Laser Doppler flowmetry as a method for diagnostics of the patient’s psychophysiological condition at the dental appointment

Abstract

Psychoemotional stress is attributed to the diseases of civilizations. Modern man is in constant tension, which increases the activity of the mechanisms of sympathetic regulation. Hyperadaptive state of the body leads to the mobilization of energy and metabolic reserves with the development of energy deficit and post-loading energy deficit in the future. Depletion of the body’s defenses is manifested by a decrease and weakening of the immune system, which is not able to resist the pathological process. Long-term, persistent development of psychoemotional stress leads to various types of complications, including in dental practice. The aim of the study is to determine the psychoemotional state of a patient with postprotetic complications during dental implantation against the background of various methods of sedative therapy. The purpose of the study is to identify the relationship between the patient’s psychoemotional state and the development of postprotetic complications during dental implantation based on the dental status of patients. In this paper, based on the data of laser Doppler flowmetry, a diagnosis of psychoemotional stress was performed at an outpatient dental appointment. Based on the dynamics of changes in the centralization index, which is a numerical expression of the ratio of factors of active and passive blood flow modulation, the psychophysiological state of patients against the background of various sedation methods is analyzed. Materials and methods. Patients with postprotetic complications of dental implantation were randomized into 4 equal groups, according to the treatment methods: sedative per os, ozone therapy, transcranial electrical stimulation and the combined method (combination of ozone therapy and transcranial electrical stimulation). Results. In all groups, there was a positive trend in stabilizing the adaptive state of the body, but the dynamics were different depending on the treatment method used. Conclusions. This study proves the need to include sedatives in the treatment regimen of patients with postprotetic complications during dental implantation, which contribute to the normalization of the psychoemotional state and as a prevention of the development of inflammation of the parotid tissue. This fact should be taken into account by a dentist at a clinical appointment.