Restoration of microflora in the mouth. Possible consequences and prevention

The human oral cavity normally contains a large number of microorganisms of various pathogenicity. A failure in their ratio, caused by various factors, leads to dysbacteriosis. As a result, opportunistic bacteria begin to multiply uncontrollably, having a negative impact on the teeth, gums and other tissues. In order to begin adequate treatment, it is necessary to understand the causes of the onset of the disease.

Dysbacteriosis of the oral cavity is a common pathology, the untimely treatment of which can lead to loss of teeth and other unpleasant consequences. In a professional environment, it is customary to divide the disease into the following stages:

Symptoms of dysbacteriosis

At the initial stage of development, the disease manifests itself as seizures in the corners of the mouth and an unpleasant odor. In the later ones - the appearance of plaque and damage to the enamel of the teeth. In addition, there is the appearance of:

dry mouth;
characteristic plaque on the tongue;
unpleasant taste and smell;
point inflammation on soft tissues;
and loosening of teeth;
seals and vesicles on the mucosa;
regular inflammation of the tonsils.

White plaque is one of the symptoms of oral dysbacteriosis.
Important! In the absence of therapy, pathogens capture more and more areas, affecting the functioning of the tonsils, tongue receptors, and vocal cords.

Reasons for development

The appearance of dysbacteriosis of the oral cavity entails changes in the composition of the general microflora. At the same time, the number of pathogenic species increases, while beneficial ones decrease.

This phenomenon, as a rule, appears as a result of the interaction of several negative factors. The microflora of the oral cavity can change due to the presence of inflammation of the teeth and gums, malfunctions, contact with the mucous membrane of harmful substances and dust from the air.

The ratio of bacterial balance is influenced by the thoroughness of daily hygiene care, as well as the presence of congenital anomalies in the structures of the oral cavity (cleft palate and others), chronic tonsillitis, sinusitis, tonsillitis and other diseases.

Smokers are most susceptible to the development of dysbacteriosis.
Additional Information! Heavy smokers and people who abuse alcohol are at risk of dysbacteriosis, since regular exposure to toxins leads to structural changes in the salivary fluid.

Other reasons for the development of a bacterial imbalance include:

Prevention of dysbacteriosis

In order to prevent the development of oral dysbacteriosis, it is necessary to take preventive measures. Hygienic care of teeth and gums should be carried out in full twice a day. After cleaning, the mouth should be rinsed with special prophylactic agents, and the teeth should be treated with dental floss immediately after eating.

Timely visits to the dentist are also required, where pathological changes can be detected in the early stages. Early diagnosis guarantees successful treatment without the use of expensive means.

After completing the course of taking antibiotics and other drugs potentially dangerous in terms of the development of dysbacteriosis, it is necessary to monitor changes in the state of health. Usually, along with such drugs, agents containing beneficial bacteria are prescribed, the use of which prevents their reduction.

In order to prevent dysbacteriosis, probiotics should be taken in parallel with antibiotics.

Additional Information! In chronic diseases of the stomach and intestines, it is recommended to follow a special diet. Its observance will help to balance the bacterial composition of the entire tract, including the oral cavity.

Treatment of dysbacteriosis

A feature of the pathology is the difficulty in diagnosing due to large discrepancies in the norms and individual differences in the overall bacterial composition. After contacting the dentist, smears from the mucous membrane are prescribed to analyze the ratio of microorganisms. The procedure is carried out 12 hours after the last meal.

After the diagnosis is made, the treatment of dysbacteriosis is carried out, which is selected in accordance with the accompanying pathologies and general symptoms. Traditional therapy includes:

rinsing with disinfectant solutions (Tantum Verde);
the use of therapeutic toothpastes;
the use of eubiotic agents, the action of which is aimed at filling the deficiency in the normal microflora (Bibifor, Acipol, Lactobacterin, Bifidumbacterin);
additional use of lozenges, lozenges and tablets to eliminate pathogenic microorganisms while restoring beneficial microflora;
the inclusion of vitamin supplements in the diet to activate the protective properties of the body and improve regeneration;
taking immunomodulatory drugs to block the development of pathogenic bacteria and increase immunity (Imudon);
antibiotics are prescribed in rare cases for certain indications.

