JUSTIFICATION FOR THE CHOICE OF NON-SURGICAL TREATMENT OF INFLAMMATORY PERIODONTAL DISEASES IN PATIENTS WITH PRIMARY HYPOTHYROIDISM

Background: The high prevalence of inflammatory periodontal diseases, their prolonged course accompanied by periodic exacerbations, destructive consequences for the health of the dentition and jaws, which significantly impair the quality of life of patients and also have a proven negative impact on the condition of other organs and systems, encourage dentists to further study the etiological, pathogenetic and clinical features of these diseases and improve treatment methods. Objective. The aim of this study is to investigate the effectiveness of the periodontal flow method for treating generalized periodontitis in patients with primary hypothyroidism. Materials and methods: Fifty-one women aged 26-47 (mean age 38.9±1.2) with a confirmed diagnosis of primary hypothyroidism and under dispensary supervision by an endocrinologist, receiving appropriate replacement therapy, came to the dental medical center of the Bogomolets National Medical University for examination and treatment. The duration of hypothyroidism ranged from 4 to 10 years (mean 7.2±1.2). endocrinologist and receiving appropriate replacement therapy. Research methods: clinical, psychological, empirical (sociological), statistical analysis. Results: After 6 months of observation, patients in both groups showed significant improvement in hygiene indices, PMA inflammation, РВІ bleeding, PPD and PSR periodontal indicators compared to baseline at the time of initial examination (p<0.05). The OHI-S index after treatment in the main group averaged 0.73±0.1 points, and in the control group — 1.45±0.07 points, which corresponded to satisfactory hygiene, while it was 72.7% and 43.6% lower, respectively, compared to the baseline level (p<0.05). Conclusion: With insufficient analysis or inattention to the details of local dental status and insufficient understanding of the peculiarities of the influence of general somatic pathology, standardized treatment methods may prove to be ineffective. In our opinion, the discussion should not focus on the goal of non-surgical treatment, as it is constant and not subject to debate. The discussion should focus on choosing the most optimal personalized method of removing biofilm, taking into account the characteristics introduced into the course of periodontitis by the concomitant pathology – primary hypothyroidism.