Publications by authors named "M V Iverieli"

12 Publications

FREQUENCY OF PRESENCE OF PERIODONTOPATHOGENIC BACTERIA IN THE PERIODONTAL POCKETS.

Georgian Med News 2021 Jun(315):56-60

Dental Clinic and Training-Research Center UniDent; Tbilisi State Medical University, Department of Periodontal and Oral Mucosal Diseases, Georgia.

The study is aimd at detection the pathogenic markers: Aggregatibacter actinomycetemcomit, Porphyromonas Gingivalis, Prevotella Intermedia, Tannerella Forsythia and Treponema Denticola, identify their types, qualitative content and encounter frequency in periodontal pockets of the patients with generalized periodontitis, stage II (A or B level), before and after treatment with mechanical forms of therapy - Ultrasound, Vector or Laser Therapy . The material has been studied by using Micro-Ident biological method based on DNA-Strip technology. The surveyed 25 patients (women - 75% and men - 25%), 20 to 60 years of age, were divided into the three groups: group I treatment with Ultrasound scaler (n=9), group II treatment with Ultrasound Scaler and Diode laser (n=8), group III treatment with Ultrasound Scaler and Vector Sistem (n=8). All five strain before treatment were detected in 3 (12.5%) cases, none of the strain were detected in 1 patient (4%); among the rest 21 patients (87.5%) the following associations of different microorganisms were detected: P.G., P.I, T.F., T.D. - in 20.8% of patients, P.G., T.F., T.D. - 12.5%; A.A., P.G., P.I., T.F. - 4.16%; P.G., P.I., T.F.-33.28%; P.I., T.F., T.D. - 4.16%; A.A., P.G., T.F., T.D. - 12.5%; P.I., T.F. - 4.16%; P.G., P.I., T.D. - 4.16%. After evaluating the effectiveness of the treatment, based on Ultrasound system, Vector system, Diode laser and the complex picture of clinical and laboratory examinations in patients with generalized periodontitis, stage II, A or B level, a significant improvement in clinical conditions was observed. The microbiological study of Aggregatibacter Actinomycetemcomit (AA), Porphyromonas Gingivalis (PG), Prevotella Intermidia (PI), Tannerella Forsythia (BF), Treponema Denticola (TD) showed a complete elimination of qualitative and quantitative data after Vector therapy, but no reliable elimination of bacteria was observed after ultrasound and laser therapies. After treatment all five strain were detected in 1 (4%) case, 4 strain A.A., P.G., T.F., T.D. in 1 (4%) case, P.G.,P.I.,T.F.,T.D. - 2 (8%) case, 3 strain P.G., P.I., T.F in 3 (12.5%) case, 2 strain P.G., T.F - 1 strain (4%) and 1 T.F in 2 (8%).
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June 2021

[Parodontitis pathogenetic factors, their interaction and effects].

Georgian Med News 2014 Mar(228):88-91

Tbilisi State Medical University, Georgia.

Induced by microbial intervention oxidative stress causes electronic transport disorder in gingival cells mitochondrias as well as decrease of energogenesis and increase of lipoperoxidation. In oral cavity local immunity is decreased in parodontitis, that is related with immunoglobulin A deficiency and lysozyme activity decrease. Against this background, microbial factors damaging effect on periodont is intensified. In parodontitis the free nitric oxide (NO) content decrease in gingival tissues and its appearance in saliva is related with transformation of NO into toxic peroxinitrite, that on its turn enhances oxidation, parodontal injury, cell degra dation and necrosis. Nitrooxide defficiency in gingival mucosal cells is characterized by decreased protein P-53 expression and terminal differentiation disorder of the cells. Mitochodria related energogenesis disorder in gums causes inhibition of their cell regeneration, which together with apoptotic changes is characterized with parodontal tissue destruction and depletion.
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March 2014

The psychological aspects of burning mouth syndrome.

Georgian Med News 2011 May(194):24-8

Tbilisi State Medical University, Department of Therapeutic Stomatology, Georgia.

It should be emphasized that at the present stage there is no consensus achieved regarding the etiopathogenesis of BMS. Almost all researchers point to lots of factors, simultaneously participating in genesis and development of BMS and at the same time most of them agreed on one - psychological factors play a crucial role in formation and maintenance of painful sensations. The aim of the study was the identification of psychological or psychiatric deviations (changes) among the patients with BMS to perform an adequate differentiated therapy. Clinico-psychological examination (dentist, neurologist, psychiatrist) was carried out in 39 patients from 46 to 70 years of age. Among them women - 36 and men - 3. To identify clinical types of BMS a classification of P.J. Lamey (1996) was used and as a result, depression, insomnia, cancerophobia, severe neurologic disorders, phobic syndrome were revealed. Three main categories - a chronic somatoform dysfunction (23 cases), chronic vegetative disorders (8), and chronic pain phenomenon (12) were identified. Only in one case was revealed a paranoid syndrome. Alongside with the well-known scheme of treatment (antidepressants, anticonvulsants, or neuroleptics) Psychotherapy was conducted, while EEG-feed back (Biofeed back, Neurofeed back) method was used for the first time. A number of important decisions were made the most important of which are the following: BMS - must be regarded as a psychosomatic problem rather than a psychiatric disorder. In addition to psychotherapy, using of EEG - feedback method greatly improved patients' condition and in 4 cases BMS clinical manifestations were evened-out completely.
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May 2011

[Oral cavity features in patients suffering from osteogenesis imperfecta].