Treatment involves taking immunostimulating drugs.
If it is necessary to eliminate sources of chronic inflammation, surgical intervention is performed. As part of complex therapy, abscesses in the tissues are opened, cysts and other neoplasms are cut out. Sometimes you have to resort to removing the tonsils.

is the greatest invention of mankind. They have saved and continue to save thousands of lives every day and every hour. But these drugs destroy both pathogenic microorganisms and beneficial inhabitants of our body. It is important to understand that doctors usually prescribe broad-spectrum antibiotics that work on most pathogens.

Narrow drugs are used only in exceptional cases, and they also destroy the beneficial flora. As a result, we treat the underlying disease, but cripple other organs and systems. Quite often there is such a thing as.

Antibiotics kill not only pathogenic flora

- this is a violation of the ratio of the quantity and composition of microflora in the body. Our body is not sterile, and many processes take place with the participation of various microorganisms. Not all of them are beneficial, some can cause various diseases. But as long as the number of both is in a certain balance, the body feels good.

Antibiotics kill everyone. There is no protection and the surviving pathogens - fungi, bacteria, other microorganisms - begin to colonize the mucous membranes of the intestines, stomach, oral cavity, genitals, nails and eyes. Dysbacteriosis is not considered an independent disease. This is a consequence of the transferred disease and treatment. The most common types of bacterial imbalance are:

Dysbacteriosis of the oral cavity
- gardnerellosis, candidiasis, E. coli lesion
Each has its own methods of diagnosis, treatment and preventive measures.

Diagnostics, treatment

There are no specific individual symptoms of intestinal microflora imbalance. This is a whole complex of signs, but in each patient these processes can proceed in different ways. Symptoms of intestinal dysbiosis:

and nausea
Vomiting and diarrhea
Unpleasant taste in the mouth
Halitosis
on seemingly safe foods
Possibly low temperatures

The symptoms of this pathology are similar to the signs of various diseases of the gastrointestinal tract, viral diseases. Therefore, often the symptoms of imbalance are either not paid attention to, or completely different, often non-existent diseases are treated. Diagnosis of dysbacteriosis is the process of identifying disorders in the microflora of the stomach and intestines. There are 2 methods for determining the degree of imbalance:

Bakposev on flora - most often you will have to donate feces. In the laboratory, from 14 to 25 types of microorganisms that inhabit the human intestine are determined. The duration of analysis processing ranges from 5 to 7 days, depending on the equipment of the laboratory. It depends on how much the bacteria grow in the nutrient medium. When pathogenic organisms are detected on an alarming scale, tests for sensitivity to antibacterial agents are carried out in the laboratory.
The study of substances that are released during the activity of microorganisms. The advantage of this method is speed - the results are ready in a few hours.

Treatment of dysbacteriosis after antibiotic therapy is as follows:

Diet
Lifestyle change
Specific therapy to neutralize the pathogen
Increasing local immunity
Treatment is selected by the attending physician according to the analysis data.

Dysbacteriosis and gynecology. Symptoms, treatment

Dysbacteriosis after antibiotic therapy in women is observed very often.

They were treated with antibiotics, discharge, itching and burning in the perineum began. We went to the gynecologist. Hello, thrush or gardnella! It would seem, what do these byaki have to do with dysbacteriosis? The most direct!

Normally, 95% of useful lactobacilli and 5% of fungi, representatives of conditionally pathogenic flora, live in the vagina. As long as the balance of microorganisms is not disturbed, the woman is healthy and feels great.

