Clinical and Laboratory Evaluation of the Effectiveness of Hygienic Complex on the Basis of Triclosan and Cetylpyridinium Chloride in the Prevention of Catarrhal Gingivitis in Adolescents

Pushkar L. Yu.

DENTISTRY

Scentific article

Problem prevention and treatment of periodontal disease remains significant to date. Epidemiologi- cal studies conducted in different countries show that periodontal disease in dental pathologies are the most com- mon, found in different populations and age progresses. Many authors point to the high prevalence of periodontal disease in children in all age groups. According to WHO, chronic gingivitis is found in the 15-19 age group (55 – 89 %) and 35 – 45 years the preva- lence of inflammatory periodontal disease has already reached 65-98 %. At the Department of Dentistry and therapeutic dentistry Kharkiv Medical Academy of Postgraduate Education for many years implemented a form of training of interns, which takes into account the urgency and necessity of reconstruction in the face of a dentist specialist who would own all the necessary knowledge and skills and could competently and full scale, given the specificity of the contingent served to provide preventive care. Doctors interns passing intramural training cycle at the department are engaged in preventive work in organized groups of children of the city (schools, boarding schools). As part of the prevention program was piloted complex world of personal oral hygiene «Colgate ® Total Pro «Health gum», which includes a toothbrush, toothpaste and rinse, for the treatment of chronic catarrhal gingivitis in high school students. To achieve this goal in the survey included 24 adolescents aged 14 to 17 years, which showed signs of chronic catarrhal gingivitis mild to moderate severity (14 and 10 respectively). Examination of patients was conducted by the standard procedure, with filling cards oral examinations of the child (WHO). Diagnosis is based on clinical examination data. All patients had a course of occupational health, in- cluding professional removal of dental plaque, training standard procedure, tooth brushing regime with subsequent control. To assess the state of oral hygiene and cleansing properties of the test set used hygiene index Silness-Loe, K. Stallard. Anti-inflammatory effect was evaluated by determining the Schiller- Pisarev, bleeding index on Muhlemann HP, Son S; gingival index PMA. Evaluation index values determined at the control examinations at baseline and at the end, after 2 weeks. Anti- microbial efficacy was evaluated on the basis of complex data bacteriological examination. The study results show a significant improvement of the clinical picture in both groups. After prophylactic treatment decreased the level of opportunistic pathogens to 102 – 104 CFU / ml, no growth was detected E. coli and Enterobacteriaceae, and increasing the number of normal microflora. Noted the appear- ance of fungi of the genus Candida albicans in patients after treatment, but the number of fungi were within normal limits. More patients were isolated lactobacilli, whose number increased to 105 – 106 CFU / ml. As a result of microbiological examination of patients on study day 14, it was found that under the influence of the complex «Colgate ® Total Pro«Health gums» a decrease in quantity and species representative of pathogens on a background of increasing the number of lactobacilli.

catarrhal gingivitis, teens, hygienic system based on triclosan and cetylpyridinium chloride, prevention.

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