It is necessary to take into account the circumstance that all system diseases, in particular, diseases of digestive tract, change the reactivity of organism to one extent or another, promote the development and progress of stomatological pathologies such as caries and inflammatory periodontal diseases. The researchers pay attention to intensity of caries, periodontal status, hygienical state of the oral cavity, indices of local immunity and some indices of saliva, the influence of pathology of digestive tract on the state of the oral cavity for adult patients. The degree of inflammatory-destructive processes in the parodontium correlates with activity inflammation in the digestive tract that can be the only process of the used for setting the inflammatory genesis. It is established that oral cavity is the reservoir of Helicobacter of pylori as one of main etiologic factors of development of the used for setting the inflammatory disease of the digestive tract. Causative agent persists in the mouth in 45.5 %, and among patients with positive Helicobacter pylori-status of the oral cavity, with an often recrudescent duodenal ulcer, folds 75 %. Therefore, aim of the research was a profound study of peculiarities of the state of periodontal tissues for patients with the disease of digestive tract, who underwent the sanatorium-resort treatment at Morshyn of Lviv region. Materials and methods of research. In accordance with the set tasks, the study involved the assessment of the state of periodontal tissues in 206 patients with the disease of digestive tract, aged 20-55 years and 94 patients of the same age without somatic diseases. The PMA and CPITN indices of the state of periodontal tissues and hygienical state of the oral cavity (index FedorovVolodkina, 1969) were taken into account. The diagnosis of diseases of periodontal tissues objectives was made according to the classification of M.F.Danilevsky (1994). The data is worked out statistically with the use of the program Statistica 10,0 (StatSoft, Inc., USA). Results of research and their discussion. In the result of examination, in 206 patients with the inflammatory disease of digestive tract it has been found that mean value of the PMA index was (49.30±2.40)%, that was by 1.9 times more relatively to data for persons without somatic diseases (comparative group). The chronic catarrhal gingivitis (CCG) in examined group was by 1.6 times rarer in relation to values in the group of comparison, but the value of the PMA for patients with CCG of the main group exceeded the comparison group by 3.4 times. Localized periodontal disease was diagnosed in identical percent in both study groups, here a value of the PMA in patients of the main group were by 2.6 times higher in relation to corresponding values in comparison group ((40.12±2,42) % against (15.27±2.16) %, respectively). Generalized periodontitis of the initial – I severity degree, was detected in (22.33±2.90) % of patients of the main group as against (19.79±3.03) % in the comparative group, but in patients with pathology of digestive tract, the intensity of the inflammatory process after the PMA index was by 1.7 times more relatively to values of the PMA in patients from the comparison group. GP of the II severity degree was diagnosed in (19.42±2.76) % of examined patients from the main group, that was by 1.4 times more relatively to the data of the comparative group (13.83±3.56) %, here a value of the PMA index in patients with pathology of DT was by 1.7 times higher in relation to the similar values in comparison group ((54.70±2.40) % as against ((32.84±2.19) %). Generalized periodontitis of the III severity degree in patients with pathology of DT was diagnosed in (27.18±3.09) %, that exceeded the corresponding values in the comparison group by 2.3 times ((11.70±3.31) %), here a value of the PMA in patients of the main group, however, was by 1.7 times higher relatively to the data of the comparison group ((74.82±2.42) % as against (44.65±2.19) %, respectively). The analysis of values of hygienical index of Fedorov-Volodkina showed that for patients with the disease of DT “good” and “satisfactory” hygiene of the oral cavity was mentioned in (28.70) %, while in the comparison group, this index was by 2.0 times higher (61.70) %. At the same time, the “unsatisfactory” and “bad” hygiene of the oral cavity was detected in (71.29) % patients of the main group as against (27.7) % patients of the comparison group, that was by 2.6 times higher. Conclusions. Thus, in the result of dental inspection of patients with the disease of digestive tract, greater prevalence of periodontal diseases is determined as predominating, and intensification of the inflammatory processes in the parodontium was stipulated by the higher values of the PMA and СРІТN indexes with the unsatisfactory hygiene of the oral cavity.

Представлены результаты стоматологического обследования 206 пациентов с воспалительными заболеваниями пищеварительного канала, проходивших санаторно-курортное лечение в санатории «Пролисок» г.Моршина Львовской области, и 96 человек без сопутствующих соматических заболеваний, которые обратились за пародонтологической помощью в стоматологическое отделение поликлиники г. Моршина. Проанализированы в сравнительном аспекте распространенность заболеваний тканей пародонта, интенсивность воспалительного процесса в деснах по индексу РМА и СРІТN и оценка гигиенического состояния полости рта по индексу Федорова-Володкиной у лиц групп исследования. Полученные данные показали, что у пациентов с воспалительными заболеваниями пародонта на фоне патологии пищеварительного канала установлены большая распространенность и интенсификация заболеваний тканей пародонта при неудовлетворительной гигиене ротовой полости, чем у лиц без соматических заболеваний.