While taking antibiotics, the number of lactobacilli is reduced, and pathogens begin to actively colonize the vagina. As a result, we get candidiasis or gardnerellosis! Signs of vaginal dysbacteriosis:

Itching, discomfort in the genital area
Allocations
Hyperemia of the external genitalia and vaginal walls
Urination disorder
Dryness of mucous membranes
Unpleasant smell - sharply sour milk with candidiasis, unpleasant fishy - with other diseases
Inability to have a normal sex life

In a gynecological smear, leukocytosis and lactobacilli may be absent, but fungi, cocci and other multiplied representatives of conditionally pathogenic flora may be present. Treatment depends on the causative agent of the disease:

Antifungal
Antibacterial
The course of preparations for the restoration of microflora
Diet
Preparations to improve immunity

Treatment of vaginal dysbacteriosis is a long process. Sometimes this condition can last for years with exacerbations and remissions.

Dysbacteriosis in the oral cavity

Probiotics - for the treatment of dysbacteriosis

This pathology develops as a result of aggressive treatment of the oral cavity with antibiotics and local antiseptics, violation of the principles of proper nutrition. Often the disease can proceed without visible symptoms. Quite often, signs of dysbacteriosis are confused with other ailments, beriberi, or simply do not form attention. Signs of oral dysbiosis:

Halitosis or just bad breath
Cracks or cracks in the corners of the lips
Tooth loosening and periodontal disease
A dense plaque forms on the teeth, which begins to destroy the enamel
Damage to the tonsils, ligaments, throat

The oral cavity is similar to the treatment of other organs. Preparations are used to suppress pathogenic microflora, agents, the content of lactobacilli and bifidobacteria, immunomodulators, and a complex of vitamins.

Diet for dysbacteriosis

Treatment of pathology should begin with the correction of the diet. Sometimes this is enough to defeat both dysbacteriosis and other concomitant diseases, and to work on the figure. Products that are banned:

Spicy and fatty foods. It irritates the intestinal mucosa, and this leads to the death of beneficial microorganisms. Pathogenic flora at this time feels good. Digestion processes begin to slow down, constipation occurs and dysbacteriosis increases.
Baked goods, sauerkraut, fermenting foods.
only in boiled or baked form. Roasts and steaks are prohibited.
Sweets, strong coffee, alcohol in any form, condensed milk.
Canned or pickled foods.
Spicy seasonings - horseradish, mustard, pepper - are not for you.

Food must be natural. If possible, avoid products with preservatives, artificial colors, various flavors.

Dysbacteriosis is fraught with serious complications

After eating, take a walk for 30 minutes and only then drink tea or compote. The liquid reduces the concentration of gastric juice, and this has a bad effect on the processes of digestion of food. What to treat yourself with dysbacteriosis:

Products containing bifidus and lactobacilli. Kefir, sour cream, fermented baked milk, natural yogurt should be present in the diet daily. If possible, it is better to buy ready-made starter cultures and make homemade live kefirs and yogurts.
Vegetable fiber stimulates digestion. Vegetables, cereals, fruits - daily. Any greens - basil, cilantro, parsley - should always be on the table. Potatoes baked or mashed without oil.
Kashi - buckwheat, oatmeal. Semolina, rice should be limited, as they can lead to defecation disorders.
Soups on low-fat - chicken or turkey, veal or lean pork.
Applesauce is recommended in the treatment of dysbacteriosis. Prepared from baked or stewed apples. This dish is a kind of vegetable probiotic.

A diet for dysbacteriosis is not a diet in the direct sense. It's more of a healthy diet. It's easy to stick with it.

Possible Complications

Imbalance of microflora can have unpleasant consequences. The most dangerous of them:

Diseases caused by conditionally pathogenic microflora - colpitis, vaginitis, vaginosis, colitis and so on.
Avitaminosis - with intestinal dysbacteriosis, the absorption of vitamins and minerals is disturbed. This affects all systems of the body.
Iron deficiency state, development of anemia.
and immunodeficiency.

Often, doctors and patients focus their attention on treating the consequences, and the cause - dysbacteriosis - remains and provokes new pathologies.

Oral dysbacteriosis is a pathological condition accompanied by uncontrolled reproduction of opportunistic flora as a result of an imbalance in the bacteria of the oral mucosa. The disease leads to damage to tooth enamel and gums.

There are two types of microflora in the oral cavity: obligate and facultative. Permanent residents include lactobacilli, bacteroids, staphylococci and streptococci. Fickle flora is E. coli, Klebsiella. They penetrate the mucous membrane of the mouth from the intestines, nasal passages, skin.

