Immune correction of the dental status of patients with type ii diabetes mellitus using removable orthopedic prostheses.

Abstract

The dental status of patients with diabetes mellitus and the ways of its correction are an important section in the complex of therapeutic and preventive measures for this pathology. In orthopedic patients, the condition of the oral cavity is affected not only by the presence of the main general somatic disease-diabetes mellitus, but also by all types of removable prostheses used. The aim of the study was to improve the effectiveness of therapeutic and preventive manipulations aimed at correcting the dental status of patients with type 2 diabetes mellitus during dental prosthetics with removable types of structures, using immunomodulatory therapy and phytotherapy. In this article, we will conduct a study on the impact of previously virtually unexplored effects of immunomodulators and herbal medicines on the transformation of the functional state of periodontal tissues in patients using removable types of prostheses and having a history of type 2 diabetes mellitus. Materials and methods. The clinical study was conducted on the basis of the orthopedic department of  United Dental Polyclinic of the Starooskolsky city district. The object of the study was patients with a history of type 2 diabetes mellitus lasting from 7 to 10 years. The study involved 64 people. The first group consisted of 32 people, including 23 women and 9 men. This group was a control group and was treated with traditional drugs. The second group also included 32 people, 24 women and 8 men, respectively. In this group, experimental treatment with immunomodulatory therapy and herbal medicine was carried out. As an immunomodulator, the drug "Imudon" was used, and as a phytotherapy-the drug "Bolus Huato". Clinical, laboratory, and radiological diagnostic methods were used to evaluate the results. These methods included the collection of anamnesis, complaints, oral examination, gingivoscopy, periodontal index, hygiene and bleeding index, papillary-alveolar-marginal (PMA) index, as well as cytobacteriological and statistical methods. The study of the prosthetic bed was performed before prosthetics, three months after prosthetics, 20 days after experimental treatment, and 6 months later. The results of the use of the drugs "Imudon" and "Bolus Huato" in the process of orthopedic treatment of patients with type 2 diabetes mellitus give a certain positive dynamics on the quality of rehabilitation. Thanks to this experimental technique, the patients of the main group not only normalized the conditions and microflora of the oral cavity, but as a result, there was a complete adaptation to removable orthopedic structures with a subsequent increase in the use of dental prostheses.