Reduction of glycemic risks in patients with diabetes mellitus and chronic periodontitis after physiotherapy

BACKGROUND: The article is devoted to the actual task of reducing inflammatory complications after dental manipulations in patients with diabetes mellitus. It is noted that worldwide there is a steady trend of increasing the incidence of diabetes mellitus and predicting an increase in the number of patients to 250 million people by 2025. The prevalence, severity of dental complications and inflammatory diseases of periodontal tissues in patients with diabetes is extremely high, which determines the relevance and scientific and practical significance of the study.

AIM: to evaluate the score, index dental indicators, cytokine plasma indicators before/after the use of physiotherapy methods in complex dental treatment.

MATERIAL AND METHODS: The study included 121 patients (58 men and 63 women) with diabetes mellitus with an underlying disease duration of up to 5 years who were diagnosed with diabetes periodontal-periodontal inflammatory diseases. Starting and ending points: point, index dental indicators, glycemic profile and immunological cytokine plasma indicators before/after the application of physiotherapy methods before/after the application of physiotherapy methods in complex dental treatment, including a transcanal method of drug electrophoresis with a copper-calcium preparation and laser exposure to NILI (low-intensity laser radiation; l=810 nm). Analysis of statistical data was carried out in Microsoft Office Excel (2017) programs. The differences were considered significant at р <0.05.

RESULTS: It has been established that the use of complex physiotherapy in patients with diabetes reduces glycemic risks and increases antioxidant reserves.

CONCLUSION: The use of complex physiotherapy in patients with type 2 diabetes mellitus reduces the risks of inflammatory complications in periodontal-periodontal tissues, which is confirmed by clinical efficacy in relation to cellular immunity and hygiene index.