Intensive reproduction of opportunistic bacteria leads to the suppression of the activity of beneficial microorganisms for the following reasons:

A person suffers from inflammatory processes in the area of teeth, gums, salivary glands.
Cleft palate, cleft lip are birth defects through which the infection easily spreads throughout the body.
Failure to comply with the rules of personal hygiene (thorough brushing of teeth) leads to the activation of opportunistic microflora.
Chronic diseases: tonsillitis, sinusitis, stomatitis increase the risk of dysbacteriosis by 2-3 times.
A weakened body is an easy target for pathogens of various diseases.
Smoking spoils teeth, disrupts the quantitative ratio of microflora inside the mouth and intestines.
Taking antimicrobial drugs, the constant use of antiseptics negatively affects the condition of the oral membranes. Popular mouthwashes can be the main culprits for dysbacteriosis. They include alcohol compounds, antiseptic substances. These funds dry out the delicate mucous membrane. Favorable conditions are created for the vital activity of conditionally pathogenic flora. Problems with the stomach, intestines lead to metabolic disorders. The intestinal microflora suffers. Over time, harmful bacteria colonize other places where secondary foci of dysbacteriosis are formed.

Symptoms of a violation of the microflora in the oral cavity

Dysbacteriosis of the tongue and oral cavity is clinically manifested in the subcompensated stage, the initial symptoms indicate reduced immunity. The patient suffers from jamming in the corners of the mouth, an unpleasant odor. The process progresses, dryness, burning, a feeling of bitterness and a metallic taste appear. Patients visit the dentist with complaints of excessive bleeding of the gums, the presence of tartar, and tooth loss. Symptoms are supplemented by plaque on the tongue, periodic stomatitis, gingivitis. Bubbles appear on the mucous membrane of the mouth, which burst with the formation of ulcers.

The inflammatory process can be manifested by systemic reactions (subfebrile body temperature, lethargy, weakness). Without appropriate medical therapy, inflammation spreads to the nose, throat, and larynx.

At the same time, intestinal dysbacteriosis develops. Manifested by bloating, alternating diarrhea with constipation, mild pain.

Why bad breath with dysbacteriosis

Clinical studies in the field of microbiology have shown that oral dysbacteriosis and bad breath always accompany each other. The culprits are opportunistic pathogens. Here are anaerobic bacteria. They love protein foods (meat, dairy products).

Bacteria feed on food debris between the teeth, dead epithelial cells. Microorganisms live mainly on the tongue. Their presence is easy to check by looking into the mouth in the morning. A white coating is found on the tongue. To remove unpleasant odors, reduce the number of bacteria, you should thoroughly brush your teeth twice a day. The toothbrush on the back is equipped with a corrugated surface for cleaning the tongue. This helps to get rid of white plaque and unpleasant odors.

Features of localization and stages of development

Dysbacteriosis in the mouth goes through several stages:

The dysbiotic shift begins after a decrease in local immunity, chronic diseases of the gums and teeth. It develops against the background of intensive reproduction of conditionally pathogenic microorganisms. The quantitative composition of the microflora is practically not disturbed. Visible changes in the mucous membrane is not detected. The stage has a different name - latent or sluggish. It is impossible to suspect a pathological process. Neither the patient nor the doctor is aware of the disease.
The subcompensated stage is manifested in the laboratory. In the results of analyzes, 2-3 types of opportunistic bacteria will exceed the amount of beneficial microflora.
Monoculture - characterized by the complete displacement of beneficial bacteria. Conditionally pathogenic microorganisms remain in the oral cavity. Lactobacilli are found only singly.
Decompensated - manifests itself clinically and laboratory. Yeast-like fungi appear on the mucous membrane of the oral cavity. The patient suffers from stomatitis, glossitis, gingivitis.

Foci of dysbacteriosis can be located on the tongue, cheeks, gums, soft and hard palate, nasopharynx. The pathological condition is combined with intestinal dysbiosis.

