RENDERING OF STOMATOLOGICAL ASSISTANCE TO PATIENTS WITH JUVENILE RHEUMATOID ARTHRITIS AT THE STAGE OF SANATORIUM-RESORT REHABILITATION
The aim of the study.The development of a therapeutic and prophylactic complex of dental focus for patients suffering from juvenile rheumatoid arthritis (JRA) with usage of natural factors of the Crimea. Material and methods. Dental examination of 32 patients with JRA was carried out. Dened: the index of hygiene, the intensity of gum inammation, the rate of salivation, the viscosity of saliva. In the oral uid, the levels of cortisol, ACTH, cytokines (IL-1β, IL-10) were measured. Parameters were determined before and after treatment. The proposed complex included galvanopeloidotherapy of the parotid and submandibular areasevery day No. 10, rinsing the mouth with a solution of the brine of the Saki's salt lake in a dilution 1:5 every day 2-3 times a day during 10 days.Results. It was found that in the group of patients who took the treatment and prophylaxis course, which included galvanopeloidotherapy and rinsing of the oral cavity with the brine of Saki's Lake, changes in almost all parameters were more dynamic and signicant in the direction of improvement in comparison with the group of patients who had received the standard course of dental care. The hygiene index improved on 74,74%, the intensity of gum inammation decreased on 69,84%. The rate of salivation increased on 42,11%, the viscosity of saliva decreased on 30,79%. Normalization of peripheral hormones and cytokines in the oral uid was noted.Conclusion. The conducted studies showed that the brine of the Saki's Salt Lake possesses biological activity in reducing the growth rate and formation of the soft tooth deposit volume, as well as with pronounced anti-inammatory action at the local level, which is manifested in the arrest of the inammatory process in the gum.Galvanic mud treatment in the area of the projection of large salivary glands favorably affects on the functional activity of the glandular tissue, contributes to increase in the rate of salivation and a decrease in the viscosity of the secret.Local application of peloid in the maxillofacial area positively affects on the restoration of the homeostatic equilibrium of the pituitary-adrenocorticotropic axis according to the levels of peripheral hormones and the adaptive reactivity of the local immune system.The received results testify about expediency of application of the offered treatment and prophylactic complex of a stomatological orienta-tion in patients with JRA.