CLINICAL STATE OF PARODONT TISSUE AND ELECTROMETRIC INDICATORS OF TEETH PULP IN PATIENTS WITH CHRONIC GENERALIZED PARODONTITIS IN THE DYNAMICS OF PHYSIOTHERAPEUTIC TREATMENT

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Abstract

The level of prevalence of inflammatory periodontal diseases remains high every year. He despite the use of modern drugs for the treatment of patients with chronic generalized periodontitis, the problem of effective treatment of this dental disease has not yet been solved. The complexity and duration of their treatment is Central to the practice of the dentist. One of the reasons for the lack of effective treatment can be considered a long-term use of antibacterial drugs, which often lead to the development of dysbacteriosis in the oral cavity, which significantly reduces nonspecific resistance and is accompanied by the development of immune imbalance. The mechanisms of gum disease are disorders of blood supply, lack of oxygen, nutrients and useful components (hypoxia). The study of the effectiveness of laser therapy and ozone therapy in patients with chronic generalized periodontitis does not lose its relevance. These physiotherapeutic methods are the most popular and effective in modern therapeutic Periodontology today. Therapeutic ozone has: immuno-stimulating, bactericidal, fungicidal, anti-inflammatory, detoxification and other properties, and laser therapy has a positive therapeutic effect on the periodontal tissue, leading to a decrease in inflammatory phenomena and bacteriostatic effect. Our research is aimed at studying the clinical condition of periodontal tissues and electrometric parameters of pulp of different groups of teeth after treatment by ozone generator and diode laser with a wavelength of 810 nm in the dynamics of observation. We examined 300 people with chronic generalized periodontitis of moderate severity. The inclusion in the therapeutic Arsenal of physiotherapy methods to assist patients with chronic generalized periodontitis, such as ozone therapy or laser therapy, significantly increase the effectiveness of treatment of periodontal patients.

About the authors

G B Lyubomirsky

Izhevsk State Medical Academy

Author for correspondence.
Email: lyubomirskii-gen@mail.ru
SPIN-code: 1050-7657

MD, assistant professor of therapeutic dentistry, Izhevsk State Medical Academy, Ministry of Health of Russia

st. Kommunarov, 281, Izhevsk, Republic of Udmurtia, 426034, Russia

References

  1. Bazikyan E.A., Syrnikova N.V., Chunikhin A.A. Perspective laser technologies in the therapy of periodontal diseases. Parodontologiya. 2017; (3): 55—59. (In Russ)
  2. Tsepov L.M., Nikolaev A.I., Levchenkova N.S., Petrova E.V., Turgeneva L.B., Nesterova M.M., et al. The possibilities of treatment of patients with chronic generalized periodontitis in modern conditions. Parodontologiya. 2017; 83(2): 40—46. (In Russ)
  3. Artyushkevich A.S. Periodontal disease. Moscow: Med. lit; 2006. 328 p. (In Russ)
  4. Galiullina E.F. New approaches to the etiology of periodontal diseases in the light of the modern concept of their pathogenesis (review of literature). Parodontologiya. 2017; 83(2): 21—24. (In Russ)
  5. Simmons J.P., Johnson J.T., Yu V.L. et al. The role of topical antibiotic prophylaxis in patients undergoing contaminated head and neck surgery with flap reconstruction. Laryngoscope. 2001. Vol. 111. № 2. P. 329—335.
  6. Bezrukova I.V. Ozonotherapy of inflammatory periodontal diseases. Parodontologiya. 2002; (1): 3—7. (In Russ)
  7. Ivanov A.S. Guide to laser therapy of dental diseases. Saint Petersburg; 2000. 69 p. (In Russ)
  8. Risovannyi S.I., Risovannaya O.N., Masychev V.I. Laser dentistry. Krasnodar: Kuban-kniga; 2005. 276 p. (In Russ)
  9. Dilsiz A.A., Aydin T.A., Canakci V.A., Gungormus M.B. Clinical evaluation of Er:YAG, Nd:YAG, and diode laser therapy for desensitization of teeth with gingival recession. Photomedicine and Laser Surgery. 2010. 28(1): 11—17. https://doi.org/10.1089/pho.2009.2593.
  10. Siemens C. The use of ozone in orthopedic. Acute and chronik painful disease of the joints and disease of the periarticular region. 12 Ozone World Congress. 1995. Vol. 3. P. 125—130.
  11. Baxter G.D. Therapeutic Lasers: Theory and Practice Edinburgh; New York, 1994 Lasers in Medicine and Dentistry. Basic science and up-to-date Clinical Application of Low Energy-Level Laser Therapy, ed. Simunovic, Grandesberg, 2000.
  12. Sharma M., Visai L., Bragheri F., Cristiani I., Gupta P.K., Speziale P. Toluidine Blue-Mediated Photodynamic Effects on Staphylococcal Biofilms. Antimicrobial Agents and Chemotherapy. 2008. Vol. 52, № 1. P. 299305.
  13. Bezrukova I.V. Ozonotherapy of inflammatory periodontal diseases.Parodontologiya. 2002; (1): 3—7. (In Russ)
  14. Risovannyi S.I., Risovannaya O.N., Masychev V.I. Laser dentistry. Krasnodar: Kuban-kniga; 2005. 276 p. (In Russ)
  15. Zamora Z.B., Borrego A., López O.Y., Delgado R., González R., Menéndez S., Hernández F., Schulz S. Effects of ozone oxidative preconditioning on TNF-alpha release and antioxidant-prooxidant intracellular balance in mice during endotoxic shock. Mediators Inflamm 2005 Feb, 24(1): 16—22.
  16. Clavo B., Pérez J.L, López L., Suárez G., Lloret M., Rodríguez V., Macías D., Santana M., Hernández M., Martín-Oliva R., Robaina F. Ozone therapy for tumor oxygenation: a pilot study. Evid Based Complement Alternat Med 2004 June; 1(1): 93—98.
  17. Lyubomirsky G.B., Redinova T.L. Indices of electric excitability of the tooth pulp in patients with periodontal disease. Dentistry of the Great Urals. Prevention of dental diseases: Perm: All-Russian Congress, 2009. P. 103—104. (In Russ)
  18. Lyubomirsky G.B., Cherepanova S.V. Electrodontometry of pulp of intact teeth with chronic catarrhal gingivitis and periodontitis of mild degree. Sovremennye aspekty meditsiny i biologii: IX mezhregion, mezhvuz. nauch.-prakt. konf. molodykh uchenykh i studentov. Izhevsk, 2009. P. 278—279. (In Russ)
  19. Petrikas A.Zh, Zyuzkov D.I., Piekalnits I.Ya. Electroexcitability of teeth in periodontitis. Stomatologiya. 2005. (2): 23—26. (In Russ)
  20. Tsepov L.M., Nikolaev A.I., Mikheeva E.A., Novikov V.I. Peculiarities of pathogenesis of inflammatory periodontal diseases and medical tactics in diabetes mellitus (review). Parodontologiya. 2002. № 3. P. 15—22. (In Russ)

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