Methods of treatment of dysbacteriosis in the oral cavity

The first signs of dysbacteriosis require detailed diagnosis and proper treatment. To confirm the diagnosis, the patient passes general clinical tests and scraping from the oral mucosa. The doctor may prescribe additional studies to establish the true cause of the pathological condition (problems with the stomach, intestines).

After confirming the diagnosis, the patient is prescribed the following treatment regimen:

To begin with, the patient must give up bad habits, lead a healthy lifestyle. It is recommended to follow a diet with a restriction in the diet of meat, fatty foods. Sources of nutrients for "good" bacteria are vegetables, fruits, cereals.
Antiseptic drugs are prescribed (Tantum-verde, Chlorhexidine, Givalex) in order to reduce the number of conditionally pathogenic microorganisms. Sprays are applied in 2 injections 3 r / day.
Linex, Enterogermina, Biogaia, Acipol, Bifidumbacterin restore the normal microflora and acid-base balance of the intestine. The drugs are prescribed 1 capsule 3 times a day.
Immunomodulatory drugs are used to increase the local and protective forces of the body. Immunoflazid, Imudon, Novirin inhibit the growth and reproduction of harmful microorganisms. Medicines are prescribed 1 tablet 3-4 r / day.
Dysbacteriosis of the tongue or oral cavity may be accompanied by a severe course. In this case, antimicrobial treatment is prescribed. Antibiotics completely destroy all microorganisms, act quickly and effectively. Antimicrobial drugs should be prescribed by the attending physician according to indications. The doctor will determine the correct dosage and frequency of taking the drug. Unreasonable, incorrect antibacterial treatment leads to a deterioration in the patient's condition.
Vitamin complexes improve the functioning of the immune system, help to cope with pathogens, increase reparative processes.
Lollipops, lozenges (Lizak, Isla, Strepsils) reduce unpleasant symptoms (pain, burning, dryness). Assigned to 1 tablet 3-4 times a day.
If there are problems with the teeth, special medical pastes are used. If necessary, the patient is referred for a consultation with a dentist.
Manifestations of candidiasis are treated with antifungal agents.
In the fight against the disease, folk methods of treatment (tincture of cinquefoil, strawberries) help.

The duration of the pathological condition is 3-4 weeks. Intensive treatment helps to cope with the problem in a couple of weeks.

Possible consequences and prevention

The danger of oral dysbacteriosis is manifested in the development of serious complications from the teeth, gums, and mucous membranes. Common consequences of the pathological condition include:

Destruction of tooth enamel with the development of caries, pulpitis, periodontitis. A person gradually loses teeth.
The defeat of the mucous membranes is manifested by recurrent stomatitis, gingivitis, candidiasis.
The development of periodontal disease affects the condition of the gums. They start to bleed.

Simple preventive measures will help protect yourself from the serious consequences of oral dysbacteriosis:

When treating with antibiotics, take antifungal, antiprotozoal, probiotics at the same time.
Brush your teeth and tongue daily.
Rinse your mouth with water after every meal.
Boost your immunity.
Treat chronic diseases of the stomach, intestines, throat, nose.
Get rid of bad habits.
Avoid infection with infectious diseases (ARVI, tonsillitis).
Use special medical pastes.
Eat quality foods.

Human mucous membranes contain microflora on the surface. This is due to a number of favorable factors: temperature suitable for reproduction, humidity, moderate oxygen supply. If we consider the oral cavity, most of the population of the mouth are commensals. Such microorganisms do not cause harm, but there is no benefit either. Dysbacteriosis of the oral cavity is observed when the invasion manages to disturb the internal balance.

The populated environment does not allow the penetration of pathogenic bacteria that cause a number of diseases. Commensals, receiving food from the human body, indirectly perform a useful role: they prevent the penetration of invaders into the occupied territory. Violation of immunity, taking antibiotics or alcohol significantly changes the balance. There are many reasons for dysbacteriosis in the mouth.

The mucosa is predominantly populated by bacteria. Much less fungi, viruses and protozoa are found. Recall the designation of biological terms:

The listed organisms live peacefully inside the oral cavity until a key event occurs.

