Aim: increasing the effectiveness of treatment of periodontal disease in patients with ischemic heart disease.
Materials and methods. The oral cavity was examined and the clinical course features of chronic periodontitis were studied in patients with ischemic heart disease determing dental, hygienic index and biochemical indices in oral liquid (elastase, MDA, urease, lysozyme, catalase). The “Apifil” and “Asepta” were used by oral rinsing.
Results. The patients with ischemic heart disease have a worse state of oral cavity compared to those who do not suffer from ischemic heart disease. The determined periodontal indexes provided evidence of a significantly higher activity of the dystrophic and inflammatory changes of periodontal tissues in the patients with ischemic heart disease. The oral cavity liquid levels of elastase, urease raised, but levels of catalase and lysozyme reduced in patients with ischemic heart disease. Oral rinsing by “Apifil” and “Asepta” reduced the levels of elastase, urease and dental indices but the lysozyme and catalase level raised.
Conclusions. The rinse “Apifil” renders the stomatoprotective action on patients with ischemic heart disease.