Relevance: Before starting the treatment, the patient's medical history should be carefully studied. Special attention should be paid to the presence/absence of diseases of the cardiovascular system, kidney disease, endocrine pathology, and the psychological state of the body. These diseases can directly affect the dental status and worsen the clinical picture. Psychoemotional stress and inflammatory post-prosthetic complications are reciprocal risk factors. Psychophysiological disorders can lead to the development of dental complications in the oral cavity and vice versa, mucositis can cause a stress reaction in a person. This assumption served as the purpose of this study. Materials and methods: During implant treatment, the analysis of the psychophysiological state in patients with inflammatory post-prosthetic complications was carried out according to 3 parameters (the results of the questionnaire, based on heart rate variability and using software), parallel to the assessment of the dental status in 30 patients. Stress and mucositis should be treated simultaneously, with sedation support where necessary. Outcomes: All patients showed a high level of stress. During the dental examinationthe presence of inflammation of the parotid tissue was detectes. Conclusion: Psychoemotional stress can be one of the initiating factors in the development of inflammatory complications during dental implantation. The main task of a dentist is, first of all, to identify the early stages of the development of the disease, and secondly, to provide not only symptomatic, but also pathogenetic treatment, taking into account the factors that facilitate the development of this pathology.
Relevance. Psychoemotional stress is referred to as a disease of civilizations. When the psychophysiological state of a person is disturbed, all resources are directed to compensating for the pathological situation. With depletion and the development of adaptive capabilities, various disorders of microhemodynamics arise.Materials and methods. In this article, psychoemotional stress is considered as a pathogenic factor in the development of post-prosthetic complications at a dental appointment. Using laser Doppler flowmetry, a comparative analysis of microcirculatory changes in the oral cavity in patients with inflammation of the peri-implant tissue was carried out.Results. Previously, all people had a violation of the psychophysiological state. The control group consisted of healthy people. It is proved that in the comparison group microcirculatory changes occur with the development of arterial hyperemia. In this case, hyperemia was revealed by the ratio of the contribution of pulse and respiratory fluxmotions.Conclusion. Thus, it can be assumed that it is psychoemotional stress that is the primary factor in the development of the inflammatory response in the oral cavity. What should be taken into account at the orthopedic appointment when drawing up a treatment plan for such patients.
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