EFFICACY OF HYALURONIC ACID APPLICATION IN PATIENTS WITH PERIODONTITIS DURING THE HYGIENIC PHASE OF TREATMENT
DOI:
https://doi.org/10.32782/2226-2008-2026-1-12Keywords:
periodontitis; topical therapy; hygienic phase; hyaluronic acid; periodontal indicesAbstract
Introduction. The problem of treating periodontal diseases, particularly generalized periodontitis, remains relevant worldwide. Therefore, there is still a need to continue the search for new therapeutic approaches for this pathology. In recent years, hyaluronic acid has gained popularity as a treatment modality for periodontal diseases, which supports the ongoing investigation of the efficacy of its various forms. Objective of the study. To evaluate the clinical effectiveness of locally applied hyaluronic acid in combination with standard therapy during the hygienic phase of treatment for generalized periodontitis in young adults. Materials and methods. The study included 68 patients aged 26 to 35 years, who were divided into two groups: a main group of 35 individuals and a control group of 33. The assessment of periodontal status in both groups was performed using periodontal tests and by calculating the following indices: the OHI-S index, the PBI bleeding index, the PMA index, the PI index, and the Schiller–Pisarev test. The condition of the periodontal tissues was evaluated before treatment and at 3 days, 2 weeks, and 1 month after treatment. Results and discussion. The results of the study indicate that the use of hyaluronic acid contributes to a more rapid normalization of the periodontal tests and indices used for the objective assessment of periodontal tissue status during the hygienic phase of treatment of generalized periodontitis. The positive dynamics observed in the PMA and PBI indices, as well as the Schiller-Pisarev test, demonstrate a significant antiinflammatory and anti-edematous effect of the hyaluronic acid hydrogel on the periodontal tissues, which is capable of stabilizing periodontal tissue condition after initial treatment of generalized periodontitis already within the earliest follow-up periods. Conclusions. The local application of hyaluronic acid in the form of a hydrogel contributes to significant improvement of periodontal tissue status.
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