Methods of application of ozone therapy for the treatment of peri-implantation mucositis
https://doi.org/10.33667/2078-5631-2021-2-86-84
Abstract
At the dental reception, complications after dental implantation in the form of mucositis and peri-implantitis are becoming more and more common. There are quite a lot of risk factors for the development of inflammation of the parotid tissue, there is no single idea about the etiopathogenesis of the above pathology. Mucositis refers to the initial stage of peri-implantitis development and is reversible. The specialist should promptly diagnose the development of the inflammatory potential and start treatment, in order to prevent the development of bone destruction around the implants. One of the methods of local exposure to the lesion is ozone therapy.
Goal. This paper describes the method of treatment of peri-implantation mucositis by ozone therapy.
Materials and methods. In patients with peri-implantation mucositis, the inflammatory peri-implantation tissue was ozonated directly in the oral cavity with the Ozotron device in order to relieve inflammation and improve microcirculation in the oral cavity. Before performing oral ozonation, all patients underwent a general clinical examination to identify contraindications to this method. It also describes in detail the scheme that prevents the penetration of ozone into the body and prevents its ingestion.
Results. During ozonation, a positive trend was obtained in the treatment of post-prosthetic complications during dental implantation. The developed scheme of ozonation in the oral cavity stops the inflammation of the peri-implantation tissue. Side effects and complications during ozone therapy directly in the oral cavity were not detected.
Conclusions. The inclusion of ozone therapy in the treatment regimen of patients with peri-implantation mucositis is an appropriate and justified physiotherapy method.
About the Authors
Iu. A. MakedonovaRussian Federation
doctor of medical Sciences, head of the Department of dentistry, senior researcher of the Laboratory of innovative methods of habilitation and rehabilitation,
Volgograd
D. V. Mikhalchenko
Russian Federation
candidate of medical Sciences, associate Professor, head of the Department of propaedeutics of dental diseases,
Volgograd
O. Yu. Afanaseva
Russian Federation
candidate of medical Sciences, docent of the Department of dentistry,
Volgograd
S. V. Stavskaya
Russian Federation
candidate of medical Sciences, docent of the Department of dentistry,
Volgograd
D. Yu. Dyachenko
Russian Federation
assistant of the Department of dentistry,
Volgograd
E. V. Venskel
Russian Federation
candidate of medical Sciences, associate Professor of the Department of operative surgery and topographic anatomy,
Volgograd
H. Yu. Salyamov
Russian Federation
candidate of medical Sciences, docent of the Department of dentistry,
Volgograd
References
1. V.V. Afanas’eva Surgical dentistry: textbook. / under total. ed. – 2nd ed – – Moscow: GEOTAR-Media, 2015. – P. 792. (In Russ.).
2. ZHidovinov A.V. Treatment and rehabilitation of patients with volumetric defects of the lower jaw. – Clinical dentistry. – 2016;2(78):63–66. (In Russ.).
3. SHevela T. L., Pohoden’ko-CHudakova I. O., Pavlovich T. P. Early diagnosis of peri-implantitis. – Dentist. – 2018;1(28):54–57. (In Russ.).
4. Cimbalistov A.V., Olejnik E.A., Kamalov R.H. Prevention of the development of peri-implantitis and mucositis based on molecular results («hain lifescience», germany). – Dentistry. 2016;6(95):53–54. (In Russ.).
5. Papathanasiou E., Finkelman M., Hanley J., Parashis A. Prevalence, etiology and treatment of peri-implant mucositis and peri-Implantitis. – Journal Periodontol. 2016;87(5):493–501.
6. Olesova V.N., Bronshtejn D.A., Stepanov A.F., Kalinina A.N., Lashko I.S. The incidence of inflammatory complications in peri-implant tissues according to long-term clinical analysis. – Dentist. 2017;1(24):35–37. (In Russ.).
7. Mihal’chenko D.V., Makedonova YU.A., Salyamov H.YU. Modern methods of diagnostics of post-prosthetic complications in dental implantation. – Bulletin of the Volgograd State Medical University. 2020;2(74):72–76. (In Russ.).
8. Latyushina L.S., Piotrovich A.V., Malysheva L.YU., Artyuhevich T.V., Kuz’mina E.V. Immunological features of the development of the early form of peri-implantitis and the effect of topical immunotherapy on the salivatory level of cytokines during dental implantation. – Russian journal of immunology. 2019;13(22):1211–1216. (In Russ.).
9. Nagornev S.N., Ramazanov N.G., Frolkov V.K., Gusakova E.V., Rygina K.V., Bobrovnickij O.I., Puzyreva G.A. Influence of a pulsed magnetic field in combination with ozone therapy on the clinical state of patients with dental peri-implantitis. – Russian Journal of Rehabilitation Medicine. 2015; 1:11–26. (In Russ.).
10. SHevela T.L. Clinical evaluation of the effectiveness of the peri-implantitis index in patients after dental implantation. – Dentist. 2019;1(32):56–59. (In Russ.).
11. Sultanov A.A., Pervov YU.YU., YAcenko A.K. Physicochemical properties of implants and their interaction with surrounding tissues and environments of the oral cavity (literature review). – Vyatka Medical Bulletin. 2019;2(62):80–86. (In Russ.).
12. Ratna Sari Dewi, Laura Susanti Himawan, Sri Angky Soekanto, Lindawati S. Kusdhany Low Resonance Frequency Analyzer (Lrfa) as a Potential Tool for Evaluating Dental Implant Osseointegration. – Journal of International Dental and Medical Research. 2016;9:376–381.
