Open AccessTherapeutic and rehabilitation complex for the treatment of patients with chronic generalized periodontitis and bruxism
Author(s) -
Rasima R. Khaybullina,
Л. П. Герасимова,
Л. Т. Гильмутдинова,
M Yu Gerasimenko
Publication year - 2020
Publication title -
fizioterapiâ, balʹneologiâ i reabilitaciâ
Language(s) - English
Resource type - Journals
eISSN - 2413-2969
pISSN - 1681-3456
DOI - 10.18821/1681-3456-2018-17-5-252-257
Subject(s) - medicine , rehabilitation , therapeutic effect , periodontitis , physical therapy
Background. The article discusses modern concepts of the relationship of periodontal disease and bruxism.
Aim: to study the efficiency of the proposed therapeutic and rehabilitation complex for patients with chronic generalized periodontitis and bruxism.
Methods. 73 patients aged 3045 years with a diagnosis of chronic generalized periodontitis of moderate severity and bruxism were examined. The control group consisted of 15 apparently healthy individuals of the same age to clarify the functional parameters of the norm. To assess the effectiveness of the proposed therapeutic and rehabilitation complex, clinical, Doppler flowmetric and electromyographic research methods were used.
Results. High efficiency of the therapeutic and rehabilitation complex in the treatment of chronic generalized moderate periodontitis and bruxism has been revealed. An analysis of changes in time of clinical symptoms revealed that when using this program, which includes basic therapy, laser phoresis, ozone irrigation of the gums, the intake of phyto-complex and local-mineral complexes, the use of dental pins with propolis and phytocomplex, physiotherapy exercises and fluctuorization, positive changes were pronounced. Under the influence of the course effect of therapeutic procedures, patients showed an increase in blood perfusion volume by 37.7% (p 0.05), blood flow perfusion rate by 58.2% (p 0.05) from the initial values. At the same time, a decrease by 51.82% (p 0.05) from the initial indices of bioelectric activity of the temporal muscle at rest was registered, as well as by 40.4% (p 0.05) with voluntary constriction, and a decrease in the bioelectric activity of the mastication muscle at rest by 47.4% (p 0.05), and with voluntary constriction by 35.12% (p 0.05).
Conclusion. The data obtained based on electromyography and laser Doppler flowmetry indicate that the developed treatment and rehabilitation complex is an effective method for correcting the microcirculation of periodontal vessels, the functional activity of the maxillofacial muscles.