Application of vacuum-laser therapy in complex treatment of chronic gingivitis
Irina S. Agafonova
Russian Journal of Dentistry ›› 2024, Vol. 28 ›› Issue (1) : 93 -98.
Application of vacuum-laser therapy in complex treatment of chronic gingivitis
The high prevalence of chronic forms of gingivitis among young individuals is an urgent problem of modern dentistry, the solution of which requires new approaches and methods.
Thus, this study aimed to investigate the clinical and functional state of the periodontium at the initial inflammatory processes in the tissues and its correction using physical methods of treatment.
Clinical examination, index assessment, laser Doppler flowmetry, and video registration of vacuum test in a patient with chronic gingivitis revealed an increase in gingival capillary resistance and improvement of microcirculation in the periodontium at the end of vacuum therapy combined with exposure to laser radiation of red wavelength on periodontal tissues in the complex of standard treatment measures.
The results of the functional methods of research after the end of physical influence on periodontal tissues are confirmed by the decrease of bleeding and increase of oral hygiene level according to the clinical instrumental examination and by the absence of patient complaints. Thus, the clinical case demonstrates the promising application of vacuum-laser therapy in the complex treatment of chronic gingivitis.
vacuum-laser therapy / chronic gingivitis / vacuum test / laser Doppler flowmetry / LDF / clinical case
| [1] |
Batchelor P. Is periodontal disease a public health problem? Br Dent J. 2014;217(8):405–409. doi: 10.1038/sj.bdj.2014.912 |
| [2] |
Batchelor P. Is periodontal disease a public health problem? // Br Dent J. 2014. Vol. 217, N 8. P. 405–409. doi: 10.1038/sj.bdj.2014.912 |
| [3] |
Chapple I. Time to take gum disease seriously. Br Dent J. 2022;232:360–361. doi: 10.1038/s41415-022-4113-1 |
| [4] |
Chapple I. Time to take gum disease seriously // Br Dent J. 2022. Vol. 232. P. 360–361. doi: 10.1038/s41415-022-4113-1 |
| [5] |
Martínez-García M, Rodríguez-Hernández AP, Gutiérrez-Esparza GO, et al. Relationship between the social development index and self-reported periodontal conditions. Healthcare (Basel). 2023;11(11):1548. doi: 10.3390/healthcare11111548 |
| [6] |
Martínez-García M., Rodríguez-Hernández A.P., Gutiérrez-Esparza G.O., et al. Relationship between the Social development index and self-reported periodontal conditions // Healthcare (Basel). 2023. Vol. 11, N 11. P. 1548. doi: 10.3390/healthcare11111548 |
| [7] |
https://www-ncbi-nlm-nih-gov.translate.goog/ [Internet]. Gasner NS, Schure RS. Periodontal Disease. In: StatPearls [Updated 2022 Aug 16]. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www-ncbi-nlm-nih-gov.translate.goog/books/NBK554590/?_x_tr_sl=en&_x_tr_tl=ru&_x_tr_hl=ru&_x_tr_pto=sc |
| [8] |
https://www-ncbi-nlm-nih-gov.translate.goog/ [Internet]. Gasner N.S., Schure R.S. Periodontal Disease. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2023. Режим доступа: https://www-ncbi-nlm-nih-gov.translate.goog/books/NBK554590/?_x_tr_sl=en&_x_tr_tl=ru&_x_tr_hl=ru&_x_tr_pto=sc Дата обращения: 16.08.2022. |
| [9] |
Aivazova RA. Clinical diagnostic criteria and evaluation of treatment efficacy of inflammatory periodontal diseases in patients with acid-dependent pathology of the gastrointestinal tract [dissertation]. Moscow; 2018. (In Russ). EDN: BIFDOP |
| [10] |
Айвазова Р.А. Клинико-диагностические критерии и оценка эффективности лечения воспалительных заболеваний пародонта у пациентов с кислотозависимой патологией желудочно-кишечного тракта: дис. ... д-ра мед. наук. Москва, 2018. EDN: BIFDOP |
| [11] |
Yelizova LA, Atrushkevich VG, Orekhova LYu. New classification of periodontal diseases. Periodontitis. Parodontologiya. 2021;26(1):80–82. EDN: ACQDQR |
