Preview

Pediatric dentistry and dental prophylaxis

Advanced search

Pathogenetic strategies for addressing periodontal morphological and functional disorders in plaque-induced gingivitis

https://doi.org/10.33925/1683-3031-2024-744

Abstract

Relevance. Plaque-induced gingivitis represents the initial phase of periodontal diseases and a significant medical and social challenge within global healthcare frameworks, particularly prevalent among younger people.

Demographics. This prevalence arises from its multifactorial etiology, complex developmental mechanisms, and notable pathogenetic features, most evidently microcirculatory disruptions leading to tissue hypoxia. Addressing these pathological conditions requires the development of novel diagnostic methodologies and therapeutic interventions to prevent further complications.

Materials and methods. The study encompassed 54 subjects with an average age of 22.5 ± 1.7 years. The control group included 34 participants (GroupI), and the comparison group 20 participants (Group II). Group II received vacuum laser therapy in conjunction with Mexidol-based dressings, noted for their antihypoxant and antioxidant properties.

Results. Evaluations conducted post-treatment indicated enhancements in both arterial and venous capillary functions. Amid the antioxidant and antihypoxant treatment regimen, capillary diameters were reduced to match those observed in the control group.

Conclusion. Regimen implemented in this study was clinically and functionally effective in a combined treatment protocol involving vacuum laser therapy on periodontal tissues of plaque-induced gingivitis patients. This regimen is recommendable as a corrective measure for microcirculatory disturbances within the scope of managing inflammatory periodontal diseases.

About the Authors

I. S. Agafonova
Russian University of Medicine
Russian Federation

Irina S. Agafonova - DMD, PhD student, Department of the Restorative Dentistry and Periodontology.

Moscow



S. N. Ermolyev
Russian University of Medicine
Russian Federation

Sergey N. Ermolev - DMD, PhD, DSc, Professor, Department of the Restorative Dentistry and Periodontology.

Moscow



R. A. Aivazova
Russian University of Medicine
Russian Federation

Regina A. Aivazova - DMD, PhD, DSc, Associate Professor, Department of the Restorative Dentistry and Periodontology.

Moscow



Sh. L. Shimanskiy
Russian University of Medicine
Russian Federation

Shalva L. Shimanskiy - DMD, PHD, Associate Professor, Department of the Department of Restorative and Preclinic Dentistry, Professor.

Moscow



V. G. Atrushkevich
Russian University of Medicine
Russian Federation

Victoria G. Atrushkevich - DMD, PhD, DSc, Professor, Head of the Department of the Restorative Dentistry and Periodontology.

Moscow



References

1. Gasner NS, Schure RS. Periodontal Disease. 2023. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554590/

2. Chapple I. Time to take gum disease seriously. Br Dent J. 2022;232(6):360–361. doi: 10.1038/s41415-022-4113-1

3. Rathee M, Jain P. Gingivitis. 2023. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557422/

4. Chau RCW, Li GH, Tew IM, Thu KM, McGrath C, Lo WL, et al. Accuracy of Artificial Intelligence-Based Photographic Detection of Gingivitis. Int Dent J. 2023;73(5):724-730. doi: 10.1016/j.identj.2023.03.007

5. Kuznetsova GI, Ermolyev SN, Kiselnikova LP. Estimating the efficiency of gingivitis therapy in children by data of functional investigation methods. The Dental Institute. 2016;(4):80-83 (In Russ.). Available from: https://www.elibrary.ru/item.asp?id=28093139

6. Eldzharov A, Kabaloeva D, Nemeryuk D, Goncharenko A, Gatsalova A, Ivanova E, et al. Evaluation of Microcirculation, Cytokine Profile, and Local Antioxidant Protection Indices in Periodontal Health, and Stage II, Stage III Periodontitis. Journal of Clinical Medicine. 2021;10(6):1262. doi: 10.3390/jcm10061262

7. Wang Y, Andrukhov O, Rausch-Fan X. Oxidative Stress and Antioxidant System in Periodontitis. Front Physiol. 2017;8:910. doi: 10.3389/fphys.2017.00910

8. Lyubomirskiy GB, Redinova TL. Microcirculatory changes in periodontal tissues of patients with periodontitis in the dynamics of physical therapy. Parodontologiya. 2020;25(1):63-70 (In Russ.). doi: 10.33925/1683-3759-2020-25-1-63-70

9. Oltarzhevskaya ND, Korovina MA, Krichevsky GE, Shchedrina MA, Egorova EA. The opportunities of using polysaccharides for the wound treatment. Wounds and Wound Infections. The Prof. B. M. Kostyuchenok Journal. 2019;6(2):24–31 (In Russ.). doi: 10.25199/2408-9613-2019-6-2-24-31


Review

For citations:


Agafonova I.S., Ermolyev S.N., Aivazova R.A., Shimanskiy Sh.L., Atrushkevich V.G. Pathogenetic strategies for addressing periodontal morphological and functional disorders in plaque-induced gingivitis. Pediatric dentistry and dental prophylaxis. 2024;24(1):34-40. (In Russ.) https://doi.org/10.33925/1683-3031-2024-744

Views: 447


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1683-3031 (Print)
ISSN 1726-7218 (Online)