On the issue of increasing the effectiveness of physiotherapeutic treatment of patients with type 2 diabetes mellitus suffering from periodontal-periodontal pathology

Purpose. In increasing the effectiveness of treatment of patients with T2DM type when they identify dental pathology. The study allows us to assess the prospects and effectiveness of pharmacologically low-load physiotherapeutic treatment in patients with type 2 diabetes mellitus with periodontal periodontitis after applying laser radiation with a wavelength of 810 nm intracanally in combination with transcanal galvanophoresis of copper-calcium hydroxide. The use of depot-phoresis with an active cathode provides higher anti-inflammatory and analgesic results, in relation to the apex-phoresis of copper-calcium hydroxide (active - anode), which, in our opinion, is based on an increase in the activity of physicochemical reactions of metabolic orientation in the alkaline environment of the oral cavity.

Methods: the materials of a retrospective study including 105 patients with type 2 diabetes mellitus with periodontal periodontitis were analyzed. Patients of the first group (Comparison I - 17 people) received laser exposure intracanally. Patients of the second group (Comparison II -18 people) received galvanophoresis with copper-calcium hydroxide transcanally with an active anode. Patients of the third group (Comparison III -18 people) received galvanophoresis with copper-calcium hydroxide transcanally from the active Cathode. Patients of the main group (Main I - 18 people) received complex therapy in the form of laser exposure intracanally and galvanophoresis with copper-calcium hydroxide transcanally from the active Cathode. Patients of the main group (Main II - 18 people) received complex therapy in the form of laser exposure intracanally and galvanophoresis with copper-calcium hydroxide transcanally with an active anode. The control was carried out on patients without physiotherapeutic treatment, including long-term indicators.

Outcomes. During dental treatment, all patients with type 2 diabetes had a laboratory-confirmed blood glucose level of 7.5±1.9 mg % (p <0.05). The hygienic index of Fedorov - Volodkina - 5.3±0.3 points. In 86.5% of patients, supra- and subgingival tartar was detected and in 35.9% of them - the formation of periodontal pockets with bright red granulations, which required very careful treatment. It has been established that the depot-phoresis with an active cathode provides high anti-inflammatory and analgesic results with mono-exposure. In 29.4% of patients after intracanal monolaser exposure, high anti-inflammatory effects were established, which were accompanied by a decrease in the hygiene index, the index of inflammation, which was lower than after complex laser electrophoresis.