Monitoring evaluation of the effectiveness of TES therapy after dental interventions

Abstract

Introduction. The wound process after dental operations is the most frequent cause of complications, which requires monitoring evaluation, as well as the introduction of new non-drug therapy methods, which include TES therapy. The purpose of the study . Summarize information on the effect of TES therapy on the microcirculation of the gingival mucosa in the dynamics of wound healing. Material and methods . 233 patients participated in the study, who were divided into two representative groups: 105 – on the background of the use of TES therapy in the complex treatment of clean, purulent and purulent-necrotic wounds in dental patients, and 128 – during traditional treatment. A monitoring assessment of microcirculation was carried out against the background of wound healing on the 6th and 9th day after surgery. Laser dopplerometry (LDM) was used to assess microcirculation at the border of the defect (1-2 mm) from the edge of the gingival mucosa wound. During the study, the average values of gingival tissue perfusion (M, Kv ), neurogenic and biogenic tone (NG, MG) and precapillary shunting index (PS) were calculated. Research results and their discussion. Among all patients, positive changes were observed among the perfusion indicators (M, Kv), neurogenic and myogenic tone (NG, MG) and precapillary shunting index, which indicates an improvement in blood supply and an increase in oxygenation of the periodontium. This had a positive effect on the rate of wound healing, as indicated by clinical observations. Conclusions . 1. The use of TES therapy in the complex treatment of the wound process in dental patients significantly improves the microcirculation of the wound, which contributes to faster healing. 2. Stabilization of microcirculation against the background of TES therapy is ensured by the effect of transcranial electrical stimulation on the subcortical structures of the brain. 3. Under the influence of TES-therapy, the neurogenic and myogenic tone of vessels of the microcirculatory channel is stabilized, which reduces shunting and improves oxygenation of periodontal tissues.