The use of ultrasound and ozone therapy in the complex treatment of periodontitis

Abstract

Physiotherapy makes it possible to effectively influence all the links in the pathogenesis of periodontitis. The use of ultrasound plays a special role in the treatment of periodontal diseases. With the help of ultrasonic vibrations, drugs (ultraphonophoresis) can be introduced into the tissue. For its implementation, water and oil solutions of medicinal substances are used. In periodontal practice, ultrasound is most often used to remove dental plaque. It is of scientific interest to use low-frequency ultrasound in combination or in combination with physical factors that have a pronounced antibacterial effect, such as ozone . High oxidizing properties of ozone provide its therapeutic effect, manifested in disinfecting, metabolic, immunomodulating and deodorizing effects. When conducting local ozone therapy in the oral cavity, it is necessary to accurately dose the concentration of ozone, therefore, in our opinion, the use of ozonized solutions and oils in dentists is safer and more promising. The combined and combined effects in the treatment of periodontitis of low-frequency ultrasound and ozone therapy, in the production of ozone using short ultraviolet radiation, will provide a comprehensive therapeutic effect, which consists in suppressing the vital activity of pathogenic microorganisms and stimulating metabolic processes in the tissues of the macroorganism.

Keywords

dentistry / periodontitis / ultrasound / ozone therapy / phonophoresis

References

[1] Makeeva I.M., Volkov A.G., Prikuls V.F., Dikopova N.Zh., Turkina A.Yu., Shishmareva A.L. Hardware methods of treatment and rehabilitation for periodontal and oral mucosa diseases. Moscow: Publishing house of the M.F. Vladimirskiy Moscow Regional Research Clinical Institute. 2019. (in Russian)

[2] Макеева И.М., Волков А.Г., Прикулс В.Ф., Дикопова Н.Ж., Туркина А.Ю., Шишмарёва А.Л. Аппаратные методы лечения и реабилитации при заболеваниях пародонта и слизистой оболочки полости рта. М.: Издательство ГБУЗ МО МОНИКИ им. М.Ф. Владимирского; 2019.

[3] Efanov O.I., Dzanagova T.F. Physiotherapy of dental diseases. Moscow: Meditsina; 1980. (in Russian)

[4] Ефанов О.И., Дзанагова Т.Ф. Физиотерапия стоматологических заболеваний. М.: Медицина; 1980.

[5] Nikolaev G.A., Loshchilov V.I. Ultrasound technology in surgery. Moscow: Meditsina; 1980. (in Russian)

[6] Николаев Г.А., Лощилов В.И. Ультразвуковая технология в хирургии. М.: Медицина; 1980.

[7] Ultrasound in medicine. Physical basis of application. Ed. Hill C. Moscow: FIZMATLIT; 2008. (in Russian)

[8] Ультразвук в медицине. Физические основы применения. Под. ред. К. Хилла. М.: ФИЗМАТЛИТ; 2008.

[9] Akopyan V.B., Ershov Yu.A. The basics of the interaction of ultrasound with biological objects. Moscow: Publishing house of MSTU; 2005. (in Rus-sian)

[10] Акопян В.Б., Ершов Ю.А. Основы взаимодействия ультразвука с биологическими объектами. М.: Издательство МГТУ им. Н.Э. Баумана; 2005.

[11] Bocci V. Ozone as Janus. Mediators of Inflammation. 2004; 13(1): 3–11.

[12] Azarpazhooh A., Limeback H. The application of ozone in dentistry: a systematic review of literature. J. Dentist. 2008; 36: 104–16.

[13] Srinivasan S.R., Amaechi B.T. Ozone: A paradigm shift in dental therapy. J. Global Oral Health. 2019; 2(1): 68–77.

[14] Nikolskaya I.A., Kopetskiy I.S., Dubovaya T.K., Vygorko V.F., Volkov A.G. Regeneration of dental pulp using materials for its direct coverage in combination with ozone therapy method. Vestnik Rossiyskogo gosudarstvennogo meditsinskogo universiteta. 2012; 5: 57–61.

