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Evaluation of the effectiveness of surgical elimination of gum recession using non-invasive methods of vascular wall endothelial dysfunction correction in the area of surgery

https://doi.org/10.33925/1683-3759-2020-25-3-211-215

Abstract

Relevance. The problem of treating gum recession has become particularly urgent due to the high incidence of the disease, as well as the increased aesthetic requirements of patients.

Purpose. To increase the efficiency of surgical treatment of gum recession by using non-invasive methods of correction of vascular wall endothelial dysfunction in the area of surgery.

Materials and methods. Sixty patients with gingival recession were included. They were randomly allocated in three groups based on the material used and applied methods of treatment: I group – «Mucograft», II group – «Bio-Ost MUCO Plast», III group – «Bio-Ost MUCO Plast» with THF-therapy. Sixty patients with gingival recession were included. They were randomly allocated in three groups based on the material used and applied methods of treatment: I group – «Mucograft», II group – «Bio-Ost MUCO Plast», III group – «Bio-Ost MUCO Plast» with THF-therapy.

Results. The use of THF-therapy at the atmospheric oxygen frequency of 129.0 GHz allows to activate endogenous mechanisms of blood flow normalization in the area of recession, to reduce tissue hypoxia in the preoperative period, to reduce the signs of tissue inflammatory response to traumatic surgery in eliminating recession, to correct the indices of endothelial dysfunction in the preand postoperative period, to improve blood supply to the new tissue, to reduce the wound healing time.

Conclusion. The spongy structure of the collagen matrix «Bio-Ost MUCO Plast» and the effect of THF-therapy at the atmospheric oxygen frequency of 129.0 GHz in the process of the treatment and rehabilitation of patients with gum recession provide improved microcirculation of the emerging tissue due to faster penetration of new vessels into the spongy framework.

About the Authors

N. V. Bulkina
V. I. Razumovsky Saratov State Medical University
Russian Federation

Bulkina Natalia V. - PhD, Md, DSc, Professor, chief of the Department of therapeutic dentistry.

Saratov


L. A. Zyulkina
Penza State University
Russian Federation

Ziulkina Larisa A. - PhD, Md, DSc, chief of the Department dentistry.

Penza


P. V. Ivanov
Penza State University
Russian Federation

Ivanov  Petr V. - DSc, Professor of the Department dentistry.

Penza


A. P. Vedyaeva
Sechenov First Moscow State Medical University
Russian Federation

Vedyaeva  Anna P. - PhD, Md, DSc, Professor of the Department dentistry.

Moscow


Yu. I. Osipova
V. I. Razumovsky Saratov State Medical University
Russian Federation

Osipova Yulia L. - PhD, Md, DSc, Associate Professor of the Department of therapeutic dentistry.

Saratov



References

1. E. V. Antipova, O. Yu. Ponomareva. Types of gum grafts and their application in periodontal dentistry. Parodontologiya. 2016;2(79):24-28. (In Russ.). https://www.elibrary.ru/item.asp?id=26140001.

2. N. A. Bespalova, E. A. Durnovo, S. V. Shashurina. Possibilities of surgical elimination and prevention of gum recession using various types of transplantation techniques. Medical almanac. 2015;3(38):150-155. (In Russ.). https://www.elibrary.ru/item.asp?id=24361063.

3. N. V Bulkina, L. A. Ziulkina, P. V. Ivanov, A. P. Vedyaeva. Experimental justification of the use of new xenogenic biomaterials in reconstructive dental interventions in conditions of chronic inflammation. Parodontologiya. 2017;3(84):69-72. (In Russ.). https://www.elibrary.ru/item.asp?id=30060561.

4. E. A. Durnovo, S. V. Shashurina, N. A. Bespalova, M. V. Andreeva. Comparative analysis of the clinical effectiveness of various methods for eliminating gum recessions. Immediate and long-term results. Success of modern science and education. 2016;9(3):174-181. (In Russ.). https://www.elibrary.ru/item.asp?id=26744328.

5. V. F. Kirichuk, A. A. Tsymbal, O. N. Antipova, V. D. Tupikin, A. V. Mayborodin, A. P. Krinitsky, O. V. Betsky. The hemostatic system in conditions of chronic stress and terahertz therapy. Thrombosis, hemostasis and rheology. 2006;2(26):35-42. (In Russ.). https://elibrary.ru/item.asp?id=13062345.

6. T. N. Modina, A. R. Akisheva, E. V. Mamaeva. Vestibuloplasty in primary school children.Periodontology. 2016;2(79):48-51. (In Russ.). https://www.elibrary.ru/item.asp?id=26140006.

7. T. N. Modina, N. H. Hamitova, E. V. Mamaeva, L. I. Salekhova. Study of the etiology and pathogenesis of gum recession in children and adolescents. Parodontologiya.. 2009;3(51):8-14. (In Russ.). https://www.elibrary.ru/item.asp?id=12962515.

8. R. F. Mustakimova, G. T. Saleeva. The role of functional research methods in the complex diagnosis of periodontal diseases. Practical medicine. 2013;4(72):75-77. (In Russ.). https://www.elibrary.ru/item.asp?id=20377849.

9. G. S. Runova., E. I. Vybornaya, E. Yu. Vajcner. Elimination of recessions, a modern approach to plastic periodontal surgery. Medical Council. 2011;8:107-109. (In Russ.). https://www.elibrary.ru/item.asp?id=16908154.

10. N. V. Bulkina, A. P. Vedyaeva. Investigation of molecular mechanisms of reparative-regenerative processes in the wound with chitosan membrane stimulation. Journal of Clinical Periodontology. 2018;45:268. https://www.elibrary.ru/item.asp?id=36343087.

11. L. Shin, M. A. Gueva, D. G. Kerns, W. W. Hallmon, F. Rivera-Hidalgo, M. Nunn. A comparative study of root coverage using acellular dermal matrix with and without enamel matrix derivative. J. Periodontology. 2007;78:411-421. https://doi.org/10.1902/jop.2007.060170.

12. A. V. Zelenova, N. V. Bulkina. Hemodynamic abnormalities in periodontal tissues in patients with rapidly progressing periodontitis. Journal of Clinical Periodontology. 2018;45:81. https://www.elibrary.ru/item.asp?id=36343093.


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For citations:


Bulkina NV, Zyulkina LA, Ivanov PV, Vedyaeva AP, Osipova YI. Evaluation of the effectiveness of surgical elimination of gum recession using non-invasive methods of vascular wall endothelial dysfunction correction in the area of surgery. Parodontologiya. 2020;25(3):211-215. (In Russ.) https://doi.org/10.33925/1683-3759-2020-25-3-211-215

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ISSN 1683-3759 (Print)
ISSN 1726-7269 (Online)