CLINICAL AND PATHOGENETIC IMPROVEMENT OF THERAPEUTIC AND PREVENTIVE MEASURES FOR DENTAL PATHOLOGIES IN PATIENTS WITH CHRONIC DIFFUSE LIVER DISEASES

This study is devoted to the assessment of the dental status of the oral cavity and the improvement of treatment effectiveness in patients with chronic diffuse liver diseases (CDLD). The study included 94 patients, who were divided into groups depending on the type of disease: liver fibrosis, chronic hepatitis, and liver cirrhosis. The patients were treated using two different approaches: conventional dental treatment and a comprehensive treatment method developed by the authors, which included the herbal preparation “Rotokan”, vitamin C electrophoresis, and UHF therapy. The results showed that as liver pathology progressed in severity, dental indices such as the Hygiene Index (HI), Papillary-Marginal-Alveolar Index (PMA), and caries intensity index worsened. In the group receiving comprehensive treatment, inflammatory processes in periodontal tissues decreased twice as rapidly, enamel resistance was restored, and the progression of caries intensity was halted. The study scientifically substantiates the high pathogenetic effectiveness of a multidisciplinary approach and physiotherapeutic procedures in patients with CDLD.