| [12] |
Елизова Л.А., Атрушкевич В.Г., Орехова Л.Ю. Новая классификация заболеваний пародонта. Пародонтит // Пародонтология. 2021. Т. 26, № 1. С. 80–82. EDN: ACQDQR |
| [13] |
Krechina EK, Smirnova TN, Mustafina FK, Rozhnova EV. Correlation analysis of microcirculation parameters in periodontal tissues. Stomatology. 2016;95(6-2):93–94. (In Russ). EDN: XWREMV |
| [14] |
Кречина Е.К., Смирнова Т.Н., Мустафина Ф.К., Рожнова Е.В. Корреляционный анализ показателей микроциркуляции в тканях пародонта // Cтоматология. 2016. Т. 95, № 62. С. 93–94. EDN: XWREMV |
| [15] |
Shkurova TA, Bazikyan EA, Ermol’ev SN, Kulikovskaya AV. Microcirculation in the periodontal tissues of the patients presenting with bronchial asthma. Russian Journal of Stomatology. 2015;8(3):17–21. EDN: VHVNHZ doi: 10.17116/rosstomat20158317-21 |
| [16] |
Шкурова Т.А., Базикян Э.А., Ермольев С.Н., Куликовская А.В. Состояние микроциркуляции в тканях пародонта у пациентов с бронхиальной астмой // Российская стоматология. 2015. Т. 8, № 3. С. 17–21. EDN: VHVNHZ doi: 10.17116/rosstomat20158317-21 |
| [17] |
Clinical recommendations (treatment protocols) for the diagnosis of “gingivitis”. Moscow: StAR; 2014. 72 p. (In Russ). |
| [18] |
Клинические рекомендации (протоколы лечения) при диагнозе «гингивит». Москва: СтАР, 2014. 72 с. |
| [19] |
Patent RUS N 2400133/27.09.2010. Ermoliev SN, Zholudev SE, Eroshkina EA, et al. Method of light-guide probe positioning during the use of Doppler flowmetry in dentistry. (In Russ). |
| [20] |
Патент РФ на изобретение № 2400133/27.09.2010. Ермольев С.Н., Жолудев С.Е., Ерошкина Е.А., и др. Способ позиционирования световодного зонда при использовании допплеровской флоуметрии в стоматологии. |
| [21] |
Agafonova IS. Complex assessment of functional disorders in periodontal tissues in chronic gingivitis. In: Collection of scientific papers XLIV final scientific conference of the society of young scientists of A.I. Evdokimov Moscow State University of Medicine and Dentistry. Moscow: FGBOU VO “A.I. Evdokimov Moscow State University of Medicine and Dentistry” of the Ministry of Health of the Russian Federation; 2022. P. 45. (In Russ). |
| [22] |
Агафонова И.С. Комплексная оценка функциональных нарушений в тканях пародонта при хроническом гингивите. В кн.: Сборник научных трудов XLIV итоговой научной конференции общества молодых ученых МГМСУ им. А.И. Евдокимова. Москва: ФГБОУ ВО «МГМСУ им. А.И. Евдокимова», 2022. С. 45. |
| [23] |
Lepilin AV, Ostrovskaya LYu, Erokina NL. Application of the dental hardware complex CAP-”Periodontologist” in the treatment of periodontal diseases. Actual Problems in Dentistry. 2009;(5):14–16. (In Russ). EDN: VVFASJ |
| [24] |
Лепилин А.В., Островская Л.Ю., Ерокина Н.Л. Применение стоматологического комплекса КАП-«Пародонтолог» при лечении заболеваний пародонта // Проблемы стоматологии. 2009. № 5. C. 14–16. EDN: VVFASJ |
| [25] |
Lepilin AV, Raigorodsky YM, Erokina NL. Hardware physiotherapy in dentistry. Traditions and innovations — a guide for doctors. Saratov: Information and Intellectual Centre of Saratov State Medical University; 2017. 221 p. (In Russ). |
| [26] |
Лепилин А.В., Райгородский Ю.М., Ерокина Н.Л. Аппаратная физиотерапия в стоматологии. Традиции и инновации — руководство для врачей. Саратов: ИИЦ СГМУ, 2017. 221 с. |
| [27] |
Prilepskaya MV. Clinical and immunological effectiveness of vacuum-laser therapy in the treatment of patients with exacerbation of chronic generalised periodontitis [dissertation abstract]. Volgograd; 2008. 22 p. (In Russ). EDN: NKKBZF |
| [28] |
Прилепская М.В. Клинико-иммунологическая эффективность применения вакуумно-лазерной терапии в лечении больных с обострением хронического генерализованного пародонтита: автореф. дис. ... канд. мед. наук. Волгоград, 2008. 22 с. EDN: NKKBZF |
Eco-Vector
/
| 〈 |
|
〉 |