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ANALYSIS OF THE TREATMENT OF PATIENTS WITH PERIODONTITIS IN THE THERAPEUTIC DEPARTMENT OF THE CLINIC OF DENTISTRY OF THE MILITARY MEDICAL ACADEMY NAMED AFTER S. M. KIROV

Over the past decades, significant progress has been made in the study of the etiology and pathogenesis and in the treatment of inflammatory periodontal diseases, including chronic generalized periodontitis, however, according to epidemiological studies, a high level of prevalence of periodontal diseases among the population of our country remains. Elderly patients sometimes do not fully adapt to the conditions of existence after complex therapy. According to the analysis of the structure of patient’s visits to the therapeutic department of the Clinic of Dentistry of the Military Medical Academy named after S.M. Kirov in the period of 2017-2019, an annual increase in the number of visits for localized and generalized periodontitis was revealed. Periodontitis ranks third or fourth among oral diseases in terms of the number of initial requests for therapeutic dental care, and second in terms of the total number of visits, second only to dental caries, which demonstrates the social significance of this disease. The dynamics of the ratio of primary and repeated visits for periodontitis is of interest. From 1:2.3 in 2017, this is the ratio in 2018. increased to 1:2.7 and reached 1: 3.5 in 2019, which indicates an increase in the quality of dental care for patients with chronic localized and generalized periodontitis. The main measures of non-surgical treatment of periodontitis were professional oral hygiene, correction of individual hygiene skills, local use of antiseptics, which meets the requirements of the clinical recommendations for the treatment of periodontitis, approved by the Decision of the Council of the Association "Dental Association of Russia". At the same time, in the surgical department of the dental clinic, curettage of periodontal pockets was performed in 639 patients in 2017-2018.