Changes in the periodontal microhemocirculation during the treatment of generalized periodontitis using polarized light

BACKGROUND: Chronic generalized periodontitis is one of the main causes of tooth extraction, significant decrease in chewing efficiency, deterioration in the quality of life, and progression of comorbidities. Research in the field of modulating the response of the macroorganism (host therapy) to pathogenic factors is a huge player in solving the problem of effective treatment of chronic generalized periodontitis, along with an active study of methods influencing the periodontal microbiome.

AIM: To examine changes in microhemocirculation in the periodontium in the treatment of chronic generalized periodontitis of moderate severity using polarized, incoherent, polychromatic radiation.

MATERIAL AND METHODS: Microhemocirculation parameters in periodontal tissues were obtained and analyzed in the treatment of moderate periodontitis in 90 patients using polarized, incoherent, polychromatic radiation (piler-light therapy) and a nonsteroidal anti-inflammatory drug (lysine salt of ketoprofen) as modulators of the regional host response. Analyses were conducted within 1 year using clinical and radiological methods and laser Doppler flowmetry.

RESULTS: In the treatment of moderate chronic periodontitis, single-component pharmacotherapy using an antimicrobial gel containing metronidazole and chlorhexidine has a positive effect on clinical symptoms and microhemodynamics in periodontal tissues only for 3 months.

CONCLUSIONS: The combined use of the gel and lysine salt of ketoprofen increases the duration of positive changes in the microhemodynamics of periodontal tissues for up to 6 months. By its inclusion in the algorithm for the treatment of chronic periodontitis of moderate severity, along with antimicrobial and anti-inflammatory drugs, piler-light therapy allows for maintaining the improvement in hemodynamic parameters in the periodontium within 1 year and makes the disease in remission.