真空激光疗法作为斑块引起的牙龈炎综合疗法的一部分

S. N. Ermoliev, I. S. Agafonova, Sh. L. Shimanskiy, V. Atrushkevich
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摘要

相关性。全球劳动适龄人口中牙菌斑诱发的牙龈炎发病率不断上升,导致更多的牙齿脱落和生活质量下降,突出了早期干预牙周炎症的必要性。鉴于牙周菌群对药物治疗的抗药性不断增强,以及大分子致敏的可能性,探索能刺激牙周组织适应机制的非药物干预措施的有效性,对于有效控制牙菌斑诱发的牙龈炎至关重要。本研究详细记录了在了解研究方案后同意参与研究的年轻成年人的调查结果。重点是评估在治疗开始时、治疗完成后和治疗一个月后出现早期炎症迹象的完整牙周组织的临床和功能健康状况。除了标准的牙周治疗外,实验队列中的受试者每天都要接受真空激光治疗,使用波长为 650 nm 的红色激光,脉冲频率高达 10 Hz。利用重要的计算机毛细血管镜和动态真空采样进行功能监测,以评估牙周组织微循环中的毛细血管阻力。真空激光疗法在治疗牙菌斑引起的牙龈炎方面有显著疗效,毛细血管直径明显缩小了约 14.5%。这种减少归因于毛细血管阻力的增强和微血管壁通透性的正常化。值得注意的是,在牙周组织使用定量真空后,瘀斑形成的时间延长了一倍,这表明网状内皮系统的活性和毛细血管网的再生能力得到了增强。使用口腔健康指数进行的患者评估显示,口腔卫生明显改善,而且没有炎症迹象。研究结果肯定了真空激光疗法与传统治疗方法相结合治疗牙菌斑引起的牙龈炎的有效性,突出了其在不依赖药物干预的情况下改善牙周健康的益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vacuum laser therapy as part of combined treatment for plaque-induced gingivitis
Relevance. The increasing prevalence of plaque-induced gingivitis among the working-age population worldwide is leading to more cases of tooth loss and diminished quality of life, highlighting the need for early intervention in periodontal inflammation. Given the rising resistance of periodontal flora to pharmacological treatments and the potential for macroorganism sensitization, exploring the efficacy of non-pharmacological interventions that stimulate adaptive mechanisms in periodontal tissues becomes crucial for managing plaque-induced gingivitis effectively.Materials and Methods. This investigation details the findings from young adults who consented to participate after being informed about the study's protocol. The focus was on evaluating the clinical and functional health of intact periodontal tissues showing early signs of inflammation at the beginning of the treatment, upon completion, and one month after treatment. In addition to standard periodontal treatment, subjects in the experimental cohort underwent daily vacuum laser therapy sessions using a 650 nm wavelength red laser at a pulse rate of up to 10 Hz. Functional monitoring was performed utilizing vital computer capillaroscopy and dynamic vacuum sampling to evaluate capillary resistance in the microcirculation of periodontal tissues.Results. Vacuum laser therapy demonstrated significant therapeutic benefits in treating plaque-induced gingivitis, notably reducing the diameter of capillaries by approximately 14.5%. This reduction was attributed to enhanced capillary resistance and normalized microvascular wall permeability. Notably, the time to petechial formation doubled following dosed vacuum application to periodontal tissues, indicating enhanced reticuloendothelial system activity and capillary network regeneration. Patient assessments using the oral health index showed notable improvements in oral hygiene and the absence of inflammation signs.Conclusion. The study's results affirm the effectiveness of combining vacuum laser therapy with conventional treatment modalities for plaque-induced gingivitis, highlighting its benefits in improving periodontal health without relying on pharmacological interventions.
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