Georgian Med News 2011 Apr(193):34-41

Osteogenesis Imperfecta (OI) is a rare hereditary connective tissue disorder. This pathology is characterized by disruption of biosynthesis of Type I collagen, and production of limited amount of defective and imperfect collagens. This causes decrease in bone mass of human body, bones become fragile and brittle, resulting in unreasonable multiple fractures. Reportedly, number of patients with OI ranges between 32-38 in Georgia. However, exact number of patients, including children and their parents, is unknown. Dentinogenesis Imperfecta (DI; DGI) and skeletal malocclusion occupy special place in varied spectrum of OI clinical symptoms. We studied 14 patients: 9 women (64.3%), 5 men (35.7%) and divided them in three age groups: I - 2.5-6 years - period of primary dentition (28.6%), II - 6-14 years - period of changing teeth dentition (35.7%) and III - above 14 years - period of permanent dentition (35.7%). 28.5% of screened patients had one of the symptoms of DI, such as tooth discoloration. Discoloration of primary teeth was revealed in 4 patients (primary dentition). Another symptom of DI, such as early abrasion, was detected in 5 patients i.e. 35.71%. This was divided in the following manner: I age group - 3 cases, II and III age groups - 1-1 cases. It was also observed that early abrasion of primary teeth prevails over permanent. One of DI's radiographic symptoms, such as peculiar form of teeth crown and root, was revealed in 21.4% or in 3 patients, 2 of whom had bulbous crown, and the third one deformed (curved) root. Peculiar characteristics of DI, such as increased constriction of the coronal-radicular junction, obliterated pulp chamber, short and narrow roots, were not observed in the patients examined. Interesting characteristic of DI, such as periapical destruction of intact tooth root, was revealed in the form of bone defect in 7.1% of those examined (1 patient). Therefore, out of examined 14 patients with OI - DI had 6 patients or 42.85% of cases. Also, interesting observation was revealed - DI is more common in primary teeth (66.66%) than in permanent (33.33%). Radiographic examination - orthopantomography - revealed secondary osteoporosis of jaw bones in 100% of cases. Mucous tissue of examined patients is within normal range. Among examined patients, 1 case of adenty, 1 case of retention and 1 case of overcomplex tooth were revealed. According to current literature, it is unknown whether there is a lgical relationship between adenty, retention, overcomplex teeth and OI. This will be defined by future research.
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April 2011

[Comparative estimation of laser devices in complex treatment of oral cavity mucous membrane diseases].

Georgian Med News 2009 May(170):27-9

The aim of the study was to compare laser devices "Optodan" and portative laser "Baure" in complex treatment of oral cavity mucous membrane diseases. We studied 90 patients: 54 female (60,0+/-0,77%) and 36 (30,0+/-0,7%) men from 18 to 45 years old. All patients had different forms of oral mucosal diseases: Stomatitis aphtosa chronica recidiva had 36 patients (28,9+/-0,9%); Erythema exudativum multiforme - 10 patients (6,7+/-1,5%), Candidosis angulitis - 26 patients (17,8+/-1,46%), Lichen ruber planus ulceroza - 4 patients (4,44+/-1,03%), Trauma mechanicum acutium - 12 patients (11,06+/-2,8%), Stomatitis herpetica - 28 patients (31,1+/-1,48%). All the patients were practically healthy and had no contraindications for physiotherapy. Before treatment to all patients had been recommended means of individual hygiene and several recommendations. The patients were divided into two groups. Every group consisted of 45 patients. 13 patients with Stomatitis aphtosa chronica recidiva, 14 - Stomatitis herpetica, 3 - Erythema exudativum multiforme, 8 - Candidosis angulitis, 2 - Lichen ruber planus ulceroza, 5 - Trauma mechanicum acutium. All the patients underwent symptomatic treatment according to the form and gravity of disease. Patients in a first group in addition had laserotherapy with a laser device "Optodan". Patients in a second group underwent laserotherapy with a portative device (Baurer). The positive results were achieved in both groups, though the first group patients mentioned considerable reduce of pain right after procedures. Our research proved the high effectiveness of laserotherapy in complex treatment of oral cavity mucous membrane diseases. Treatment with device "Optodan" is the most preferable.
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May 2009
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