RESULTS OF THE STUDY PARAMETERS OF THE AUTONOMIC NERVOUS SYSTEM IN PERIODONTAL LESIONS IN YOUNG PEOPLE WITH DEFORMING DORSOPATHIES

Abstract. Periodontal diseases and their prevalence in young age are actual problems in dentistry. Lesion of periodontal disease with spine condition makes this issue more important, especially in young people, who often have dorsopathies.

Influence of autonomic nerve structures in the development of diseases of periodontal tissues is known. Therefore it is necessary to study the functional state of the autonomic nervous system in young patients with periodontal diseases and deforming dorsopathies.

The aim of study is the condition of the autonomic nervous system in young patients with periodontal diseases and deforming dorsopathies based on questionnaire Wayne and index Kerdo and Hildebrant.

Materials and methods. Dental examination was held in 321 people aged 19–24 years, first group consisted of 104 patients with periodontal diseases and deforming dorsopathies, second group — 94 patients with deforming dorsopathies and clinically healthy periodontal tissues, third group — 123 patients with periodontal diseases without deforming dorsopathies.

Dysfunction of autonomic nervous system was determined by using Wayne questionnaire, autonomic tone — index Kerdo, degree of harmonization in the cardiovascular and respiratory systems — the Hildebrant coefficient.

Research results. In young people with periodontal diseases installed signs of autonomic dysfunction by questionnaire Wayne, which are more pronounced with presence of deforming dorsopathies (respectively (53.65±4.51) and (84.62±3.55)%). Deforming dorsopathies create background for the increase of vascular dystonia in patients with periodontal diseases, which can worsen the clinical course of the disease.

In young patients with periodontal diseases and deforming dorsopathies and with spine disorders and clinically healthy periodontal tissues there was found predominance of sympathetic autonomic tone 1.5 times as much than the parasympathetic and 8 times than eytonic. Among those in patients with periodontal diseases without deforming dorsopathies autonomic balance exceeds sympathetic tone twice, and three times with parasympathetic tone. This confirms the influence of accompanying pathology on the activity of the sympathetic division of the autonomic nervous system.

Dependence between the respiratory and cardiovascular system and the type of vegetative reactions was detected by Hildebrant coefficient. The prevalence of sympathetic influences contributed to the high degree of inconsistencies in the regulation of these systems in patients with periodontal diseases and dorthopathies.