Hormonal changes in persons with chronic generalized periodontitis
https://doi.org/10.1234/10.36377/1683-2981-2019-17-4-16-20
Abstract
Relevance. Recently, there is a tendency to increase the prevalence of chronic generalized periodontitis. It is established that one of the important factors predisposing to the development of generalized periodontitis and influencing its course is systemic osteoporosis, in the development of which the status of hormones regulating mineral metabolism is of great importance. In this regard, it is important to study the hormonal status of patients with aggressive forms of periodontitis to identify the main causal factors of the disease and their elimination.
Aim. Study of changes in the hormonal status of persons with chronic generalized periodontitis.
Materials and metods. A total of 100 patients aged 26 to 35 years diagnosed with chronic generalized periodontitis moderate and severe. Depending on the treatment, all the examined patients were divided into 4 groups: in group 1 were used calcemine and locally – metronidazole ; in group 2 were used calcemine and locally – metronidazole and EPLAN; in group 3 were used Tevabone and locally – metronidazole; in group 4 were used Tevabone and locally – metronidazole and EPLAN. To determine the level of calcidiol in serum, the test "ARCHITECT 25-OH Vitamin D" was used, the level of calcitonin was determined using The biomerica Calcitonin test (Biomerica Calcitonin, determination of intact parathyroid hormone in serum and plasma of human blood was carried out using the test system "Elecsys PTH". Data processing was performed using the statistical package STADIA, as well as statistical package add-in Microsoft Excel (2010).
Results. There was a decrease in calcidiol and calcitonin, an increase in parathyroid hormone in CGP. The proposed treatment regimen led to the normalization of the studied parameters. Aggressive forms of periodontitis are accompanied by a decrease in calcidiol and calcitonin, an increase in parathyroid hormone in the blood.
Conclusions. Clinical improvement and normalization of hormonal background against the background of the use of drugs "EPLAN" and "Tevabon" in the scheme of complex etiopathogenetic treatment was also noted.
About the Authors
O. A. UspenskayaRussian Federation
DMS
S. A. Spiridonova
Russian Federation
Ph.D.
E. A. Shevchenko
Russian Federation
DMS
G. A. A. Davtyan
Russian Federation
References
1. Moeintaghavi A. [et al.] Evaluation of the association between periodontal parameters, osteoporosis and osteopenia in postmenopausal women // J Dent (Tehran). 2013; 10 (5): 443 – 448.
2. Cairoli E. [et al.] Factors associated with bisphosphonate treatment failure in postmenopausal women with primary osteoporosis // Osteoporos Int. 2014. № 25 (4). P. 1401-1410.
3. Ghallab N. A., Hamdy E., Shaker O. G. Malondialdehyde, superoxide dismutase and melatonin levels in GCF of aggressive and chronic periodontitis patients // Aust Dent J. 2015; 9: 110 – 111.
4. Hegde A.M., Naik N., Kumari S. Comparison of salivary calcium, phosphate and alkaline phosphatase levels in children with early childhood caries after administration of milk, cheese and GC tooth mousse: an in vivo study // J Clin Pediatr Dent. 2014. № 38 (4). P. 318 – 325.
5. Hewison M. Vitamin D and immune function: an overview // Proc. Nutr. Soc. 2012; 71: 1: 50 – 61.
6. Acharya A. [et al.] High salivary calcium level associated with periodontal disease in Indian subjects-a pilot study // Oral Health Prev Dent. 2011; 9 (2): 195 – 200.
7. Hildebolt C. F. Effect of vitamin D and calcium on periodontitis // J Periodontol. 2005; 76 (9): 1576 – 1587. http://dx.doi.org/10.26787/nydha-2226-7425-2018-20-1
8. Булкина Н. В., Ведяева А. П. Быстропрогрессирующий пародонтит: новые аспекты патогенеза и комплексной терапии // Пародонтология. 2012. № 4 (65). С. 13-18. Bulkina N. V., Vedyaeva A. P. Rapidly progressive periodontitis: new aspects of pathogenesis and complex therapy // Periodontology. 2012. No. 4 (65). P. 13-18.
9. Гилева О. С., Садилова В. А. Заболевания пародонта у вичинфицированных больных: распространенность и особенности клинических проявлений в зависимости от приверженности антиретровирусной терапии // Пермский медицинский журнал. 2013. Т. 30, № 2. С. 34-42. Gileva O. S., Sadilova V. A. Periodontal disease in HIV-infected patients: the prevalence and characteristics of clinical manifestations depending on adherence to antiretroviral therapy // Perm Medical Journal. 2013.Vol. 30, No. 2. P. 34-42.
