DIVERSITY OF TREATMENT OF GENERALIZED PERIODONTAL DISEASES IN PATIENTS WITH ANOREXIA NERVOSA.

Area of Science:

• Dentistry
• Periodontology
• Psychosomatic Medicine

Background:

• Generalized periodontal diseases (GPD) are prevalent dental conditions.
• Early diagnosis of generalized periodontitis (GP) is crucial for secondary prevention.
• GPD is associated with systemic diseases, including anorexia nervosa (AN), complicating treatment.

Purpose of the Study:

• To develop and evaluate a treatment protocol for generalized periodontitis (GP) in patients with anorexia nervosa (AN).

Main Methods:

• A randomized study involving 60 patients with GP and AN.
• Patients were divided into three groups to compare treatment effectiveness.
• Evaluated using clinical, radiological, hygienic, immunological, biochemical, and psychological assessments.

Main Results:

• The proposed treatment protocol showed significant clinical effectiveness.
• Group III patients, receiving the enhanced protocol, demonstrated the highest satisfactory treatment results (85.0±8.0%).
• Improvements included normalized local immunity, reduced oxidative-antioxidant stress, and bone tissue regeneration.

Conclusions:

• The developed treatment protocol is effective for managing generalized periodontitis in patients with anorexia nervosa.
• The protocol addresses pathogenetic mechanisms, including local immunity and oxidative stress.
• Positive radiological and immunological outcomes suggest a promising approach for this patient population.