DENTAL STATUS IN PATIENTS WITH CHRONIC HEPATITIS C
- Authors: Khayrullina A.1, Kabirova M.1
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Affiliations:
- Bashkir State Medical University
- Issue: Vol 25, No 4 (2021)
- Section: Clinical Investigation
- Submitted: 13.05.2022
- Accepted: 04.07.2022
- Published: 15.07.2021
- URL: https://rjdentistry.com/1728-2802/article/view/107566
- DOI: https://doi.org/10.17816/dent.107566
- ID: 107566
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Abstract
Relevance. The high prevalence of chronic hepatitis C is a serious medical and social problem. With this disease, a high incidence of diseases of the oral mucosa is detected, which requires more careful study.
Materials and methods. A comprehensive dental examination of 48 patients with a confirmed diagnosis of CHC was carried out. Depending on the Knodell index of histological activity of chronic hepatitis, the main group was divided into 2 subgroups: 1a - with mild process activity (4-8 points) - 20 patients, 1b - with moderate process activity (9-12 points) - 28 patients.
The comparison group consisted of 30 apparently healthy individuals (16 men, 14 women aged 28 - 36 years) with a positive conclusion after a professional medical examination on the absence of somatic pathology.
Results. As a result of a comprehensive dental examination in patients with chronic hepatitis C, the most common complaints were: bleeding of the gums when brushing teeth, bad breath and erosions on the oral mucosa. Also, a high prevalence and severity of inflammation in the periodontal complex in patients with chronic hepatitis C was revealed. When studying the structure of diseases of the oral mucosa, it was determined that the most common diseases occurring with severe pain syndrome: recurrent aphthous stomatitis, candidiasis, chronic herpetic stomatitis. The performed autofluorescence study revealed preclinical signs of hyperkeratotic changes in the area of teeth closing in 21.2 ± 1.6% of the main group. The frequency and severity of symptoms of dental diseases correlates with the degree of activity of the process of the underlying disease.
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About the authors
Alsu Khayrullina
Bashkir State Medical University
Author for correspondence.
Email: alsu-84@list.ru
ORCID iD: 0000-0002-6154-6109
SPIN-code: 7574-2881
dentist
Russian Federation, 450000, Russia, Republic of Bashkortostan, Ufa, st. Lenin, 3Milya Kabirova
Email: kabirova_milya@list.ru
Doctor of Medical Sciences, Professor of the Department of Therapeutic Dentistry with a course of IDPO FSBEI HE BSMU Ministry of Health of Russia
Russian Federation