~ 21 ~
The Pharma Innovation Journal 2017; 6(5): 21-24
ISSN (E): 2277- 7695
ISSN (P): 2349-8242
NAAS Rating 2017: 5.03
TPI 2017; 6(5): 21-24
© 2017 TPI
www.thepharmajournal.com
Received: 11-03-2017
Accepted: 12-04-2017
Dutko Christina Orestivna
Assistant of the Department of
Surgery and Orthopedic
Dentistry of FPO At Danylo
Galytsky Lviv National Medical
University. Have A 5
Publications in Journals of
Ukraine
Bandrivsky Yuriy
Lyubomyrovych
Associate Professor of the
Department of Pediatric
Dentistry At Ternopil State
Medical University of I.Ya.
Gorbachevsky. Have 62
Publications in Journals of
Ukraine
Bandrivska Orysya Orestivna
Associate Professor of the
Department of Orthopedic
Dentistry At Ternopil State
Medical University of I.Ya.
Gorbachevsky. Have 30
Publications in Journals of
Ukraine
Correspondence
Dutko Christina Orestivna
Assistant of the Department of
Surgery and Orthopedic
Dentistry of FPO At Danylo
Galytsky Lviv National Medical
University. Have A 5
Publications in Journals of
Ukraine
A retrospective review of surgical methods of treatment
of the inflammatory periodontal diseases in Ukraine
Christina Dutko, Yuriy Bandrivsky and Orysya Bandrivska
Abstract
The article examines and summarizes the literature data on the use of surgical methods of treatment of
the inflammatory diseases of periodontal tissues. It is shown the necessity and advisability of surgical
intervention of various surgical methods depending on the severity of dental disease. Such the efficiency
of treatment of patients with severe dental diseases largely depends on the choice of treatment measures,
there is the necessity of including of surgical interventions in the treatment plan as they allow not only to
eliminate the inflammatory symptoms, but also to reconstruct the lost periodontal tissues and to achieve a
sustained remission. It was carried out a retrospective review of the use of surgical methods in complex
treatment of generalized periodontitis by the doctors’ periodontists for a long time in Ukraine from
ancient times to the present.
Keywords: periodontal disease, generalized periodontitis, bone tissue, mucous-periosteal flap, gums,
surgical treatmemt, operative intervention, osteoplastic material, gingival bandage, composit material,
allograft.
1. Introduction
The inflammatory periodontal diseases occupy the second place in frequency and prevalence
among all dental diseases of people. The periodontal diseases meet at 65 % adult population of
the most developed countries of the world and in countries that develop over 90 %
[1, 2]
. The
early manifestations of diseases of periodontal tissues of inflammatory character have been
register for aged 10−16 years and after 40 years meet even more often than caries. For persons
older than 40 years, most often found the expressed inflammatory and destructive changes
involving to the process of bone tissue
[3, 4]
. A significant prevalence of generalized
periodontitis, its relationship with other diseases of the organism, resistance to the existent
methods of treatment make this problem among the most important not only in dentistry but
also in other related disciplines, in particular clinical immunology, endocrinology,
otolaryngology, gastroenterology, cardiology, infectology, etc.
[5, 6]
. The periodontal diseases
are difficult respond to treatment, lead to a significant decrease in the functionality possibilities
of the tooth-jaw system, need the participation of specialists of different fields, they are
characterized by a lengthy period of rehabilitation.
With deepening of severity of flow of disease when the use only of conservative methods does
not give the expressed results in the plan of treatment of such patients must include surgical
measures, that are the most effective method of treatment of destructive forms of chronic
generalized periodontitis and allow not only to cut the inflammatory symptoms of disease, but
also conduct the reconstruction of lost periodontal tissues and to achieve a proof remission.
2. The purpose of the study
was to conduct a retrospective review of the development of stages of surgical treatment of
generalized periodontitis.
3. Results and their discussion
The use of surgical treatment methods can to achieve the liquidation of inflammation and
periodontal pockets, to suspend of progress of destruction of alveolar bone and providing of
the long-term stabilization of periodontal tissues at the complex treatment of generalized
periodontitis. Therefore, in recent years the surgical treatment of periodontal disease remains
the priority for most periodontists.
A. Tseshynsky was first offered a flap surgery in 1914, but
L. Widman proposed the same operation in 1918 independently of him and