Recently, a new sanological direction in the field of health, where health is considered as not a disease, a fundamental difference from the one accepted in medicine, is discussed in the world and Ukrainian scientific literature. Sanology today is practically formed as a new scientific field with its own language, object, subject and research methods. The purpose of this scientific report was to define the concepts associated with a constructive view of the basic statuses and components of health. Human health is the health of a harmoniously developed individual. Human body (physical component), his mind and ability to think (intellectual component), moral and ethical attitudes (moral component), ability to control emotions (emotional or mental component), ability to adapt to living and working conditions (social component). On the platform of the existing concept of health, which is based on the components of the health of a fully developed personality - physical, mental, social, we have developed a structure of components of each of them and the "zone" of sanology and medicine.
The annual increase in the incidence of diabetes and frequency of its complications determine the urgency of this problem. The most characteristic sighns of diabetes are vascular lesions of arterioles, venules, capillaries (microangiopathy). Changes in microcirculatory system at diabetes mellitus leads to other complications. The pathology of the marginal periodontium in patients with diabetes is, in fact, a local manifestation of diabetes-specific microangiopathy, which causes degenerative changes in periodontal tissues.
The rational nutrition is a constituent part of healthy lifestyle. It plays an important role in prevention of the main dental diseases (dental caries, gingivitis, periodontitis and others). The influence of the rational nutrition lies in the teeth formation, resistant to unfavorable factors such as cariogenic action of simple carbohydrates, insufficient amount of necessary microelements and vitamins, etc. At present, there is no major opinion among scientists as to the influence of nutrition on the diseases of teeth and periodontum. Thus, some clinical physicians stick to the theory of dental diseases (periodontitis, in particular), that assigns a role to malnutrition and imbalances, though the previous studies failed to prove this point of view.
The effect of nutrition on the prevalence of caries in students (clinical-statistical investigation)
The influence of food products on the development of dental caries was investigated with the help of statistical methods.
RELATIONSHIP BETWEEN THE DYSTROPHIC MANIFESTATIONS IN THE PERIODONTIUM AND INTESTINAL DYSBACTERIOSIS
ABSTRACT
The aim: of our work was investigation of dystrophy in periodontal tissues and an attempt to establish the correlation between dystrophy in the periodontium and presence of intestinal disbacteriosis.
Materials and methods: Clinical-radiological examination was carried out in 146 patients with generalized periodontal pathology at the age from 26 to 59 years old. Among them in 92 persons generalized periodontitis was diagnosed and in 54 – periodontosis. The rst stage of heaviness of the pathological process in the periodontium was revealed in 50 patients with generalized periodontitis and 28 persons with periodontosis. Other patients su ered from heavier forms of periodontal pathology (II and III stages), 42 persons with generalized periodontitis and 28 persons with periodontosis accordingly. Bacteriological analysis of feces for disbacteriosis was carried out in all patients.
Results: Changes in the physiological contour of the gums (that is macro relief of marginal periodontium) were found in the majority of examined patients. Because of the development of pathological gingival contour and recession of the gums, 72,5% of examined patients su ered from root denudation and di erent pathological conditions of roots cement structure – pigmentation, demineralization, wedge-shaped defects, caries. According to our clinical investigations it was found out that in majority of patients (83%) both in ammatory and dystophic changes were present, only 17% of patients had purely atrophic process in the periodontium without in ammation. In patients with GP and periodontosis, in whom dystrophic changes were accompanied by in ammation, clinical appearance was more expressed with redness, bleeding and suppuration from the pockets, thus hiding dystrophic signs.
Conclusions: According to clinical and radiological ndings numerous dystrophic changes were found in all structures of the periodontium and teeth of patients with periodontosis and generalized periodontitis. Changes intensify in disease progressing into the II-III stages. In patients with periodontosis clinical- radiological peculiarities of dystrophy were revealed in early stages of disease progression, while in generalized periodontitis dystrophic changes become apparent in late stages of disease. The presence of colon disbacteriosis was established in patients with periodontosis and generalized periodontitis. Disbacteriosis intensi es when diseases progress into II-III stages of heaviness. These data indicates to possible correlation between the development of dystrophic changes in periodontal tissues and the presence of intestinal disbacteriosis.
KEY WORDS: intestinal disbacteriosis, generalized periodontitis, periodontosis, dystrophy, gingival contour