The prevalence of periodontal disease studies do not lose relevance for many decades, as they are often met among the young population and are multi-factorial. This is especially true for young people with abnormalites of the maxillodental system, therefore of particular clinical importance are studies relating to the choice of methods and means of prevention aimed at increasing the resistance of periodontal tissues in the treatment of such patients. The purpose of work is to study the efficiency of the treatment of chronic catarrhal gingivitis in young patients with crowded teeth in long-term treatment period. Material and methods. The paper presents the data of clinical examination of 43 patients with crowded teeth on the background of chronic catarrhal gingivitis (main group) and 36 patients with combined dental pathology, where traditional methods were used in the treatment of gingivitis (control group). These patients were examined according to the developed therapeutic scheme after 12 months of previous examination. The evaluation of the treatment was carried out in 3, 6 and 12 months after treatment with periodontal (PMA, ICR) and hygienic (OHI–S, IEG) indices. The obtained results were worked out statistically. Results and discussion. It was found out that the values of paraclinical indices (PMA, ICR, OHI–S, IEG) in patients of the main group were characterized by more pronounced positive changes after 12 months of research. The normalization of periodontal tissues was achieved in 76.7 % of patients of the main group against 22.2 % of patients in the control group, which emphasizes the efficiency of the developed therapeutic scheme. Conclusions. The use of developed treatment and preventive scheme for the treatment of chronic catarrhal gingivitis in patients with crowded teeth allowed to significantly improving the clinical status of patients, which was confirmed by the positive dynamics of data of periodontal and hygienic indices in the long-term observation. At the same time certain positive changes were observed in clinical and paraclinical manifestations only in the short term of observation in persons with traditional therapeutic measures for the treatment of chronic catarrhal gingivitis.

Keywords: chronic catarrhal gingivitis, crowded teeth, hygienic state of oral cavity, paraclinical indices

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1. Borysenko AV. Zabolevaniya parodonta [Periodontal diseases]. Kyiv: Medycyna, 2013. 455 s. [Russian]
2. Voloshyna AA. Znacheniye mikrobnoho faktora v razvitiyi i techeniyi vospalitel’nykh zabolevaniy parodonta [The importance of microbial factor in the development and course of inflammatory periodontal diseases]. Molodoy uchenyi. 2011; 1: 248-51 [Russian]
3. Hasyuk NV. Struktura ta poshyrenist’ khvorob parodonta u osib molodoho viku [The structure and prevalence of periodontal diseases in persons of young age]. Pivdennoukrayinskyi medychnyi zhurnal. 2013; 3: 36-7 [Ukrainian]
4. Drahomyretska MS. Vybir optymalnoyi skhemy likuval’no-diahnostychnykh zakhodiv pry patolohiyi parodonta v protsesi ortodontychnoho likuvannia [The choice of optimal scheme of therapeutic and diagnostic procedures in the pathology of the periodontium during orthodontic treatment]. Visnyk stomatolohiyi. 2010; 1: 55-8 [Ukrainian]
5. Drahomyretska MS, Mirchuk BM. Rozpovsudzhenist’ zubo-chelepovykh dephormatsii i zakhvoryuvan’ tkanyn parodonta v doroslykh u rizni vikovi periody [Prevalence of tooth-jaw deformations and diseases of periodontal tissues in adults in different age periods]. Ukrainskyi stomatolohichnyi al’manakh. 2010; 2: 51-7 [Ukrainian]
6. Kas’kova LF, Amosova LI. Prophilaktyka stomatolohichnykh zakhvoryuvan’ [Prevention of dental diseases]. Kharkiv: Fakt, 2011. 392 s. [Ukrainian]
7. Kudratova DM. Vliyaniye ortodonticheskoho lecheniya na sostoyaniye tkanei parodonta [The influence of orthodontic treatment on the state of periodontal tissues]. Visnyk stomatolohiyi. 2008; 1: 66-8 [Russian]
8. Demling A, Dembling C, Schwestka-Polly R. Short-term influence of lingual orthodontic therapy on microbial parameters and periodontal status. A preliminary study. Angle Orthodontist. 2010; 80 (3): 480-84. https://doi.org/10.2319/061109-330.1
9. Fotinos S. Panagakos. Gingival Diseases. Their aetiology, prevention and treatment. NY: InTech, 2011. 246 s.