DENTAL STATUS IN PATIENTS WITH CHRONIC HEPATITIS C

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.