questionnaire, instrumental examination to determine certain indices: OHI-S,PMA, PI. To study the adherence to the treatment the questionnaire “Questionnaire of the quantitative estimation of the adherence to the treatment” (QAA-25) was carried out, also the objective and quantitative indices of the level of the adherence in the patients to the doctor’s recommendations in the long treatment were calculated. On carrying out the standard conservative therapy of chronic parodontitis the dynamic observation was performed in 17, 14 days, in 1 and 6 months. The comparative analysis of indices of the effective treatment was carried out including the disease severity and the level of the adherence to the treatment. Results. In the patients having the high level of the adherence the standard method of chronical parodontitis treatment resulted in the compensation of the state (in 83.4% of cases in mild chronic parodontitis and in 58,3% of cases in moderate chronic parodontitis). If the patients had the low adherence they were inclined to the recurrent course of chronic parodontitis (in 33 % of cases). Conclusion. The level of the adherence to the treatment influences on the efficiency of the standard therapy and the outcome of the disease. In the patients having the high level of the adherence the standard method of chronical parodontitis treatment resulted in the compensation of the state. If the patients had the low adherence they were inclined to the recurrent course of chronic parodontitis. To have an individualized approach to the complex treatment it is necessary to take into consideration the level of the adherence of the patients to the long treatment.
inflammatory parodontium diseases, adherence to the treatment, efficiency of chronic parodontitis treatment, outcome of parodontitis treatment, standard parodontitis treatment
1. Rumanova A. I., Tiohina T.N., Paromova I.I, Bragin A.V., Honina T.G., Shadrina E.V. Mikrobiologicheskaya ocenka effektivnosti lecheniya hronicheskogo generalizovannogo parodontita s primeneniem novoy farmakologicheskoy kompozicii. Medicinskaya nauka i obrazovanie Urala. 2017;18(4):69-72. [A.I. Rumanova, T.H. Timokhina, I.I. Paromova, A.V. Bragin, T.G. Khonina, E.V. Shadrina. Microbiological assessment of the effectiveness of treatment of chronic generalized periodontitis using new pharmaceutical compositions. Medical science and education of the Urals. 2017;18(4):69-72. (In Russ.)]. https://www.elibrary.ru/item.asp?id=32269972
2. Sashkina T.I., Abdullaeva A.I., Runova G.S., Saldusova I.V., Zajchenko O.V., Faskhutdinov D.K., Sokolova S.I., Pustovaya E.P. Hirudotherapy in treatment of chronic generalised periodontitis // Bulletin of Russian State Medical University. - 2019;4. https://cyberleninka.ru/article/n/hirudotherapy-in-treatment-of-chronic-generalised-periodontitis
3. Orlova E.S., Bragin A.V., Chuykin S.V., Akmalova G.M. Povyshenie effektivnosti mestnogo lecheniya hronicheskih vospalitel'nyh zabolevaniy slizistoy obolochki rta, associirovannyh s Helicobacter pylori-infekciey. Medicinskaya nauka i obrazovanie Urala. 2015;2:22-25.[E.S. Orlova, S.V. Chuykin, G.M. Akmalova, A.V. Bragin. Local treatment efficacy improvement of mouth mucose inflamation processes associated with helicobacter pylory. Medical science and education of the Urals. 2015;2:22-25. (In Russ.)]. https://elibrary.ru/item.asp?id=23695153
4. Alshareef A. et al. Effectiveness of probiotic lozenges in periodontal management of chronic periodontitis patients: clinical and immunological study // European journal of dentistry. - 2020;14(02):281-287. doihttps://doi.org/10.1055/s-0040-1709924
5. Orehova L.Yu, Loboda E.S, Yamanidze N.A. Ocenka kliniko-funkcional'nogo sostoyaniya parodonta po pokazatelyam mikrocirkulyacii pri primenenii medicinskogo ozona pri lechenii vospalitel'nyh zabolevaniy parodonta. Parodontologiya. 2016;21(4):28-31. [L.Yu. Orehova, E.S. Loboda, N.A. Yamanidze. Estimation of clinical and functional conditions of periodontal microcirculation in terms of the introduction of medical ozone in the treatment of inflammatory periodontal disease. Periodontics. 2016;21(4):28-31. (In Russ.)]. https://www.elibrary.ru/item.asp?id=27639232
6. Kisa, Adnan & Sabaté, Eduardo & Nuño-Solinís, Roberto. Adherence to long-term therapies : Evidence for action, World Health Organization. Adherence to long-term therapies: evidence for action. Geneva : WHO Library Cataloguing-in-Publication Data. WHO. 2003:211.
