ANALYSIS OF THE EFFECTIVENESS OF GUM MASSAGE IN THE TREATMENT OF CHRONIC GENERALIZED PERIODONTITIS

Periodontal diseases are among the pathologies associated with dysfunction of peripheral blood vessels, as a result of which, with the progression of the disease, there is a decrease in tissue perfusion with blood, which makes it difficult to remove metabolic products. In inflammatory periodontal diseases, progressive resorption of bone tissue around the tooth occurs with loss of epithelial junction. All these processes lead to tooth loss and a significant deterioration in the quality of life of elderly patients.
The aim of the study was to determine functional changes in the microcirculatory system in elderly patients with chronic generalized periodontitis (CGP), to study the effect of exposure to various types of physical stimulation on changes in the microcirculation of gum tissues in elderly patients with CGP and to develop therapeutic strategies based on the data obtained.
Material and methods. The study was conducted by the laser diagnostic device «LAZMA ST» using a peripheral blood flow analyzer at the clinic of the Department of Dentistry of the Medical Institute of Penza State University. The study involved 50 people of both sexes who were diagnosed with chronic generalized periodontitis K05.3. Next, patients were divided into 2 study groups by randomization of 25 people. After daily 2-time tooth brushing, patients of the first group were recommended to perform finger massage of the gum tissues from the medial and distal sides of the alveolar processes of both jaws, and participants of the second group used an oral massage device for the elderly.
Conclusions. The study showed that functional and morphological changes can occur in elderly patients with chronic generalized periodontitis in the microcirculatory tissue system of the periodontium. Physical stimulation (gum massage) helps to increase the volume of circulating blood, improves the function of microcirculation in the gums and is effective for maintaining oral health for patients of this age.
Based on a dynamic assessment of the effect of the compared physical effects on the state of the microcirculatory bed of periodontal tissues in elderly people with inflammatory periodontal diseases, treatment with a gum massage device should be considered the most effective, and therapy with finger massage should be considered the least effective.

1. Kovalevskij А.М., Potoczkaya A.V., Podberyozkina L.A., Borisova E.G., Sharafutdinova D.O. Possibilities of application of physical methods in complex treatment of inflammatory periodontal diseases (literature review) (part II). Institute of Dentistry. 2019;1(82):98-101. (in Russ.)

2. Herbert F. Wolf, Edith M. Rateitzhak, Klaus Rateitzhak Periodontology; translated from German; edited by Prof. G.M. Barrera. M.: MED-press-inform; 2008; 548 p. (in Russ.)

3. Ermolaeva LA., Fedotova D.Yu., Rashnikova A.Yu. Fizioterapevticheskie metody reabilitacii stomatologicheskih zabolevanij: uchebnometodicheskoe posobie (Physiotherapeutic methods of rehabilitation of dental diseases: educational and methodical manual). St. Petersburg; 2014; 44 p. (in Russ).

4. Kovalevskij А.М., Potoczkaya A.V., Podberyozkina L.A., Borisova E.G., Sharafutdinova D.O. Possibilities of application of physical methods in complex treatment of infl ammatory periodontal diseases (literature review) (PART III). Institute of Dentistry, 2019; 2: 90-93 (in Russ).

5. Kuzmina E.M., Yanushevich O.O., Kuzmina I.N. Stomatologicheskaja zabolevaemost' naselenija Rossii. Jepidemiologicheskoe stomatologicheskoe obsledovanie naselenija Rossii (Dental morbidity of the Russian population. Epidemiological dental examination of the population of Russia). Moscow: MGMSU, 2019. 304 p. (in Russ).

6. Lyubomirskiy G.B., Redinova T.L. Microcirculatory changes in periodontal tissues of patients with periodontitis in the dynamics of physical therapy. Periodontology. 2020; 25(1): 63-70 (in Russ).

7. Rubnikovich S.P., Maizet A.I. Physiotherapeutic methods for correction of microcirculatory status in periodontal tissues in patients with partial secondary adentia. Dentist. Minsk. 2015;2 (17):41-47 (in Russ.).

8. Synitsyna A.V., Kushkova N.E., Gromova S.N. Results of the epidemiological stomatological survey of the population in kirov region: older adults. Vyatka Medical Bulletin. 2018;3(59):90-95 (in Russ.)

9. Tsinekker D.T., Shumsky A.V., Modina T.N. [et al.]. The term «Parodontal spaces». Topical issues of dentistry of children's age: Collection of scientific articles of the VI All-Russian Scientific and Practical Conference with international participation, Kazan; 2023. p. 378-380 (In Russ.).

10. Baimuratova M., Shertayeva A., Madraimov N., Erkebay R., Diusebayev E. Diseases of periodontal tissues: modern challenges of the time. Georgian Med News. 2023;(336):126-131 (in Engl).

11. Global oral health status report Towards universal health coverage for oral health by 2030. Geneva: World Health Organization; 2021 (in Engl).

12. Ichinose K., Tateyama-Makino R., Miyajima A., Morishita S., Iwamoto T., Yamamoto Y. Decreased Frequency of Mental Workload- Induced Sub-jective Hot Flashes Through Gum Massage: An Open-Label, Self-Controlled Crossover Trial. Womens Health Rep (New Rochelle). 2022;3(1):335-343. doi: 10.1089/whr.2021.0094 (in Engl).

13. Mangal B., Sugandhi A., Kumathalli K.I., Sridhar R. Alternative medicine in periodontal therapy-a review. J Acupunct Meridian Stud. 2012 ;5(2):51-6. doi:10.1016/j.jams.2012.01.001 (in Engl).

14. Singla N., Acharya S., Martena S., Singla R. Effect of oil gum massage therapy on common pathogenic oral microorganisms - A randomized controlled trial. J Indian Soc Periodontol. 2014;18(4):441-6. doi: 10.4103/0972-124X.138681 (in Engl).

15. Wada-Takahashi S., Hidaka K.I., Yoshino F., Yoshida A., Tou M., Matsuo M., Takahashi S.S. Effect of physical stimulation (gingival massage) on age-related changes in gingival microcirculation. PLoS One. 2020;20:15(5) doi: 10.1371/journal.pone.0233288 (in Engl).