Microscopic analysis of gingival inflammatory infiltrate in periodontal disease

Abstract

Analizirana je lokalizacija, intenzitet i celularni sastav zapaljenskih infiltrata gingive u 20 bolesnika starih od 14 do 67 godina koji su hirurškim putem lečeni od parodontopatije. Rezultati istraživanja pokazuju sledeće karakteristike zapaljenskih infiltrata: po lokalizaciji bilo je 30% površinskih, 85% fokalnih dubokih i 30% difuznih infiltrata; po intenzitetu 15%, blagih, 40% umerenih i 45%; snažnih, dok je po celularnom sastavu nađeno 60% pretežno plazmocitnih, 20% plazmocitno-limfocitnih i 20% mešovitih zapaljenskih infiltrata. U spongioznom sulkusnom epitelu su po pravilu prisutni granulociti i limfociti. Dobijeni rezultati govore da je parodontopatični tip zapaljenja gingive pretežno lokaliziovan u dubokim delovima tkiva, da preovlađuju alterativni procesi u ovom tkivu i da se radi o lokalnoj imunološkoj reakciji.Twenty surgically treated patients (age 14— 67) were subejct of analysis aiming to found localisation, intensity and cellular structure of gingival inflammatory infiltrate. Results of our research showed following characterstics of inflammatory infiltrate: location — 30% superficial, 85%, deep (focal) and 30% diffused infiltrate; intensity — 15% weak, 40% moderate and 45%, strong infiltrate ; structure — 60% mainly plasmocits, 20% plasmocitis and 20% mixed inflammatory infiltrate. In sulcular epithelium were very often found large amounts of granulocits and lymphocits. It can be concluded that periodotal type of gingival inflammation had local immunologic reaction. This process was mainly located in deep parts of gingival tissue and was also predominantly alterative