Physiotherapy impact on the periodontal microcirculation during mild chronic generalized periodontitis treatment

Abstract

Relevance. The high incidence of chronic generalized periodontitis indicates the relevance of this disease and its social significance. Treatment of chronic generalized periodontitis requires an integrated approach and should include conservative and surgical methods and elements of dental system rehabilitation. Physiotherapy procedures, which affect tissue blood supply and increase local immunity, form an important component of the complex treatment of chronic generalized periodontitis. Choosing the most effective physiotherapy method is essential for the complex treatment of chronic generalized periodontitis.Materials and methods. The study examined and treated 104 patients with mild chronic generalized periodontitis. All patients agreed to participate in the study and signed informed voluntary consent. The treatment type determined the allocation of three groups (group 1 – periodontium exposure to d’Arsonval currents, group 2 – the combination of physiotherapy procedures, and the control group – rinsing with antiseptics). The study consisted of the following stages: initial examination, professional controlled oral hygiene, group-dependent course of treatment, follow-up immediately after the treatment, after 3 and 6 months. Each stage included an interview, clinical examination and evaluation of periodontal microcirculation using Doppler ultraso und.Results. The study revealed a positive effect of physiotherapy procedures on the periodontal microcirculation, i.e., a significant increase in linear and volumetric blood flow rates (linear blood flow velocity – 0.411 (0.393: 0.431; 0.315-0.436) cm/s; volumetric blood flow velocity – 0.024 (0.016: 0.021; 0.015-0.019) cm3/s compared with the data of the control group patients (linear blood flow velocity – 0.305 (0.291: 0.313; 0.203-0.326) cm/s; volumetric blood flow velocity – 0.012 (0.011: 0.015; 0.007-0.090) cm3/s.Conclusion. Physiotherapy procedures in chronic generalized periodontitis treatment allowed the achievement of not only the significant immediate result but also a prolonged re mission period.