What disturbs the balance of the oral flora

Alcohol, cigarettes, antibiotics cause the suppression of the vital activity of microorganisms and cells. The principles of using the listed substances in medicine and other spheres of life are based on this action. For example, alcohol has a pronounced disinfecting effect, and the ancient Finns considered a smoky sauna to be a favorable place for nursing the sick.

A person constantly exposed to disinfectants must be prepared for specific consequences. The effect of the sauna is mostly favorable, it is impossible to draw analogies with alcohol or an excess of drugs. After suppression of the commensal strain, an arbitrary population takes its place. In the case of the development of a pathogenic culture, a number of diseases arise, a precursor or consequence of diseases - oral dysbacteriosis. When the intestines are neglected, strains begin to appear in the wrong places.

What is dysbacteriosis

Oral dysbacteriosis is a state of imbalance. Types of bacteria are special in any person. It is impossible to generalize on the indicated basis the nationality or the population of a certain area. The set is strictly individual. For this reason, it is extremely difficult to treat the altered state of the mucosa.

Half of the people on the planet in a normal state in the oral cavity found fungi of the genus Candida. Here mushrooms penetrate:

During childbirth.
When eating certain foods (for example, dairy).
When breastfeeding a child.

In many cases, Candida is destroyed by the immune system or forced out by the inhabitants of the nasopharynx. Dysbacteriosis of the oral cavity leads to the immoderate reproduction of the population, causing natural symptoms of white plaque on the tongue and inner surfaces of the cheeks. With such an extreme manifestation, the condition in question turns into a disease.

Symptoms and stages

Oral dysbacteriosis sequentially goes through three stages in the absence of proper care:

Compensated. Symptoms are easily suppressed by simple means or absent.
Subcompensated, intermediate stage on the way to the uncontrolled course of the disease.
The decompensated form requires indispensable treatment.

Compensated

At this stage, specific manifestations are often absent. Laboratory tests (smear) for the presence of bacterial strains will help identify the disease.

Subcompensated

Harbingers of serious consequences are manifestations: irritation, redness, swelling, dryness, burning, bad breath, metallic taste. The problem of making the correct diagnosis is the non-specificity of symptoms. A similar kind of trouble accompanies diseases of the liver, kidneys, an unpleasant odor is often caused by ozena. The study of microflora helps to establish the cause.

Decompensated

Accompanied by severe inflammation, swelling, bleeding gums, herpes, specific formations in the oral cavity. With candidiasis, the tongue is overgrown with a white coating, stomatitis and gingivitis develop. An experienced therapist or dentist, according to the available signs, will establish the cause. It is believed that caries is the result of neglect of pathology. Do not postpone the treatment of oral dysbacteriosis for a long time.

Control and prevention measures

Problems of the oral cavity are difficult to solve, often caused by an unhealthy lifestyle, which is difficult to give up.

Vitamins and trace elements

Vitamin C and others are responsible for gum health. Scientists have shown that humans need flavonoids. Discovered in the 30s of the 20th century, vitamins aroused renewed interest. Many flavonoids are found in black currants, citrus peels (for example, lemons). The joint intake of the two mentioned vitamins relieves the symptoms of bleeding, swelling.

It is established that the builders of the pyramids were given onions for food. The moderate content of iodine in onion scales raised the tone of the immune system. Iodine is absolutely necessary for the awakening of the body's defenses. If you eat 30 g of fresh onions daily, it will be possible to prevent the reproduction of a large number of harmful strains. The content of complex saccharides in the juicy pulp of the vegetable contributes to the development of normal intestinal microflora, eliminating the very cause of trouble in the oral cavity. Garlic and black pepper are beneficial in moderate doses.

The value and doses of other trace elements are not so widely known. It is easier to choose a balanced diet from your favorite foods, which contain the required elements of a healthy metabolism.

Outpatient methods

Certain recommendations are given by therapists, gastroenterologists, dentists, infectious disease specialists. The outcome is decided by the result of the analysis, which reveals an abundance of pathogenic strains. Treatment consists of a set of measures (in addition to taking vitamins):

Local antiseptics, antifungal drugs.
Strains of beneficial microorganisms (eubiotics and probiotics).
Drugs that increase the level of functioning of the immune system.

