Clinical Evaluation of Xerostomia Manifestations in Women With Chronic Periodontitis and Reduced Bone Mineral Density

Abstract

Subject. The subject of this study is xerostomia. Objectives. The aim of the study is to evaluate xerostomia manifestations in women with chronic periodontitis and reduced bone mineral density of the skeleton. Methodology. The study is conducted by the Department of Therapeutic Dentistry and Propaedeutics of Dental Diseases, Ural State Medical University. The study involved 96 patients: 76.7% of those with age 45–59 years old, and 23.3% of those with age 60–65 years old. The two study groups were formed: the first group comprised 66 patients with chronic generalized periodontitis of moderate severity and reduced bone mineral density; the second (reference) group comprised 30 conditionally healthy female patients with chronic generalized mild periodontitis in remission and normal bone mineral density of the skeleton. The clinical assessment of dental parameters in patients and online questionnaire survey with special questions modified by us were carried out to determine the aspects of xerostomia and the system state. Conclusions. Analysis of the findings reveals the feasibility of conducting the survey – the use of the summated rating scale responses to Xerostomia Inventory Questionnaire and clinical scoring scales for assessment of xerostomia for xerostomia diagnosis in women with chronic periodontitis of moderate severity, as well in those with reduced bone mineral density. It can be useful in identifying and analyzing risk factors, non-specific causes, prevalence of permanent, periodic and latent xerostomia, initial and clinically definite xerostomia. These methods allow to define the stomatological and somatic status of patients, adequately set up a comprehensive treatment plan, consultations and dynamic monitoring not only by dental and periodontal specialists but also by such specialized medical professionals as rheumatologist, endocrinologist, ophthalmologist, otolaryngologist and others, if necessary.