EVALUATION OF THE EFFECTIVENESS OF CHRONIC CATARRHAL GINGIVITIS TREATMENT IN CHILDREN WITH INFECTIOUS MONONUCLEOSIS IN LONG-TERM OBSERVATION
DOI:
https://doi.org/10.32782/3041-1394.2025-1.8Keywords:
children, chronic catarrhal gingivitis, oral cavity, infectious mononucleosisAbstract
Introduction. It is well known that the incidence of infectious mononucleosis, caused by the Epstein- Barr virus, has been increasing in recent years among children. Infection with the Epstein-Barr virus weakens the body’s protective mechanisms, which contributes to the development of pathogenic microorganisms, especially on the background of herpesvirus infections, negatively affecting the state of periodontal tissues and worsening the course of chronic catarrhal gingivitis, a common condition in children with infectious mononucleosis. Therefore, it is crucial to justify the methods of treatment of chronic catarrhal gingivitis in the presence of concomitant somatic pathology. Objective of the study. To evaluate the effectiveness of the proposed complex of measures for chronic catarrhal gingivitis treatment in children with infectious mononucleosis in long-term observation. Materials and methods. Dental examinations and treatment were conducted on 37 children with chronic catarrhal gingivitis and infectious mononucleosis, aged 12 years, who were divided into two groups: 18 children (the main group), who were treated with the proposed complex of preventive and treatment measures, which included antimicrobial, anti-inflammatory agents, and agents to enhance the resistance of the oral cavity tissues, and 19 children (the comparison group), who were treated according to standard protocols. The condition of periodontal tissues was evaluated according to the clinical indicators and periodontal indices during 1, 3, and 6 months. Results. Proposed complex of measures of chronic catarrhal gingivitis treatment in children with infectious mononucleosis was developed and proven its effectiveness using clinical criteria and periodontal indices. After 6 months of observation, improvement of gum condition was observed in 27,67 ± 2,27% of children in the main group, which was 24,95% higher compared to the previous observation period (p > 0,05) and 2,63 times greater than in the comparison group (10,52 ± 2,43%, p < 0,05). The PMA index decreased over the observation period in the main group and was 1,08 times lower than in the previous period (p > 0,05). In the comparison group, a slight increase in the PMA index was recorded compared to previous data (37,57 ± 2,32%, p > 0,05). After 6 months, the Green-Vermillion index in children treated according to the proposed complex indicated satisfactory oral hygiene (1,42 ± 0,08 points), showing a significant decrease compared to the baseline values (p < 0,05). However, in the comparison group, oral hygiene remained unsatisfactory (1,65 ± 0,06 points, p < 0,05). It was found that stabilization of the pathological process in periodontal tissues occurred significantly earlier in children from the main group. Conclusions. In children with chronic catarrhal gingivitis with infectious mononucleosis, improvements in the dynamics of periodontal tissue condition, as well as a decrease in the PMA and Green-Vermilion indices, were observed in the long term after treatment, which proves the effectiveness of the proposed therapeutic and preventive complex measures.
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