Basic dental parameters in the diagnosis of a new coronavirus infection COVID-19.



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Abstract

nnotation. The relevance. According to all prospective data, COVID-19 patients in all countries of the world experience changes in the human body, some of which are irreversible. Of course, studying the literature review related to COVID-19, the changes also affected the maxillofacial region. The study of dental status is important, but we set the task of studying the main predictor indicators that reflect the severity of changes in periodontal tissues, which are regarded as complications.

The aim of the study: to study the main dental parameters in patients with new coronavirus infection to determine possible complications of COVID-19.

Materials and methods. The study included 194 people: 112 patients in COVID hospitals and 82 relatively healthy people (without serious concomitant diseases). Patients aged 18, 20-24, 25-34, 35-44, 45-54 and 54-65 years were examined. The study consisted of assessing the condition of the dental system, assessing the general condition, studying microhaemodynamic parameters and saturation in periodontal tissues.

Results. The study revealed typical general complaints and symptoms in patients in Covid hospitals. The acid-base balance level remained within the normal range in individuals with COVID 19. At the same time, the most common dental pathologies were hyposalivation, decreased taste sensitivity, decreased or absent sense of smell. Bleeding gums were detected in the fourth and fifth age groups (20% and 18.5%, respectively). Less than 25% of the examined patients in Covid hospitals complained of increased tooth sensitivity. The state of microcirculation in patients with COVID-19 was significantly worse than in the control. Patients in Covid hospitals also had a reduced saturation level.

Conclusion. The revealed changes in dental status and microhaemodynamics allow us to speak about a high risk of development of future pathological processes in the periodontium.

Keywords: new coronavirus infection COVID 19, laser doppler flowmetry, haemoglobin oxygen saturations (SO2), microcirculation index (MI), salivary pH.

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