Therapeutic and rehabilitation complex for the treatment of patients with chronic generalized periodontitis and bruxism

Abstract

Background. The article discusses modern concepts of the relationship of periodontal disease and bruxism.

Aim: to study the efficiency of the proposed therapeutic and rehabilitation complex for patients with chronic generalized periodontitis and bruxism.

Methods. 73 patients aged 30–45 years with a diagnosis of chronic generalized periodontitis of moderate severity and bruxism were examined. The control group consisted of 15 apparently healthy individuals of the same age to clarify the functional parameters of the norm. To assess the effectiveness of the proposed therapeutic and rehabilitation complex, clinical, Doppler flowmetric and electromyographic research methods were used.

Results. High efficiency of the therapeutic and rehabilitation complex in the treatment of chronic generalized moderate periodontitis and bruxism has been revealed. An analysis of changes in time of clinical symptoms revealed that when using this program, which includes basic therapy, laser phoresis, ozone irrigation of the gums, the intake of phyto-complex and local-mineral complexes, the use of dental pins with propolis and phytocomplex, physiotherapy exercises and fluctuorization, positive changes were pronounced. Under the influence of the course effect of therapeutic procedures, patients showed an increase in blood perfusion volume by 37.7% (p <0.05), blood flow perfusion rate by 58.2% (p <0.05) from the initial values. At the same time, a decrease by 51.82% (p <0.05) from the initial indices of bioelectric activity of the temporal muscle at rest was registered, as well as by 40.4% (p <0.05) with voluntary constriction, and a decrease in the bioelectric activity of the mastication muscle at rest by 47.4% (p <0.05), and with voluntary constriction by 35.12% (p <0.05).

Conclusion. The data obtained based on electromyography and laser Doppler flowmetry indicate that the developed treatment and rehabilitation complex is an effective method for correcting the microcirculation of periodontal vessels, the functional activity of the maxillofacial muscles.

Keywords

periodontitis / bruxism / fluctuorization / Doppler flowmetry / fluctuorization / bioelectrical activity / electromyography / laser phoresis / ozone irrigation / dental pins

References

[1] Khaibullina RR, Gerasimova LP. Sovremennye metody diagnostiki i lecheniya patsientov s khronicheskim generalizovannym parodontitom i bruksizmom. Parodontologiya. 2015;20(1):31–34. (In Russ).

[2] Хайбуллина Р.Р., Герасимова Л.П. Современные методы диагностики и лечения пациентов с хроническим генерализованным пародонтитом и бруксизмом // Пародонтология. — 2015. — Т. 20. — №1. — С. 31–34.

[3] Khaibullina RR, Gilmutdinova LT, Gerasimova LP. Physiotherapy technology in rehabilitation of patients with chronic generalized parodontitis. Bashkortostan medical journal. 2015;10(4):56–58. (In Russ).

[4] Хайбуллина Р.Р., Гильмутдинова Л.Т., Герасимова Л.П. Физиотерапевтические технологии в реабилитации пациентов с хроническим генерализованным пародонтитом и бруксизмом // Медицинский вестник Башкортостана. — 2015. — Т. 10. — № 4. — С. 56–58.

[5] Gerasimova LP, Khaibullina RR, Gilmutdinova LT. Correction methods for the functional activity of the muscles of maxillofacial area of patients with chronic generalized parodontitis. Практическая медицина. 2013;(4):67–70. (In Russ).

[6] Герасимова Л.П., Хайбуллина Р.Р., Гильмутдинова Л.Т. Методы коррекции функциональной активности мышц челюстно-лицевой области у больных хроническим генерализованным пародонтитом // Практическая медицина. — 2013. — № 4. — С. 67–70.

[7] Orekhova LYu, Loboda ES, Oboeva ML. Otsenka effektivnosti kompleksnogo lecheniya khronicheskogo generalizovannogo parodontita s ispol’zovaniem lazernoi fotodinamicheskoi sistemy «RAST 200». Russian journal of stomatology. 2016;9(1):101. (In Russ).

[8] Орехова Л.Ю., Лобода Е.С., Обоева М.Л. Оценка эффективности комплексного лечения хронического генерализованного пародонтита с использованием лазерной фотодинамической системы «РАСТ 200» // Российская стоматология. — 2016 — Т. 9. — № 1. — С. 101.

[9] Orekhova LYu, Loboda ES, Oboeva ML. Fotodinamicheskaya terapiya v kompleksnom lechenii khronicheskogo generalizovannogo parodontita. Parodontologiya. 2015;20(1):44–49. (In Russ).

[10] Орехова Л.Ю., Лобода Е.С., Обоева М.Л. Фотодинамическая терапия в комплексном лечении хронического генерализованного пародонтита // Пародонтология. — 2015. — Т.20. — № 1. — С. 44–49.

[11] P’yansina AV, Gerasimenko MYu. The impact of fluctuophoresis on neutrophic manifestations of chronic generalized periodontitis. Rossiiskii stomatologicheskii zhurnal. 2012;(5):23–26. (In Russ).

[12] Пьянзина А.В., Герасименко М.Ю. Опыт применения флюктуоризации в комплексном лечении больных хроническим генерализованным пародонтитом // Российский стоматологический журнал. — 2012. — № 5. — С. 23–26.

[13] P’yanzina AV, Gerasimenko MYu. The application of fluctuophoresis for the combined treatment of moderate and severe chronic generalized periodontitis. Fizioterapiya, bal’neologiya i reabilitatsiya. 2013;(1):25–28. (In Russ).

[14] Пьянзина А.В., Герасименко М.Ю. Флюктуофорез в комплексном лечении хронического генерализованного пародонтита // Физиотерапия, бальнеология и реабилитация. — 2013. — № 1. — С. 25–28.

RIGHTS & PERMISSIONS

Eco-Vector