Oral hygiene and hygiene of removable dentures in periodontal patients with cardiometabolic disorders

Objective. To study the dynamics of oral hygiene, removable dentures and the degree of compensation of cardiometabolic disorders in periodontal patients after prosthetics with removable dentures. Material and methods. Patients (n=63) aged 45—54 years with periodontal diseases and cardiometabolic disorders were observed after prosthetics with partial removable dentures. Repeated examinations of patients were carried out in the medium and long-term follow-up periods: from three months to one year after prosthetic treatment. The criteria for evaluating treatment outcomes were the Simplified Oral Hygiene Index (OHI-S), the Denture Hygiene Index (DHI) and gingival inflammation index PMA (modified by Parma C., 1960). Compensation of cardiometabolic disorders in patients was monitored according to periodontal blood glucose (a portable glucose meter and standard test strips were used) and blood pressure (BP). Results. Within 12 months, the incremental worsening oral hygiene and denture hygiene, the increasing levels of gingival inflame and glucose in periodontal blood, and the negative changing blood pressure were revealed in the majority of the patients. Conclusion. The study results justified the necessity for boosting compliance of patients in relation to oral hygiene and denture hygiene, cardiometabolic disturbance monitoring, regular periodontal treatment providing, and professional teeth and dentures cleaning.