Open AccessRUSSELL`S PERIODONTAL INDEX IN GERONTODENTISTRY (SPECIFICATIONS OF INTERPRETATION)
Author(s) -
Сергей Крайнов,
Sergej Krajnov,
В Ф Михальченко,
Valerij Mihalchenko,
Александра Попова,
Alexandra Popova,
И В Фирсова,
И В Фирсова,
А Т Яковлев,
Anatoly Trofimovich Yakovlev,
Ирина Алеханова,
Ирина Алеханова,
Евгений Васенев,
Evgenij Vasenev,
Юлия Македонова,
Yu. А. Makedonova
Publication year - 2018
Publication title -
problemy stomatologii
Language(s) - English
Resource type - Journals
eISSN - 2412-9461
pISSN - 2077-7566
DOI - 10.18481/2077-7566-2018-14-4-24-31
Subject(s) - medicine , periodontitis , index (typography) , statistical significance , gingivitis , dentistry , world wide web , computer science
Background. The article has explored the problem of the inflammatory-destructive process estimation in parodontium of elderly patients with chronic generalized periodontitis. Authors have performed the analysis of Russell index informative value and it is validity in gerontoperiodontology practice. Objectives ― to estimate the informative value of Russell index as well as it`s trends significance, depending on the treatment regimen of elderly patients with periodontitis. Methods. Three patient cohorts of 124 elderly persons with chronic generalized periodontitis were examined. The conventional treatment was administered in all patient groups. The patients in the second cohort, along with other medications, received cranial electrotherapy stimulation, in the third one - Polyoxidonium. The examination included indexes calculating (PMA, SBI, Russell index), estimation of their reduction, as well as level detection of blood TNF-α. Results. The study has revealed the disparity between Russell index and others clinical and laboratory parameters, which could be explained by estimation criterions balance within the index («0» - 24,49±1,54%; «1» - in 11,12±1,76%; «2» - in 9,96±1,83%; «4» - in 3,23±1,22%; «6» - 50,51±2,17% and «8» - 0,69±0,26%), as well as by anatomic and physiological features of elderly patients. Conclusions. When using the Russell index in gerontoperiodontology, it is necessary to take into account its low dependence on the treatment, because of lytic processes inconvertibility, as well as the insufficient proportion of the index evaluation criteria, determining the degree of inflammation in the marginal parodontium. This explained the lack of statistical significance between groups, as well as within groups during all stages of clinical observation, regardless of the method of treatment.