Патогенетичні аспекти розвитку захворювань тканин пародонта на тлі патології шлунка (огляд літератури)

Abstract

У статті проведено ретроспективний аналіз літературних даних про патогенетичні аспекти впливу патології шлунка на стан тканин пародонта. Визначено актуальність вивчення патогенезу хронічного генералізованого пародонтиту на тлі Нelicobacter рylori асоційованого гастриту, а також пошуку ефективних методів лікування і профілактики даної коморбідної патології.

В статье проведен ретроспективный анализ литературных данных о патогенетических аспектах влияния патологии желудка на состояние тканей пародонта. Определена актуальность изучения патогенеза хронического генерализованного пародонтита на фоне Нelicobacter рylori ассоциированного гастрита, а также поиска эффективных методов лечения и профилактики данной коморбидной патологии.

The problem of periodontal tissue diseases is one of the most relevant in dental practice. Between the concomitant pathology of the gastrointestinal tract and inflammatory diseases of the periodontal there is a close functional relationship that interacts with the course of the combined pathology. Often the periodontal diseases arise as concomitant at pathology of gastrointestinal tract (GIT) because of influencing endogenous and exogenous factors, the extent of which depends on the form, severity, duration of the basic disease and is conditioned by the morphofunctional unity of the digestive channel. The changes in the oral cavity at the chronic gastritis depend on the state of secrete and acid-causing function of stomach. A rise of acidity of gastric juice is often accompanied by salivation, pallor, edema and inflammation of oral mucosa (OM). Modern researchers estimate Helicobacter pylori as a factor affecting the course of inflammatory diseases of the periodontal disease. Helicobacter pylori can be found in the oral liquid and in the plaque, so it is fair to say that the oral cavity represents a permanent reservoir of this bacterium. It has been established that in patients with a high Helicobacter pylori expansion in the stomach there are more severe inflammatory-destructive changes in periodontium. For patients with acid-dependent stomach diseases and associated periodontal diseases, eradication anti-helicobacter pylori therapy should be prolonged and supplemented with oral sanitation. The high prevalence of generalized periodontitis indicates the lack of development of effective therapeutic and preventive measures. That is why there is an urgent need to increase the effectiveness of preventive measures of inflammatory and inflammatory-destructive diseases of the periodontium against a background of pathology of the stomach. Therefore, search and study of efficiency of new facilities of local therapy of periodontal diseases, as concomitant pathology of hyperpeptic gastritis we consider to be actual and perspective for the practical dentistry.