QUALITATIVE AND QUANTITATIVE CHANGES IN THE CELLULAR COMPOSITION OF GUMS IN PATIETS WITH PERIODONTAL DISEASES

Abstract

Background. The results of a comprehensive study of cytological features of epithelial differentiation processes in gums in patients with generalized periodontitis are presented in the article. Objective. The objects of clinical observations were patients with generalized periodontitis. The disease duration was 3-5 years. Methods. Material for the study was gums epithelium taken from a marginal area of gums in young adults, with generalized periodontitis. The epithelium was removed with a spatula, with subsequent transfer to a glass plate and drying in the open air for 3-5 minutes. The colouring of the material was done according to Romanovskyy-Himza, with a next microscopic and morphological analysis, taking into account the percentage of different forms of epithelial cells in normal and due to an age aspect. Results. One of cytological signs of periodontal pathology in young people is epithelial cells with signs of irritation. It should be noted that these cellular elements belong to the intermediate layer of cells that meet histological sections and ribbed surface layers are characterized by homogenization and vacuolization of cytoplasm as a manifestation of prolonged irritation by bacterial cell aggression. Conclusions. Analysis of cytograms proved general periodontitis in the examined patients, in absence of adequate therapy as automotive continuous process. Its components may regress under the influence of effective treatment and re-activate during exacerbation of the inflammatory process under the influence of pathogenic factors such as microbial, hygienic and immune.