Abstract
Background and Objectives: Gum disease represents the condition due to the dental plaque and dental calculus deposition on the surfaces of the teeth, followed by ulterior destruction of the periodontal tissues through the host reaction to the pathogenic microorganisms. The aim of study was to present aspects regarding the efficacy of hyperbaric oxygen therapy (HBOT) as an adjuvant therapy for the treatment of periodontal disease, started from the already certified benefits of HBOT in the general medicine specialties. Materials and Methods: The participant patients in this study (71) required and benefited from specific periodontal disease treatments. All patients included in the trial benefited from the conventional therapy of full-mouth scaling and root planing (SRP) within 24 h. HBOT was performed on the patients of the first group (31), in 20 sessions, of one hour. The patients of the control group (40) did not benefit from HBO therapy. Results: At the end of study, the included patients in HBOT group presented significantly better values of oral health index (OHI-S), sulcus bleeding index (SBI), dental mobility (DM), and periodontal pocket depth (PD) than the patients of the control group. Conclusions: HBOT had beneficial effects on the oral and general health of all patients, because in addition to the positive results in periodontal therapy, some individual symptoms of the patients diminished or disappeared upon completion of this adjuvant therapy.
Highlights
Dental biofilm is the main etiologic factor for caries, periodontal and peri‐implant infections
‐ Sulcus bleeding index (SBI): at their presentation, the patients of both groups had only values of 1, 2, 3, and 4 in sulcus bleeding index (SBI) score, without value 0; in second clinical examina‐ tion we found that SBI scores were significantly reduced in both study groups (HBOT and control), because of the same reasons (SRP treatment, correct teeth brushing); at the second and third determination, we found that the SBI scores decreased in the patients of both groups; and in third assessment, the SBI values were lower in the first group (HBOT) compared to the control group
‐ Dental mobility (DM): We found that the DM has diminished in both groups; at the presentation all of patients had I‐st and II‐nd degree dental mobility; in the other two clinical examinations, we found that DM was reduced till physiological mobility, es‐ pecially in patients who received HBO adjuvant therapy
Summary
Dental biofilm is the main etiologic factor for caries, periodontal and peri‐implant infections. The spreading of periodontal disease is between 20 and 50% in the world, and rep‐ resents one of important causes of indentations, which jeopardize the functions of oro‐ facial system, including mastication, aesthetics, self‐reliability, and life quality [3]. This prevalence of periodontal disease is presumed to be rising in future years because of in‐ creased aging in population and of maintenance of natural teeth of dental arches in the elderly [4,5]. Conclusions: HBOT had beneficial effects on the oral and general health of all patients, because in addition to the positive results in periodontal therapy, some indi‐ vidual symptoms of the patients diminished or disappeared upon completion of this adjuvant ther‐ apy
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