[15] Никольская И.А., Копецкий И.С., Дубовая Т.К., Выгорко В.Ф., Волков А.Г. Regeneration of dental pulp using materials for its direct coverage in combination with ozone therapy method. Вестник Российского государственного медицинского университета. 2012; 5: 57–61.

[16] Bezrukova I.V., Petrukhina N.B. Ozone therapy in periodontal practice. Moscow: MIA; 2008.

[17] Безрукова И.В., Петрухина Н.Б. Озонотерапия в пародонтологической практике. М: МИА; 2008.

[18] Chergeshtov Yu.I., Tsarev V.N., Volkov A.G., Nosik A.S., Dikopova N.Zh., Malanchuk D.A. Investigation of the effect of the ozone-air mixture on the microflora of the hole of the extracted tooth with alveolitis and limited osteomyelitis of the jaw. Rossiyskaya stomatologiya. 2016; 9(1): 11–5. (in Russian)

[19] Чергештов Ю.И., Царев В.Н., Волков А.Г., Носик А.С., Дикопова Н.Ж., Маланчук Д.А. Исследование действия озоно-воздушной смеси на микрофлору лунки удаленного зуба при альвеолите и ограниченном остеомиелите челюсти. Российская стоматология. 2016; 9(1): 11‒5.

[20] Zaslavskaya N.A., Drobyshev A.Yu., Volkov A.G. Treatment Experience osteonecrosis of the jaw in patients receiving antiresorptive therapy (bisphosphonates, “Denosumab”). Cathedra. 2014; 7: 32‒7. (in Russian)

[21] Заславская Н.А., Дробышев А.Ю., Волков А.Г. Опыт лечения остеонекрозов челюстей у пациентов, получающих антирезорбтивную терапию (бисфосфонаты, «Деносумаб»). Cathedra. 2014; 47: 32‒7.

[22] Zaslavskaya N., Drobyshev A., Volkow A., Dikopova N., Shipkova T. Efficiency of ozone-therapy in the treatment of bisphosphonate-related oste-onecrosis of the jaws in patients with malignant diseases. Int. J. Oral Maxillofac. Surg. 2013; 42: 1192.

[23] Zaslavskaya N., Drobyshev A., Volkow A., Dikopova N., Shipkova T. Efficiency of ozone-therapy in the treatment of bisphosphonate-related oste-onecrosis of the jaws in patients with malignant diseases. Int. J. Oral Maxillofac.l Sur. 2013; 42: 1192.

[24] Makeeva I.M., Volkov A.G., Dikopova N.Zh., Zhukova N.A., Akhmedbaeva S.S. Treatment of bisphosphonate necrosis of the jaw with ozone ob-tained using ultraviolet radiation. Head and Neck / Go-lo-va i sheya. Russian edition. 2017; 3: 73–5. (in Russian)

[25] Макеева И.М., Волков А.Г., Дикопова Н.Ж., Жукова Н.А., Ахмедбаева С.С. Лечение бисфосфонатных некрозов челюстей озоном, получен-ным с помощью ультрафиолетового излучения. Head and Neck / Голова и шея. Российское издание Общероссийской общественной орга-низации «Федерация специалистов по лечению заболеваний головы и шеи». 2017; 3: 73–5.

[26] Sadatulla S., Mohamed N.Kh., Razak F.A. The antimicrobial effect of ozonized water is 0.1 ppm on a 24-hour in situ plaque of microorganisms. Braz. Oral Res. 2012; 26: 126–31.

[27] Sadatulla S., Mohamed N.Kh. , Razak F.A. The antimicrobial effect of ozonized water is 0.1 ppm on a 24-hour in situ plaque of microorganisms. Braz. Oral Res. 2012; 26: 126–31.

[28] Huth K.C., Quirling M., Lenzke S., Paschos E., Kamereck K., Brand K., et al. The effectiveness of ozone against periodontal pathogens. Eur. J. Oral Sci. 2011; 119: 204–10.

RIGHTS & PERMISSIONS

Eco-Vector