Tratamentul complex al afecţiunilor parodonţiului asociate cu edentaţii parţiale

Abstract

Rezumat. Au fost examinaţi complex (clinic şi paraclinic) 34 pacienţi (18b, 16f), cu vârsta cuprinsă între 35-52 ani, cu parodontite marginale cronice profunde lent progresive, complicate cu migrări dentare şi asociate cu edentaţii parţiale. S-a constatat că patologia se caracterizează prin lezarea lentă, însă în progresiune, a elementelor de suport ale dinţilor, iar în aspect clinicoradiologic, printr-o serie de semne şi/sau simptome dominante: congestie gingivală şi distrucţie osoasă, ceea ce duce la apariţia pungilor parodontale, mobilitate şi migrarea dinţilor. Particularităţile manifestărilor clinice, datele examenelor paraclinice utilizate de noi, au stat la baza elaborării metodei moderne de tratament complex a parodontitelor marginale cronice cu migrări dentare. Scopul acestei metode este asocierea unor măsuri moderne de diagnostic şi tratament pentru refacerea echilibrului morfo-funcţional şi ameliorarea homeostaziei locale şi loco-regionale la pacienţi cu parodontite marginale cronice lent progresive complicate cu migrări dentare şi asociate cu edentaţii parţiale.

Summary. A complex examination (clinical and paraclinical) was conducted on 34 pacients (18 m,16 f, aged between 35-52 yrs.), presenting slowly-progressing deep marginal chronic periodontitis, complicated with dental migrations and associated with partial edentations. It was concluded that the disease is characterized by a slowly-progressing damage to the supporting elements of the teeth, and in a radiologically-clinical aspect, by a series of dominant symptoms and signs, like gingival congestion and bone destruction, which leads to periodontal pockets formation, mobility and migration of the teeth. The particularities of the clinical signs and the data from paraclinical tests, were used to develop a modern method of complex treatment of the chronic marginal periodontitis, associated with dental migrations. The goal of this method is to associate modern diagnostic techniques with the treatment, in order to reestablish the morpho-functional balance and to improve local and loco-regional homeostasis, for patients with slowly-progressing deep marginal chronic periodontitis, complicated with dental migrations and associated with partial edentations.