13. Ghosh A. Porphyromonas gingivalis, gamma interferon, and a proapoptotic fibronectin matrix form a synergistic trio that induces c-Jun N-terminal kinase 1-mediated nitric oxide generation and cell death. – Infect Immun. 2008;76(12):5514–5523.
14. Marzella Mega Lestari, Dwi Nugroho Juanda, Dewi Fatma Suniarti , Dondin Sajuthi The Effect of Alendronate to Osseointegration of Dental Implant at Ovariectomized Sprague Dawley Rat. – Journal of International Dental and Medical Research. 2019;12 (2):510–515.
15. Makedonova Yu.A., Mikhalchenko D.V., Zhidovinov A.V., Dyachenko D.Yu., Veremeenko S.A. Comparative evaluation of treatment efficiency of inflammatory complications after orthopedic treatment with up-to-date methods of pharmacotherapy. – Journal of International Dental and Medical Research. 2020;2(13):571–576.
16. Edoardo Brauner, Francesca De Angelis, Sara Jamshir, Valentino Valentini, Umberto Romeo. Gingival Hyperplasia Around Dental Implants in Jaws Reconstructed with Free Vascularized Flaps: A Case Report Series. – Journal of International Dental and Medical Research. 2018;1(11):1–7.
17. Naumova V.N., Mikhalchenko D.V., Makedonova Ju.A., Kolesova T.V., Denisenko L.N. Interdisciplinary collaboration: screening of systemic blood flow at a dental appointment. Journal of International Dental and Medical Research. 2020;1(13):216–222.
18. Gvozdikova E.N. Features of the tactics of treating oral mucositis in cancer patients on the background of radiation treatment and / or chemotherapy. – Dissertation for the degree of candidate of medical sciences. Russian Scientific Center for Roentgenoradiology. Moscow. 2017;23–46. (In Russ.).
19. Prityko D.A., Gusev L.I., Ivanova N.M., Sergeenko E.YU. Modern approaches to the prevention and treatment of oral mucositis. – Russian Journal of Pediatric Hematology and Oncology. 2019;1 (6):110–111. (In Russ.).
20. Dmitrieva L. A. Therapeutic dentistry. – National leadership. – M .: GEOTAR – Media, 2019. – P. 894. (In Russ.).
21. Ratna Sari Dewi, Roselani W Odang, Fariza Gita Clinical Evaluation of Osseointegration on Dental Implants with Resonance Frequency Analysis. – Journal of International Dental and Medical Research. 2019;12(2):672–676.
22. Mihal’chenko D.V., Porojskij S.V., Makedonova YU.A. Stress as a predictor of peri-implantitis development (review). – Georgian Medical News. – 2019;294:46–50. (In Russ.).
23. Mihal’chenko D.V., Salyamov H.YU., Makedonova YU.A., Mihal’chenko A.V. The use of ozone therapy in the treatment of complications of dental implantation. – Bulletin of the Volgograd State Medical University. 2020;2(74):77–80. (In Russ.).
24. Nguen Z.H., Avanesov A.M., Kandakova E.YU., Gvozdikova E.N. Состояние микроциркуляции слизистой оболочки полости рта как фактор оценки эффективности местного лечения мукозита. Актуальные вопросы стоматологии. 2019;1:61–63. (In Russ.).
25. Kannoeva M.V., Ushakov A.I., Zoryan E.V., Mihajlova A.B. Experience in the use of antihomotoxic drugs in preparation for dental implantation. – Clinical dentistry. 2015;1(73):36–39. (In Russ.).
26. Bazaeva I. K. The use of medical ozone in the prevention and complex treatment of complications of dental implantation. Author’s abstract. dis. Cand. honey. sciences. Moscow. – 2013. P. 22. (In Russ.).
27. Abramov K.S., Davydova E.V., Osikov M.V. Comparative assessment of apoptosis and proliferation indices in isolated femoral fracture under systemic ozone therapy. – Russian journal of immunology. – 2019;13(22):1085–1088. (In Russ.).
28. Ivan’yakov A.A. Features of the influence of the retromolar distance and body length of the lower jaw on the retention of the third molars of the lower jaw. – Proceedings of the Russian Military Medical Academy. 2018;37:249–250. (In Russ.).
29. Kinash I.N., Puseva M.E., Butaev CH.Z., Ippolitova E.G. Dynamics of blood parameters in patients with damage to the diaphysis of the radial bone using the method of transosseous osteosynthesis with an apparatus for external fixation of the wire assembly. – Acta Biomedica Scientifica. – 2018;3:95–99. (In Russ.).
30. Pedder V.V., Letuchih A.A., Sokolova T.M.,Rot G. Z. Ozone / NO-ultrasonic treatment technologies in obstetrics and gynecology. – NPP «Metromed». – Omsk: Polygraph. Center «KAN», 2011. –76 s. (In Russ.).
Review
For citations:
Makedonova I.A., Mikhalchenko D.V., Afanaseva O.Yu., Stavskaya S.V., Dyachenko D.Yu., Venskel E.V., Salyamov H.Yu. Methods of application of ozone therapy for the treatment of peri-implantation mucositis. Medical alphabet. 2021;(2):80-84. (In Russ.) https://doi.org/10.33667/2078-5631-2021-2-86-84