7. Iordanishvili A.K., Guk V.A., Golovko A.A. Kompleksnoe lechenie parodontita: reakciya pacienta na provodimuyu terapiyu. Parodontologiya. 2020;25(2):97-100. [A.K. Iordanishvili, V.A. Guk, A.A. Golovko. Complex treatment of periodontitis: patient’s reaction to the therapy. Periodontics. 2020;25(2):97-100. (In Russ.)]. https://doi.org/10.33925/1683-3759-2020-25-2-97-100
8. Samedova S.I. Pokazateli kachestva zhizni u pacientov s kariesom i zabolevaniyami parodonta razlichnoy stepeni intensivnosti i tyazhesti. Klinicheskaya stomatologiya. 2020;1:94-98. [S.I. Samadova. Indicators of quality of life in patients with caries and periodontal diseases of different intensity and severity. Clinical dentistry. 2020;1:94-98. (In Russ.)]. https://www.elibrary.ru/contents.asp?id=42846255
9. Cepov L.M, Nikolaev A.I., Levchenkova N.S, Petrova E.V, Turgeneva L.B, Nesterova M.M, Nakonechnyy D.A. Vozmozhnosti lecheniya bol'nyh hronicheskim generalizovannym parodontitom v sovremennyh usloviyah. Parodontologiya. 2017;22(2):40-46. [L.M. Cepov, A.I. Nikolaev, N.S. Levchenkova, E.D. Petrova, L.B. Turgeneva, M.V. Nesterova, D.A. Nakonechnyj. Current therapeutical options in treatment of patients with chronic generalized periodontitis. Periodontics. 2017;22(2):40-46. (In Russ.)]. https://www.elibrary.ru/item.asp?id=29232382
10. Al' Kofish M., Usmanova I.N., Gerasimova L.P., Tuygunov M.M., Husnarizanova R.F., Yakovleva A.V. Evaluation of the effect of a diode laser on the state of periodontal pathogenic microorganisms in patients with early manifestations of chronic inflammation of periodontic tissues. Parodontologiya. 2020;25(3):256-262. [M. Al-Qufaish, I.N. Usmanova, L.P. Gerasimova, M.M. Tuigunov, R.F. Khusnarizanova, A.V. Iakovleva. Evaluation of the effect of a diode laser on the state of periodontal pathogenic microorganisms in patients with early manifestations of chronic inflammation of periodontic tissues. Periodontics. 2020;25(3):256-262. (In Russ.)]. https://doi.org/10.33925/1683-3759-2020-25-3-256-262
11. Elovikova T.M., Voloshina V.S. Analiz mul'tifaktornogo individual'nogo parodontologicheskogo profilya riska u pacientov chastnoy stomatologicheskoy kliniki. Problemy stomatologii. 2011;3:29-31. [T.M. Elovikova, V.S. Voloshina. The estima tion of individual profile of parodontal risk at patients of privat clinic. Actual problems in dentistry. 2011;3:29-31. (In Russ.)]. https://www.elibrary.ru/item.asp?id=16395273
12. Dzyuba E.V., Nagaeva M.O. Pokazateli priverzhennosti k lecheniyu u pacientov s vospalitel'nymi zabolevaniyami parodonta. Parodontologiya. 2021;26(1):38-42. [E.V. Dzyuba, M.O. Nagaeva. Parameters of the treatment adherence in periodontal patients. Periodontics. 2021;26(1):38-42. (In Russ.)]. doi.org/10.33925/1683-3759-2021-26-1-38-42
13. Adherence to Long-Term Therapies: Evidence for Action. New-York : WHO. 2003. https://www.who.int/chp/knowledge/publications/adherence_report/en/.
