Hemodynamic periodontal changes in the treatment of chronic generalized periodontitis using polarized polychromatic light

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Abstract

Background: Ineffective treatment of inflammatory periodontal diseases is a significant medical and social issue. Previous research have shown that improved vascular response and local immunity activation are crucial for the treatment of periodontal diseases. This can be accomplished using polarized polychromatic light. However, the effect of polarized polychromatic light on microhemocirculation in periodontal tissues is poorly understood.

Aim: To assess microhemodynamic changes in periodontal tissues in the treatment of mild chronic generalized periodontitis using polarized polychromatic light.

Materials and Methods: A complex dental examination and treatment were performed in 70 patients (32 males and 38 females) with active chronic generalized periodontitis aged 20 to 59 years. The study had two groups (35 subjects each) based on treatment approaches. Group 1 received professional oral care and a course of antimicrobial therapy using Dentamet dental gel. Group 2 received antimicrobial therapy in combination with polarized polychromatic light therapy (wavelength 480–3,400 nm, power 40 mW/cm2, flux density 2.4 J/cm2 per minute, polarization 95%). Laser Doppler flowmetry was used to assess hemodynamics before treatment, as well as 3, 6, and 12 months after treatment.

Results: Group 1 demonstrated an improvement in microcirculation parameters for up to 3 months (p=0.0027). In group 2, an improvement was observed for up to one year (p=0.0455).

Conclusion: Polarized polychromatic light therapy in mild chronic generalized periodontitis improves microhemocirculation in periodontal tissues, increasing the efficacy of drug therapy.

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About the authors

Elizaveta F. Nekrasova

Stavropol State Medical University

Email: liza26-92@mail.ru
ORCID iD: 0000-0001-7623-5963
SPIN-code: 4918-5819
Russian Federation, Stavropol

Sergej N. Garazha

Stavropol State Medical University

Email: s.nik56@mail.ru
ORCID iD: 0000-0002-3929-9252
SPIN-code: 3191-4655

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Stavropol

Zelimkhan S. Khubaev

Stavropol State Medical University

Email: supremus95@mail.ru
ORCID iD: 0009-0009-8830-6875
SPIN-code: 7813-6696

MD, Cand. Sci. (Medicine)

Russian Federation, Stavropol

Elena N. Grishilova

Stavropol State Medical University

Email: ELenKAstom@yandex.ru
ORCID iD: 0000-0003-4122-1881
SPIN-code: 1227-6593

MD, Cand. Sci. (Medicine), Associate Professor

Russian Federation, Stavropol

Alla V. Ivashova

Stavropol State Medical University

Email: alla2375iv@mail.ru
ORCID iD: 0009-0005-0457-2625
SPIN-code: 8914-8838

MD, Cand. Sci. (Medicine)

Russian Federation, Stavropol

Angelina O. Gotlib

Stavropol State Medical University

Author for correspondence.
Email: angel-406@yandex.ru
ORCID iD: 0009-0000-7948-7322
SPIN-code: 2215-2326

MD, Cand. Sci. (Medicine), Associate Professor

Russian Federation, Stavropol

References

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  2. Khubaeva FS, Garazha SN, Grishilova EN, et al. Efficiency of treatment of chronic generalized periodontitis using photodynamic and anti-inflammatory therapy. Applied and IT Research in Medicine. 2023;26(1):15–22. EDN: FMMBWL doi: 10.18499/2070-9277-2023-26-1-15-22
  3. Romanov AS, Ragulin AV, Olesov EE, et al. Sensitivity of periodontal pathogens to the cell sap of Siberian fir (microbiological study). Russian Journal of Dentistry. 2021;25(6):505–510. EDN: LJVBEO doi: 10.17816/1728-2802-2021-25-6-505-510
  4. Volkov AG, Morozov DI, Dikopova NZh, et al. Clinical effectiveness of ultraphonophoresis of Metrogil Denta gel in mild periodontitis. Russian Journal of Dentistry. 2021;25(1):48–53. EDN: SHWWVL doi: 10.17816/1728-2802-2021-25-1-48-53
  5. Lashko IS, Aleksandrov MT, Olesov EE, et al. Indicators of laser conversion diagnostics of the periodontal state in normal and pathology. Russian Journal of Dentistry. 2019;23(3-4):129–132. EDN: UHOUZF doi: 10.18821/1728-2802-2019-23-3-4-129-132
  6. Samoilova KA, Zimin AA, Buinyakova AI, et al. Regulatory systemic effect of postsurgical polychromatic light (480–3400 nm) irradiation of breast cancer patients on the proliferation of tumor and normal cells in vitro. Photomed Laser Surg. 2015;33(11):555–563. doi: 10.1089/pho.2014.3878
  7. Garazha SN, Gottlieb AO, Grishilova EN, et al. Changes in periodontal microcirculation during the treatment of generalized periodontitis using polarized light. Russian Journal of Dentistry. 2022;26(3):213–218. EDN: NQZBQS doi: 10.17816/1728-2802-2022-26-3-213-218
  8. Orekhova EM, Romanovskaya AA. Vasocorrigent effect of the combined usage of polychromatic incoherent radiation and dental gel holisal with patients suffering from chronic apical periodontitis. Resort Medicine. 2018;(4):86–90. EDN: YVKTYT

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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