DOI:

10.37988/1811-153X_2022_1_122

Quality of care to patients with inflammatory periodontal diseases with accompanying somatic pathology

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Authors

  • S.I. Tokmakova 1, PhD in Medical Sciences, full professor of the Therapeutic dentistry Department
    ORCID: 0000-0003-0437-0079
  • V.A. Kuzikova 1, assistant at the Therapeutic dentistry Department
    ORCID: 0000-0002-2689-7392
  • O.V. Bondarenko 1, PhD in Medical Sciences, associate professor of the Therapeutic dentistry Department
    ORCID: 0000-0001-7280-7709
  • T.V. Voblova 1, PhD in Medical Sciences, associate professor of the Therapeutic dentistry Department
    ORCID: 0000-0002-6795-2642
  • E.V. Mokrenko 2, PhD in Medical Sciences, associate professor of the Prosthodontics Department
    ORCID: 0000-0002-4286-3993
  • 1 Altai State Medical University, 656038, Barnaul, Russia
  • 2 Irkutsk State Medical University, 664003, Irkutsk, Russia

Abstract

The modern view on the etiology of chronic inflammatory periodontal diseases considers the inflammation of the periodontal tissues not only as a consequence of the effect of the bacterial flora of dental plaque, but also as a reaction of the body to the effect of a microbial infection of the whole organism. Aim — to analyze the quality of the provided medical and preventive care to patients with periodontal pathology against the background of general somatic pathology.
Materials and methods.
To analyze the quality of treatment and prophylactic care for patients with periodontal disease and general somatic pathology in city dental polyclinics, 500 dental medical records of patients and health questionnaires of patients aged 18 to 80 years old were reviewed, as well as analyzed data of patients in the AWP polyclinic.
Results.
When analyzing the outpatient records of a dental patient, as well as patient health questionnaires, concomitant diseases were observed in 8.4% of cases, however, according to the AWP-polyclinic, the percentage of the spread of somatic pathology was increased 3 times and amounted to 29% cards. Among the somatic pathology, according to the data of the health questionnaires and the AWP-polyclinic, the pathology of the endocrine system prevailed, which occurred in 50% of cases. Based on the analysis of medical records when assessing the quality of the provided medical and preventive care, it was found that periodontal care was not provided in full, regardless of the periodontal diagnosis and the presence of a concomitant disease.
Conclusion.
A periodontist, in most cases, does not have a sufficient amount of information about the presence, severity and course of pathology of internal organs, compensation for these diseases, which are necessary in each case to develop an algorithm for treating periodontal diseases.

Key words:

concomitant pathology, gingivitis, periodontitis, quality of periodontal care

For Citation

[1]
Tokmakova S.I., Kuzikova V.A., Bondarenko O.V., Voblova T.V., Mokrenko E.V. Quality of care to patients with inflammatory periodontal diseases with accompanying somatic pathology. Clinical Dentistry (Russia).  2022; 25 (1): 122—129. DOI: 10.37988/1811-153X_2022_1_122

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Received

November 10, 2021

Accepted

March 11, 2022

Published on

March 1, 2022