title: [CHRONIC PERIODONTITIS WITH SYMPTOMATIC HYPERTROPHIC GINGIVITIS: CASE REPORT AND REVIEW OF THE LITERATURE].
abstract: Gingivitis in traditional national dentistry referred to independent diseases or symptomatic condition in periodontitis and classified morphologically. The diagnostic features of the diseases are characteristic, but the clinical presentation of symptomatic gingivitis and patterns of bone destructions may vary between patients. Successful treatment of the disease depends from proper diagnosis and advanced disease stages, but for symptomatic gingivitis that accompanying chronic periodontitis, protocols include surgical excision. Despite of the high prevalence of chronic generalized periodontitis, its active treatment often start in severe destruction and bone loss (2-3 stage severity). Today etiotropic antimicrobial therapy is real way to control microbial biofilm and has solid evidence base. Applying of etiotropic antimicrobial therapy as systemic azithromycin with timely treatment of mild to moderate periodontal and bone destruction may reduce severe periodontitis incidence of and treatment-related complications in the future. This paper attempts to describe the clinical diagnostic features and the current treatment options along with a suggested protocol for comprehensive management of chronic generalized periodontitis and hypertrophic gingivitis patient with case reports and a brief review.
authors.affiliation: State Higher School of Ukraine "Ukrainian Medical Stomatological Academy", Department of Postgraduate Education for Dentists, Poltava, Ukraine.
authors.forename: V
authors.initials: V
authors.lastname: Shinkevich
authors.affiliation: State Higher School of Ukraine "Ukrainian Medical Stomatological Academy", Department of Postgraduate Education for Dentists, Poltava, Ukraine.
authors.forename: K
authors.initials: K
authors.lastname: Udaltsova
authors.affiliation: State Higher School of Ukraine "Ukrainian Medical Stomatological Academy", Department of Postgraduate Education for Dentists, Poltava, Ukraine.
authors.forename: E
authors.initials: E
authors.lastname: Pisarenko
authors.affiliation: State Higher School of Ukraine "Ukrainian Medical Stomatological Academy", Department of Postgraduate Education for Dentists, Poltava, Ukraine.
authors.forename: S
authors.initials: S
authors.lastname: Kolomiets
authors.affiliation: State Higher School of Ukraine "Ukrainian Medical Stomatological Academy", Department of Postgraduate Education for Dentists, Poltava, Ukraine.
authors.forename: T
authors.initials: T
authors.lastname: Khmil
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D017963:Azithromycin / Q000627:therapeutic use*; D055113:Chronic Periodontitis / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology; D005260:Female; D005891:Gingivitis / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D017963:Azithromycin