A new method of intraperiopocket galvanophoresis as part of the complex therapy of fast-progressive periodontitis

Abstract

Rapidly progressive periodontitis, as a form of aggressive periodontitis, is characterized by a pronounced loss of clinical attachment and destruction of the alveolar bone with early manifestation in systemically healthy people. The effectiveness of treatment of such a disease is low, it is associated, among other things, with the level of patient’s adherence to treatment, with the timing of the start of therapy and the peculiarity of the patient’s immune system. The aim of the study was to increase the effectiveness of the treatment of rapidly progressive periodontitis by including in complex therapy a new technique of intraperiopoket galvanophoresis with copper—calcium hydroxide.
Materials and methods.
The dental (including periodontal) status was assessed, the Silness—Low dental plaque index, the gingival bleeding index during probing (BoP), the papillary-marginal-alveolar index (PMA) were determined, and periotestometry was performed using the Periodest S device. The condition of the hard tissues of teeth and pulp was determined using vertical percussion, probing and electro-dental diagnostics (EDI) using the Pulpest L device (Geosoft, Russia—Israel). The intraperiopocket galvanophoresis procedure was performed with Cupral copper—calcium hydroxide preparation (HumanChemie, Germany) and a strip of aluminum foil, which was fixed with Sulfacrylate medical glue (NTO “Medical Innovations”, Russia). Dentin-sealing liquid (HumanChemie, Germany) was used to obstruct the openings of the dentine tubules and ensure the remineralization of dentin.
Results.
On the 14th day from the beginning of treatment, the relief of the inflammatory process in periodontal tissues and a decrease in the amount of plaque were recorded for all estimated parameters. Dynamics of EDI indicators: in the field of dentofacial segments of the main group, the values of indicators increased 1.7—3.5 times 6 months after treatment. In the area of the dentofacial segments of the comparison group, the values of EDI both increased and decreased after 6 months, from 1.3 to 2 times compared to the initial values.
Conclusion.
The therapy of rapidly progressing periodontitis using a new technique of intraperiopocket galvanophoresis with copper—calcium hydroxide and deep fluoridation of dental root dentine in the presented clinical case has shown its advantage over traditional treatment, is promising and can increase the effectiveness of treatment and minimize the frequency of relapses of rapidly progressing periodontitis.