Коlyuchkina E. A.

Crimean state medical university named after S. I. Georgievsky

PHOTOPHORESIS GENGIGEL IN COMPLEX THERAPY OF PETIENTS WITH CHRONIC GENERALIZED PARODONTITIS

Questions of prophylaxis and treatment of parodontium diseases with physiotherapeutic technologies have one of the first places between problems of recovery medicine. Adult population has parodontium diseases to 98 % (on data of WHO). The highest rate of morbidity is marked in persons of the most able to work age 35-45 years (65-92 %). That is why, increase of effective treatment of chronic generalized parodontitis by the way of creation of the new physiotherapeutic technologies preserve its actuality.

The numerous researches confirm positive influence of laser radiation on parodontium tissues. Use of various pharmacological preparations is effective, including gengigel (Ricefarma) at parodontitis treatment. Gengigel (Ricefarma) is a high-molecular biotechnologically made hyaluronic acid: it makes conditions for quick healing and recovery of gingival, it helps to mucosa to carry out its protective ffunctions, it notifies deficiency of natural hyaluronic acid in tissues of a mouth cavity.

Last years a new physico-pharmacological method found its use in clinical practice – photophoresis allowing significantly to increase efficacy of treatment. It was influenced by laser radiation in infra-red range on parodontium tissues (by apparatus “Mustang” of “Technics” firm) with wave length 0,87-0,91 mcm with actual power 10 mW with frequency 1,5 k cycle per second in impulsive rate on three fields on the extent of alveolar process of the upper maxilla on 2 minutea for each field. After this analogically the same actions on the lower maxilla. Maximum summary time of one séance of lasero-therapy (LT) consisted 12 minutes. The course of treatment consisted 10 procedures at the middle severity of parodontitis, at severe stage – 12 procedures, which are carried out every day.

At photophoresis of preparation gengigel (Ricefarma) we influenced by infra-red laser, using analogically parameters, that we used at LT. The course of treatment was 8 procedures at middle stage, at severe stage – 10 procedures. Amount of gingival fluid was 1,98+0,007 mg, neutrophiles – 72,3+4,3 %, epithelial cells – 13,7+0,2 % (at intact parodontitis amount of gingival fluid was 0,33+0,02 mg, neutrophiles – 2,2+0,2 %, epithelial cells – 4,2+0,3 %). It was revealed a quantity of small blood vessels of a capillary type – activization of neogiogenesis, i. e. neoplasm of capillaries at carry out of research at remote term, that it can be considered as a positive factor in prophylaxis of relapse development and progressing of pathological process. It is expediently to carry out supporting courses in 12 months at parodontitis of the middle stage of severity and in 8-10 months – at severe stage for prolongation of therapeutic effect and prophylaxis of pathological process progressing.