牙周组织炎症破坏过程的现代病因学和病理学方面

Иннокентий Дмитриевич Ушницкий, А. А. Иванова, Иосиф Семенович Пинелис, А. В. Юркевич, Д. В. Михальченко
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引用次数: 1

摘要

本文综述了牙周组织炎症性疾病的现代病因和发病机制。同时,引起炎症过程发展的主要因素之一是牙周病病原微生物,其中以最具攻击性的共同放线放线杆菌、牙龈卟啉单胞菌、福赛斯拟杆菌、中间普氏菌为主。同时,细菌的主要营养资产之一是柔软的牙菌斑,它通常与口腔卫生状况不佳有关。从慢性牙周病发展的发病机制来看,牙周血管微循环障碍,随后血流速度降低和牙周组织缺氧,通常在毛细血管水平,是主要原因。这种情况导致牙周组织病理过程的进一步增加,随后血管结构的严重紊乱,其表现程度取决于炎症过程的强度和持续时间。炎症性和破坏性牙周组织病理过程的病因和致病因素范围广泛,需要进一步研究,以改进治疗和预防性牙科帮助,同时考虑其可能的原因和病因发展机制。
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Современные этиологические и патогенетические аспекты воспалительнодеструктивных процессов тканей пародонта
The article presents the overview of modern etiological and pathogenetic aspects of inflammatory diseases of periodontal tissues, which have multifactorial origin. At the same time, one of the major factors causing inflammatory process development is periodontium pathogenic microorganisms where with the greatest aggression actinobacillus actinomycetemcomitans, porphiromonas gingivalis, bacteroides forsythus, prevotella intermedia prevail. Meanwhile, one of the main nutritious assets for bacteria is the soft dental plaque that is usually connected with an unsatisfactory hygienic condition of the oral cavity. A microcirculation disorder in periodontal vessels which is followed by blood velocity reduction and development of periodontal tissue hypoxia, generally at the level of capillaries is the main cause from the pathogenetic point of view of chronic periodontal disease development. This situation causes further increase of pathological process in periodontal tissues which is followed by severe disturbances of angioarchitecture where a degree of its expressiveness depends on intensity and duration of inflammatory process. The wide range of etiological and pathogenetic factors of pathological processes of periodontal tissues of inflammatory and destructive character needs further researches to improve the treatment-and-prophylactic dental help taking into account their possible reasons and mechanisms of cause and development.
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审稿时长
8 weeks
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