PERIODONTITNI DAVOLASHDA ZAMONAVIY KONSERVATIV USULLARNING KLINIK SAMARADORLIGINI BAHOLASH
Ключевые слова:
periodontit, konservativ davolash, scaling va root planing, subgingival instrumentatsiya, probing pocket depthАннотация
Maqolada periodontitni davolashda zamonaviy konservativ usullarning klinik samaradorligi dalillarga asoslangan stomatologiya nuqtayi nazaridan baholandi. Tadqiqot birlamchi klinik tajriba emas, balki 2020–2026-yillarda e’lon qilingan S3 darajadagi klinik qo‘llanma, sistematik sharhlar, meta-tahlillar va mahalliy adabiyotlar asosidagi ikkilamchi dalillar sintezidir. Konservativ davolashning asosiy usuli professional supragingival biofilm nazorati va subgingival instrumentatsiya (scaling/root planing) ekanligi aniqlandi. EFP S3 qo‘llanmasida subgingival instrumentatsiyadan keyin 6–8 oyda probing pocket depth (PPD) o‘rtacha 1,7 mm, boshlang‘ich PPD >6 mm bo‘lgan chuqur cho‘ntaklarda 2,6 mm kamayishi, periodontal cho‘ntaklarning 74% yopilishi va bleeding on probing (BOP) 63% kamayishi qayd etilgan. 2024-yilgi tarmoq meta-tahlilida Lactobacillus reuteri asosidagi probiotiklar ayrim rejimlarda PPD va clinical attachment level (CAL) ko‘rsatkichlarini qo‘shimcha yaxshilashi mumkinligi ko‘rsatilgan. 2025-yilgi meta-tahlil fotodinamik terapiyani scaling/root planingga qo‘shish PPD va CAL bo‘yicha statistik ustunlik berishi mumkinligini ko‘rsatgan, biroq heterojenlik yuqori. Tizimli antibiotiklarning rutinda qo‘llanishi antibiotik rezistentligi va nojo‘ya ta’sirlar sabab tavsiya etilmaydi; ular faqat tanlangan yuqori xavfli holatlarda ko‘rib chiqilishi mumkin. Natijalar zamonaviy konservativ davolashning eng samarali modeli bosqichma-bosqich, individual riskga moslashtirilgan va qayta baholashga asoslangan yondashuv ekanini ko‘rsatadi.
##plugins.themes.default.displayStats.downloads##
Библиографические ссылки
1. Sanz, M., Herrera, D., Kebschull, M., Chapple, I., Jepsen, S., Berglundh, T., Sculean, A., & Tonetti, M. S. (2020). Treatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline. Journal of Clinical Periodontology, 47(S22), 4–60. https://doi.org/10.1111/jcpe.13290
2. Suvan, J., Leira, Y., Moreno Sancho, F. M., Graziani, F., Derks, J., & Tomasi, C. (2020). Subgingival instrumentation for treatment of periodontitis: A systematic review. Journal of Clinical Periodontology, 47(S22), 155–175.
3. Herrera, D., Matesanz, P., Martín, C., Oud, V., Feres, M., & Teughels, W. (2020). Adjunctive effect of locally delivered antimicrobials in periodontitis therapy: A systematic review. Journal of Clinical Periodontology, 47(S22), 239–256.
4. Teughels, W., Feres, M., Oud, V., Martín, C., Matesanz, P., & Herrera, D. (2020). Adjunctive effect of systemic antimicrobials in periodontitis therapy: A systematic review and meta-analysis. Journal of Clinical Periodontology, 47(S22), 257–281.
5. Mendonça, C. D., da Mata, A. D. S. P., Azevedo, L. F. R., Marques, J. F., Silveira, J. M. L., & Marques, D. N. S. (2024). Probiotics in the non-surgical treatment of periodontitis: A systematic review and network meta-analysis. BMC Oral Health, 24, 1224. https://doi.org/10.1186/s12903-024-05027-6
6. Wang, P., Sun, F., & Ling, X. (2025). Effectiveness of photodynamic therapy as an adjunctive treatment for periodontitis: A systematic review and meta-analysis. Journal of Stomatology, Oral and Maxillofacial Surgery, 126(2), 102036. https://doi.org/10.1016/j.jormas.2024.102036
7. Clinical Evaluation of Adjunctive Nd:YAG or Diode Laser Application for Non-Surgical Periodontal Therapy: A Systematic Review with Meta-Analysis. (2026). Oral, 6(3), 61.
8. World Health Organization. (2025). Oral health: Fact sheet. World Health Organization.
9. Global Burden of Disease 2023 Oral Health Collaborators. (2026). Global and regional progress towards reduced burden of oral conditions between 2019 and 2023: A systematic analysis for the Global Burden of Disease Study 2023. The Lancet / GBD collaboration.
10. Barotova, Sh. O. (2025). Parodont kasalliklarini davolashda zamonaviy yondashuvlar: ilmiy asoslar va amaliy tajribalar. Modern Science and Research, 2(5), 500–503. https://doi.org/10.71337/inlibrary.uz.science-research.87453
11. Inoyatova, S. A., & Xatamov, U. A. (2025). Periodontit. Modern Science and Research, 71–74. https://doi.org/10.71337/inlibrary.uz.science-research.136309
12. Anvarjonova, M., & Chalaboyeva, Z. M. q. (2025). Yallig‘lanishli parodontal kasalliklarni davolashda kompleks terapiyaning samaradorligi: Glikodent va antibiotik vositalar misolida. Ilmiy axborot byulleteni, 128–129. https://doi.org/10.71337/inlibrary.uz.ifx.130546
13. Tonetti, M. S., Greenwell, H., & Kornman, K. S. (2018). Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of Periodontology, 89(S1), S159–S172.
14. Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., Flemmig, T. F., Garcia, R., Giannobile, W. V., Graziani, F., Greenwell, H., Herrera, D., Kao, R. T., Kebschull, M., Kinane, D. F., Kirkwood, K. L., Kocher, T., Kornman, K. S., Kumar, P. S., ... Tonetti, M. S. (2018). Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop. Journal of Periodontology, 89(S1), S173–S182.
