CHROMOGENIC PIGMENTARY TOOTH DYSTROPHY OF FAMILIAL TYPE (SHORT COMMUNICATION)

Abstract

Introduction. Chromogenic dental deposits caused by pigment-secreting bacteria are a common condition in dental practice and often demonstrate a familial pattern of distribution. The formation of such plaque is associated with the characteristics of the oral microbiocenosis and the ability of certain microorganisms to produce chromogenic compounds Objective of the research. To develop a protocol for the comprehensive treatment of chromogenic plaque, taking into account familial dissemination. Materials and methods. Six families (18 individuals) living together and presenting with chromogenic plaque were examined. A comprehensive approach was applied, including professional oral hygiene, antiseptic treatment, probiotic therapy, and recommendations for individual hygiene and decontamination of oral care items. Results and discussion. Following treatment, complete elimination of chromogenic plaque was achieved in 88,88% (n=16) of patients, while reduction in plaque intensity was observed in 100% (n=18) of cases. The mean plaque intensity score decreased from 2.4 ± 0.1 to 0.7 ± 0.2 (p < 0.05). At the 4‑month follow-up, recurrences were noted in 11,11% (n=2) of cases, predominantly in patients who did not adhere to preventive recommendations. Conclusions. Clinical examination and photographic documentation analysis after treatment demonstrated complete or significant reduction of pigmentary dystrophy manifestations. Simultaneous treatment of all family members contributed to lowering the risk of recontamination.