Not all of these measures are effective. Studies have shown the lack of benefit of certain probiotics for the condition of the intestinal microflora. However, athletes claim that taking bifidobacteria facilitates the course of respiratory diseases and throat diseases.

Attention! Medicines are used as prescribed by a doctor.

What to do?

Toothpastes, rinses and other measures do not save from dysbacteriosis of the oral mucosa. Otherwise, the disease would have been eradicated long ago. An effective remedy is the intake of vitamin complexes and remedies that restore the intestinal microflora (the method of eliminating the main cause of problems with the oral cavity). It is important to use a balanced diet.

In the 60s of the 20th century, it was proved that general physical culture has a beneficial effect on the systems of the human body. Dr. Kenneth Cooper showed the need to walk 10 km daily. The implementation of this rule daily ensures that you are in shape, from English to be in fit. Today, the phenomenon is called fitness, and the United States, developing sports clubs, has earned billions of dollars selling fitness lessons.

In the West, it is considered proven that a free gym membership for employees is a guarantee of productivity gains. In the CIS countries, there is no such concern for workers, with a few exceptions. Perhaps, the reason that Russian doctors consider dysbacteriosis as a disease is voiced, with which Western colleagues do not agree.

To replenish the number of beneficial bacteria in the oral cavity, and therefore, as one of the means of treating periodontal diseases (periodontitis, periodontal disease, gingivitis, stomatitis), chewable tablets are shown - Bifidophilus Chewable for f Kids, which are especially useful after taking such "harmless" drugs as falimint, pharyngosept, inhalipt and other topical antibacterial drugs. Chewable bifidus tablets are taken 1-2 pieces after meals.

For effective treatment of oral dysbiosis, it is necessary to influence both the microflora and local immunity factors. Therefore, the complex treatment can include the immunomodulator Imudon, prepared from a mixture of lysates of strains of the most common bacteria and fungi in the oral cavity: Lacto-bacillus acidophilus, Streptococcus aureus, Klebsiella pneumoniae, Corynebacterium pseudodiphtheriticura Candida albicans, etc.

There are other treatment regimens. First, mouth rinses are prescribed with antiseptic agents - corsodilum 0.1% or tantum verde; treatment takes from several days to two weeks, depending on the condition of the mucosa. Then a local eubiotic is prescribed - acelact. It is used in the form of oral baths twice a day for three weeks. The treatment course, usually prescribed at the 1st-2nd stage of dysbacteriosis, ends with the intake of bifidumbacterin.

At the 3-4th stage of dysbacteriosis, antimicrobial or antifungal agents are first prescribed, depending on the predominant microflora of the oral mucosa. After that, prebiotics of local action (Lactulose, Ayufalak), as well as general action (Hilak-forte, lactobacterin, bactisubtil, bifidumbacterin, etc.) are prescribed; conduct a course of local immunocorrection with Imudon - 8 tablets per day for 20 days against the background of mandatory vitamin therapy.

In the most advanced cases, trichopolum is prescribed - 250 mg 3 times a day for 10-14 days, as well as immunocorrectors: licopid (general action) - 1 mg 1 time per day for 14 days and Imudon (local action) - 8 tablets each per day for 20-25 days. Imudon tablets are kept in the mouth until completely resorbed.

Thanks to consistent treatment, dysbacteriosis becomes easier in severity, and then the microflora is completely normalized. The patient feels the effect on the state of the oral cavity, the reduction of acute inflammation and pain in the affected areas of the oral mucosa, the weakening of the burning sensation and discomfort.

The effectiveness of Imudon depends on the severity of the disease, the presence of other ailments, the duration of the disease and age. The best results are in patients with a dysbiotic shift in the microflora of the oral cavity, but dysbacteriosis of the 3rd-4th degree of severity requires repeated courses of Imudon (2-3 times a year).

In difficult cases of oral dysbacteriosis, when drug treatment is not effective, a positive result can be achieved