Russian Journal of Physiotherapy, Balneology and Rehabilitation

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.

Background. Lip contouring with preparations based on synthetic hyaluronic acid is one of the most popular cosmetic procedures. But in recent years, there has been an explosive increase in the number of complications. There are many physiotherapeutic methods for the treatment of late complications of lip contouring. However, currently there are no differentiated approaches to the choice of physiotherapy techniques and their combination with each other, depending on the nature of the filler and the clinical and functional picture of the complication.

Objective: to develop and evaluate the use of personalized physiotherapy in patients with complications after the introduction of lip fillers, taking into account their genetic predisposition.

Material and methods. The study involved 52 patients aged 30 – 42 years with a diagnosis of L57.4 - senile atrophy (lethargy) of the skin, who received late complications (local swelling, dry and pale lip skin, filler contouring, soreness, sensitivity change) at the filler injection site. All patients underwent genetic testing on the Cosmetology panel before the start of treatment. There were 3 groups that received physico-pharmacological methods: laserophoresis of longidase, diadinamophoresis of collagenase or a combination of them in the lip area at the filler injection site.

Result. When analyzing the data after the course of treatment, patients with the combined protocol showed a significant improvement in the quality of life, both in the near and long-term research period. This was expressed in a statistically significant decrease in intradermal edema, rapid regression of pain syndrome and more accelerated biodegradation of the superficially injected filler in the main group compared to other study groups/

Conclusion. In patients with late local complications after the introduction of hyaluronic acid fillers, the combined protocol with the inclusion of laser-phoresis of longidase and collagenase diadinamophoresis significantly shortens the recovery period, contributes to a faster reduction of local edema, pain, neuropathy phenomena, accelerated biodegradation of the superficially injected filler, and also allows for a stable clinical result. Personalized physiotherapy is an effective factor in relieving complications after lip contouring.

Plasma medicine is a dynamically developing field of science based on the physical and chemical properties of air-plasma flows. Low-temperature plasma is a partially ionized gas with a temperature of about 40ºC, the synergistic interaction of its active substances is a successful method of sterilization, decontamination of wound surfaces, treatment of surgical and burn wounds. Due to the combined action, over the past decades, low-temperature plasma has proven itself in purulent surgery, dermatology, and dentistry, but in addition, it has opened up great prospects in oncology. Possessing the effects of inhibiting inflammatory processes, stimulating regeneration processes, improving microcirculation and tissue metabolism, plasma flows are also used in medical rehabilitation. The review considers the possibilities of using low-temperature plasma in various fields of medicine, as well as the effect of plasma flows on basic cellular processes and various forms of cell death. The experience of using low-temperature argon plasma in the complex rehabilitation of patients with malignant neoplasms is presented. Materials and methods: literature sources from russian and foreign databases (Elibrary, Pubmed) on the topic of low-temperature plasma application in medical practice were analyzed. The analysis showed that plasma medicine is a rapidly developing modern direction, opening up new opportunities in healthcare. Further studies of plasma streams are needed to unlock their full therapeutic potential and fully understand the mechanisms of action.