The Likelihood of Developing Periodontal Disease in Patients with Cardiovascular Diseases INDIAMINOVA Gavkhar Nuriddinovna

Аннотация

Currently, the forecast of the development of pathology is an important part of all branches of healthcare. [3,4,5]. However, despite the importance and scientific and practical significance of forecasting in dentistry, at present we have not found information about predictive models of individual risk of developing periodontitis in patients with hypertension. Keywords: Forecasting in dentistry, scientific, practical significance. therapy over the past 6 months with a recorded blood Introduction: In these conditions, individual pressure level > 140 90 mm Hg. Art. at the time of the assessment and prediction of the risk of developing examination. After diagnosis of hypertension, all periodontitis in patients with cardiovascular failure is patients underwent office blood pressure screening as relevant. Such studies will serve as the basis for well as a complete dental examination. To identify the identifying patients at high risk of developing degree of hypertension, patients underwent control periodontal diseases, grouping them for the purpose of A/D measurements after the first visit within 3–14 days dental monitoring and implementing measures to after the visit. Oral fluid and blood samples were neutralize the negative consequences of periodontal collected. After a complete dental examination, a diseases on the course of cardiovascular failure. The dental patient’s medical record (form 043/y) was filled need to solve this problem served as the basis for out for each patient, and data was copied from the conducting this study. inpatient medical record (form 003/y). Taking into The goal is to develop and evaluate the effectiveness of account the purpose of the study, patients with a model for individual prediction of the risk of hypertension were divided into two groups: the main developing periodontitis in patients with one - with the presence of periodontitis (patients) and cardiovascular failure. the control group (patients) - and without METHODS periodontitis. In accordance with the principles of The study was conducted at SamSMU clinics. A evidence-based medicine, when compiling the main retrospective-prospective case-control study was and control groups, individuals identical in gender and conducted. We examined 162 patients with age composition were selected. All patients signed hypertension aged from 36 to 65 years (average age informed consent to participate in the study. The study 45.32±0.22 years), admitted for inpatient treatment in protocol was reviewed and approved by the ethics the department of maxillofacial surgery. The diagnosis committee. When determining risk factors, we took of cardiovascular failure and periodontitis was made into account the multifactorial nature of hypertension according to WHO criteria and recommendations, in in and periodontitis and their dependence on a complex accordance with the International Classification of of medical and social risk factors and metabolic Diseases, 10th revision. Inclusion criteria were patients disorders of the body’s most important homeostatic who had previously been diagnosed with systems. In this regard, medical risk factors and the cardiovascular failure, receiving antihypertensive nature and changes in the lipid profile were studied, American Journal Of Social Sciences And Humanity Research 131 https://theusajournals.com/index.php/ajsshr American Journal Of Social Sciences And Humanity Research (ISSN: 2771-2141) with the determination during the research of Scale for assessing the likelihood of developing indicators that have the most significant impact on the periodontitis: 0-0.39 - low, 0.40-0.69 - medium, 0.70- course of both pathologies studied. The severity of 1.00 - high. The unification of studies and the periodontal damage was assessed using the indices of uniformity of scaling of indicators included in the model inflammation and periodontal destruction and oral made it possible to carry out a comparative assessment hygiene (PMA, PI, Muhlemann, OHI-S). The assessment of their contribution to the risk of developing of the prognostic significance of risk factors for the periodontal diseases in patients with arterial development of periodontal diseases in patients with hypertension. According to the obtained coefficients, hypertension was carried out using the Kullback all of these factors contribute to an increase in the risk information measure with determination of the Ji (K) of generalized periodontitis in patients with value. Considering that the dependent variable, the hypertension. The statistical significance of the presence or absence of periodontal disease, can be equation was tested using the coefficient of characterized by only two values from 0 to 1 determination and Fisher's test. It was found that in the (periodontitis present/no periodontitis present), the situation under study, 96.98% of the total variability in probability of developing periodontitis in patients with Y is explained by changes in factors Xj. The res