MEDICAL SUPPORT IN THE COMPREHENSIVE TREATMENT OF GENERALIZED PERIODONTITIS (LITERATURE REVIEW)

The purpose of the study is to analyze the scientific literature on the means and approaches to drug support in the complex treatment of generalized periodontitis. Results of the study. Antimicrobial therapy aimed at eliminating the causative factors is a priority. General and local antibiotic t...

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Main Author: І.І. Sokolova
Format: Article
Language:English
Published: Poltava State Medical University 2025-06-01
Series:Український стоматологічний альманах
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Online Access:https://dental-almanac.org/index.php/journal/article/view/722
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author І.І. Sokolova
author_facet І.І. Sokolova
author_sort І.І. Sokolova
collection DOAJ
description The purpose of the study is to analyze the scientific literature on the means and approaches to drug support in the complex treatment of generalized periodontitis. Results of the study. Antimicrobial therapy aimed at eliminating the causative factors is a priority. General and local antibiotic therapy is widely used to eliminate the pathogen. Pathogenetic drug therapy involves the impact on the links of the pathological process, namely: the microcirculatory system, normalization of vascular and tissue permeability, improvement of metabolic processes, phagocytosis, reduction of hypoxia, intensity of free radical oxidation, reduction of acidosis, impact on specific and nonspecific defense, stimulation of osteogenesis. Steroidal and non-steroidal drugs that produce an antiinflammatory effect are widely used clinically. Sorbents have a significant sorption and antimicrobial effect through local application sorption. Sanogenetic drug therapy involves the use of general tonic and immunocorrective agents that increase the body's defenses, stimulate soft tissue regeneration, collagen and osteogenesis. Herbal remedies with various pharmacological effects are used: anti-inflammatory, antimicrobial, hyposensitizing, analgesic, etc. It is advisable to use drugs that contribute to the normalization of metabolic processes in complex treatment. Such substances are vitamins and trace elements. The use of algae, which have osteotropic, antioxidant, and immunostimulating effects, has become a new area of natural therapy. The use of osteotropic materials is important. It has been proven that soy products containing proteins, amino acids, vitamins, calcium, phosphorus, magnesium, iron, zinc and other trace elements, and lecithin have osteotropic activity. An effective increase in the body's nonspecific resistance is part of the complex treatment. In this regard, adaptogenic drugs of plant and animal origin are used, which enhance protein biosynthesis by modulating the body's defense systems. The prescription of medications should be adjusted in the presence of concomitant somatic pathology. Conclusion. The proposed drug regimens can only reduce the activity and progression of generalized periodontitis. Therefore, the problem remains relevant. It is promising to clarify and identify the key links of pathogenesis in each specific clinical case with individualization of the prescribed medication.
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spelling doaj-art-729b47d2cc7f4053b71a2fa9bd2838382025-08-20T02:52:34ZengPoltava State Medical UniversityУкраїнський стоматологічний альманах2409-02552410-14272025-06-01210.31718/2409-0255.2.2025.01MEDICAL SUPPORT IN THE COMPREHENSIVE TREATMENT OF GENERALIZED PERIODONTITIS (LITERATURE REVIEW)І.І. Sokolova0Kharkivsky National Medical University, Kharkiv, Ukraine The purpose of the study is to analyze the scientific literature on the means and approaches to drug support in the complex treatment of generalized periodontitis. Results of the study. Antimicrobial therapy aimed at eliminating the causative factors is a priority. General and local antibiotic therapy is widely used to eliminate the pathogen. Pathogenetic drug therapy involves the impact on the links of the pathological process, namely: the microcirculatory system, normalization of vascular and tissue permeability, improvement of metabolic processes, phagocytosis, reduction of hypoxia, intensity of free radical oxidation, reduction of acidosis, impact on specific and nonspecific defense, stimulation of osteogenesis. Steroidal and non-steroidal drugs that produce an antiinflammatory effect are widely used clinically. Sorbents have a significant sorption and antimicrobial effect through local application sorption. Sanogenetic drug therapy involves the use of general tonic and immunocorrective agents that increase the body's defenses, stimulate soft tissue regeneration, collagen and osteogenesis. Herbal remedies with various pharmacological effects are used: anti-inflammatory, antimicrobial, hyposensitizing, analgesic, etc. It is advisable to use drugs that contribute to the normalization of metabolic processes in complex treatment. Such substances are vitamins and trace elements. The use of algae, which have osteotropic, antioxidant, and immunostimulating effects, has become a new area of natural therapy. The use of osteotropic materials is important. It has been proven that soy products containing proteins, amino acids, vitamins, calcium, phosphorus, magnesium, iron, zinc and other trace elements, and lecithin have osteotropic activity. An effective increase in the body's nonspecific resistance is part of the complex treatment. In this regard, adaptogenic drugs of plant and animal origin are used, which enhance protein biosynthesis by modulating the body's defense systems. The prescription of medications should be adjusted in the presence of concomitant somatic pathology. Conclusion. The proposed drug regimens can only reduce the activity and progression of generalized periodontitis. Therefore, the problem remains relevant. It is promising to clarify and identify the key links of pathogenesis in each specific clinical case with individualization of the prescribed medication. https://dental-almanac.org/index.php/journal/article/view/722generalized periodontitismedical supportmedicationsetiopathogenesissanogenesis
spellingShingle І.І. Sokolova
MEDICAL SUPPORT IN THE COMPREHENSIVE TREATMENT OF GENERALIZED PERIODONTITIS (LITERATURE REVIEW)
Український стоматологічний альманах
generalized periodontitis
medical support
medications
etiopathogenesis
sanogenesis
title MEDICAL SUPPORT IN THE COMPREHENSIVE TREATMENT OF GENERALIZED PERIODONTITIS (LITERATURE REVIEW)
title_full MEDICAL SUPPORT IN THE COMPREHENSIVE TREATMENT OF GENERALIZED PERIODONTITIS (LITERATURE REVIEW)
title_fullStr MEDICAL SUPPORT IN THE COMPREHENSIVE TREATMENT OF GENERALIZED PERIODONTITIS (LITERATURE REVIEW)
title_full_unstemmed MEDICAL SUPPORT IN THE COMPREHENSIVE TREATMENT OF GENERALIZED PERIODONTITIS (LITERATURE REVIEW)
title_short MEDICAL SUPPORT IN THE COMPREHENSIVE TREATMENT OF GENERALIZED PERIODONTITIS (LITERATURE REVIEW)
title_sort medical support in the comprehensive treatment of generalized periodontitis literature review
topic generalized periodontitis
medical support
medications
etiopathogenesis
sanogenesis
url https://dental-almanac.org/index.php/journal/article/view/722
work_keys_str_mv AT íísokolova medicalsupportinthecomprehensivetreatmentofgeneralizedperiodontitisliteraturereview