Influence of the combined application of physiotherapeutic factors on microhemodynamic parameters and the level of oxygenation of tissues of the peri-implant zone in inflammatory complications in patients with orthopedic constructions on dental implants-Reference-Cited by-同舟云学术

Influence of the combined application of physiotherapeutic factors on microhemodynamic parameters and the level of oxygenation of tissues of the peri-implant zone in inflammatory complications in patients with orthopedic constructions on dental implants

Published:2021-10-04 Issue:5 Volume: Page:48-58
ISSN:2074-9961
Container-title:Fizioterapevt (Physiotherapist)
language:ru
Short-container-title:

Author:

Livshits V. I.¹^ORCID,Nagornev S. N.²^ORCID,Gvetadze R. Sh.³^ORCID,Frolkov V. K.²^ORCID

Affiliation:

1. FSBI National Research Center «Central Research Institute of Dentistry and Maxillofacial Surgery» of the Ministry of Health of Russia, Moscow, Russia

2. FSBI Center for Strategic Planning and Management of Biomedical Health Risks, FMBA of Russia, Moscow, Russia

3. FSBEI HE Moscow State University of Medicine and Dentistry named after A.I. Evdokimov of the Ministry of Health of Russia, Moscow, Russia

Abstract

The article analyzes the role of microcirculatory disorders in the pathogenesis of inflammatory complications (peri-implantitis) in patients with orthopedic constructions on dental implants and substantiates the possibility of a complex course application of low-intensity infrared laser therapy and low-frequency electrostatic therapy. It was shown that the initial state of patients with peri-implantitis is characterized by significantly low values of the level of general perfusion and its intensity, as well as the predominance of shunt mechanisms that reduce the values of the nutritive link of blood flow. The cause of the revealed disorders is the low level of functioning of the vasodilation mechanisms, caused by inflammatory and destructive processes in the peri-implant tissues. The use of a complex of physiotherapeutic exposure was characterized by a more pronounced corrective effect on the parameters of microcirculation and oxidative metabolism in comparison with standard dental treatment. The observed dynamics of microcirculatory systems of tissues of the peri-implant zone under the conditions of the complex influence of physiotherapeutic factors is aimed at the formation of adaptive reactions of local hemodynamics to the local needs of soft and bone tissues experiencing an inflammatory process around the implant, as well as strengthening the mechanisms of long-term adaptation of trophic relations in tissue peri-implant microregions. Taking into account the pathogenetic significance of microhemodynamic disorders in the formation of clinical manifestations of peri-implantitis, the revealed activating effect of the technology of the combined use of a laser and low-frequency electrostatic therapy serves as an objective proof of its therapeutic efficacy.

Publisher

PANORAMA Publishing House

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