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CLINICAL AND Х-RAY ASSESSMENT OF INJECTION OSTEOPLASTIC EFFECTIVENESS OF GENERALIZED PARODONTITIS THERAPY OF I-II SEVERITY DEGREES

Bezrukov S. G., Saenko T. S., Zhadko S. I., Sulima A. N.

Abstract: Aim: To identify the dynamics of X ray parameters in the comparative groups in the treatment process of generalized periodontitis I - II degree including osteoplastic materials injection. Materials and methods: Clinical and radiographic indicators were evaluated in the treatment process in 107 patients (33 people in the control group, 36 in the 1-st group, 38 in the 2-nd main groups). In the control group traditional treatment of generalized periodontitis, the I - II degree was affected with aloe extract injection into soft tissues of paradentium in the causal teeth projection. In the 1-st main group, traditional treatment was combined with injection of PRP-gel into the periodontal tissues, in the second main group injection osteoplastic therapy was performed with PRP-gel and Collapan C. Degree and nature of the bone tissue destruction of the alveolar ridge were assessed with targeted radiographs and orthopantomograms. Studies were realized before treatment and1, 3, 6, 12 months later. Results. Analyzing radiographs of the control group 30 days, 6, 12 months later, X-ray picture remained similar, but in 5 patients (15,15%) decrease in bone tissue was identified. The first main group 1, 6, 12 months later didn’t show increase in the volume of new bone tissue with signs of resorption. The second main group radiographs revealed the presence of additional primary bone structures, the alveolar ridge 30 days later. The completion of the formation process of an organized high-grade large-cell bone tissue was identified 6 and 12 months later. Conclusions. X-ray studies in patients with generalized periodontitis I - II degree confirm the effectiveness of the injection use of osteoplastic materials in the complex treatment of this pathology. Visible positive effect was observed in patients of the 2nd main group, where osteoplastic preparations PRP-gel and Collapan C were administered. We suggest it is determined by the osteoinductive and osteoconductive properties of the preparations, against the background of the release of silver ions, that leads to the optimization of local conditions, preservation, restoration of the aquired alveolar bone volume. Patients of the 1st main group, where, despite the absence of significant bone growth, its volume was maintained due to the osteoinductive effect of the PRP-gel. In patients in the control group the process of gradual loss of alveolar bone continued after treatment with a short-term positive result. Key Words: jaw radiography, osteoplastic materials, Collapan C, PRP, generalized periodontitis treatment.

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