10. Успенская О.А., Качесова Е.С. Изменение гормонального статуса на фоне лечения быстропрогрессирующего пародонтита // Здоровье и образование в XXI веке. 2018. Vol.20. №1. С. 60-64. Uspenskaya O.A., Kachesova E.S. Changes in hormonal status during treatment of rapidly progressive periodontitis // Health and education in the XXI century. 2018. Vol.20. No. 1. P. 60-64.
11. Копецкий И.С., Побожьева Л.В., Шевелюк Ю.В. Агрессивный пародонтит: клинические и микробиологические аспекты развития // Лечебное дело. 2019. № 1. С. 7-13. Kopetsky I.S., Pobozhieva L.V., Shevelyuk Yu.V. Aggressive periodontitis: clinical and microbiological aspects of development // Medical business. 2019. No 1. P. 7-13.
12. Качесова Е.С., Шевченко Е.А., Успенская О.А. Новая схема комплексного лечения агрессивных форм пародонтита // Современные технологии в медицине. 2017. Т. 9, № 4. С. 209-216. Kachesova E.S., Shevchenko E.A., Uspenskaya O.A. A new scheme for the complex treatment of aggressive forms of periodontitis // Modern technologies in medicine. 2017.V. 9, No. 4. P. 209-216.
13. Успенская О.А., Качесова Е.С. Повышение эффективности местного медикаментозного лечения быстро прогрессирующего пародонтита // CATHEDRA. 2017. № 59. C. 28-30. Uspenskaya O.A., Kachesova E.S. Improving the effectiveness of local drug treatment of rapidly progressive periodontitis // CATHEDRA. 2017. No. 59. P. 28-30.
14. Успенская О.А., Качесова Е.С. Роль общих и местных факторов в возникновении и развитии хронического генерализованного пародонтита тяжелой степени // Современные проблемы науки и образования. 2017. № 5. С. 188. Uspenskaya O.A., Kachesova E.S The role of general and local factors in the occurrence and development of severe chronic generalized periodontitis // Modern problems of science and education. 2017. No. 5. P. 188. 15. Успенская О.А., Качесова Е.С. Роль общих и местных факторов в возникновении и развитии хронического генерализованного пародонтита тяжелой степени // Современные проблемы науки и образования. 2017. № 5. С. 188.Uspenskaya O.A., Kachesova E.S The role of general and local factors in the occurrence and development of severe chronic generalized periodontitis // Modern problems of science and education. 2017. No. 5. P. 188. 16. Сметанина О.А., Казарина Л.Н., Гордецов А.С., Красникова О.В. Ранняя диагностика хронического катарального гингивита с использованием метода инфракрасной спектроскопии биологических жидкостей полости рта // Эндодонтия today. 2018. № 4. C.60 Smetanina O.A., Kazarina L.N., Gordetsov A.S., Krasnikova O.V. Early diagnosis of chronic catarrhal gingivitis using the method of infrared spectroscopy of biological oral fluids // Endodontics today. 2018. No 4. C.60
15. Царев В.Н., Митронин А.В., ипполитов Е.В., Малазония Т.Т., Подпорин М.С., Манучарян Л.А. Оценка антимикробного действия фотодинамической терапии на возбудителей неклостридиальной анаэробной инфекции полости рта и грибы рода Candida в экспериментальных и клинических исследованиях // Эндодонтия today. 2015. № 3. С. 15-20. Tsarev V.N., Mitronin A.V., Ippolitov E.V., Malazonia T.T., Podporin M.S., Manucharyan L.A. Evaluation of the antimicrobial effect of photodynamic therapy on causative agents of non-clostridial anaerobic infections of the oral cavity and fungi of the genus Candida in experimental and clinical studies // Endodontics today. 2015. No. 3. P. 15-20.
16. Митронин В.А., Малый А.Ю., Морозов К.А. Измерение подвижности зубов двухпараметрическим периодонтометром у пациентов с заболеваниями пародонта // Эндодонтия today. 2010. № 2. С. 11-14. Mitronin V.A., Maly A.Yu., Morozov K.A. Measurement of tooth mobility with a two-parameter periodometer in patients with periodontal diseases // Endodontics today. 2010. No. 2. P. 11-14.
Review
For citations:
Uspenskaya O.A., Spiridonova S.A., Shevchenko E.A., A. Davtyan G.A. Hormonal changes in persons with chronic generalized periodontitis. Endodontics Today. 2019;17(4):16-20. (In Russ.) https://doi.org/10.1234/10.36377/1683-2981-2019-17-4-16-20