14. Firsova I.V. Issledovanie komplaentnosti stomatologicheskih pacientov. Vestnik novyh medicinskih tehnologiy. 2008;1:123-124. [I.V. Firsova. The study of compliance of dental patients. Journal of New Medical Technologies. 2008;1:123-124. (In Russ.)]. https://cyberleninka.ru/article/n/issledovanie-komplaentnosti-stomatologicheskih-patsientov
15. Kudryavceva T.V., Tachalov V.V., Loboda E.S., Orehova L.Yu., Nechay E.Yu., Shalamay L.I. Izuchenie priverzhennosti pacientov stomatologicheskoy kliniki k soblyudeniyu profilakticheskih meropriyatiy v polosti rta. Parodontologiya. 2019;24(2):167-172. [T.V. Kudryavtseva, V.V. Tachalov, E.S. Loboda, L.Yu. Orekhova, E.Yu. Nechai, L.I. Shalamay. Surveying adherence of dental clinic patients to preventive measures in oral cavity. Periodontics. 2019;24(2):167-172. (In Russ.)]. https://doi.org/10.33925/1683-3759-2019-24-2-167-172
16. Sitkina E.V. Svyaz' individual'no-lichnostnyh osobennostey pacientov i priverzhennosti vypolneniyu rekomendaciy vracha po gigiene polosti rta. Vestnik Moskovskogo universiteta. Seriya 14. Psihologiya. 2019;3:141-160. [E.V. Sitkina. The relationship between individual and personal characteristics of patients and adherence to the doctor's recommendations on oral hygiene. Moscow University Bulletin. Series 14. Psychology. 2019;3:141-160. (In Russ.)]. DOI:https://doi.org/10.11621/vsp.2019.03.141 https://cyberleninka.ru/article/n/svyaz-individualno-lichnostnyh-osobennostey-patsientov-i-priverzhennosti-vypolneniyu-rekomendatsiy-vracha-po-gigiene-polosti-rta
17. Semencova E.A., Bazarnyy V.V., Mandra Yu.V., Polushina L.G., Svetlakova E.N. Vliyanie vozrasta na parodontal'noe zdorov'e cheloveka. Problemy stomatologii. 2020;3:30-36. [E.A. Semencova, B.B. Bazarnyy, Yu.V. Mandra, L.G. Polushina, E.N. Svetlakova. Influence of age on periodontal human health. Actual problems in dentistry. 2020;3:30-36. (In Russ.)]. https://doi.org/10.18481/2077-7566-2020-16-3-30-36 (data obrascheniya: 17.12.2021).
18. Parodontit. Klinicheskie rekomendacii (protokoly lecheniya). Moskva. 2013. [Parodontitis. Clinical recommendations (treatment protocols). Moscow. 2013. (In Russ.)]. https://minzdrav.gov-murman.ru/documents/poryadki-okazaniya-meditsinskoy-pomoshchi/8_parodontit.pdf
19. Bebars A., Romano F., Giraudi M., Ortu V., Sekka I., Massano E., Mariani G.M., Aimetti M. Impact of stress on clinical outcomes of non-surgical periodontal therapy in patients with severe generalized periodontitis // Periodontics. - 2021;26(1):28-32. https://doi.org/10.33925/1683-3759-2021-26-1-28-32
20. Drapkina O.M., Livzan M.A., Martynov A.I., Moiseev S.V., Nikolaev N.A., Skirdenko Yu.P. Pervyy Rossiyskiy konsensus po kolichestvennoy ocenke priverzhennosti k lecheniyu: osnovnye polozheniya, algoritmy i rekomendacii. Medicinskiy vestnik Severnogo Kavkaza. 2018;1(13):259-271. [O.M. Drapkina, M.A. Livzan, A.I. Martynov, S.V. Moiseev, N.A. Nikolaev, Yu.P. Skirdenko. The First Russian consensus on quantitative assessment of adherence to treatment: basic provisions, algorithms and recommendations. Medical Bulletin of the North Caucasus. 2018;1(13):259-271. (In Russ.)]. https://doi.org/10.14300/mnnc.2018.13039.
