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Efficacy of electrical neuromuscular stimulation in the treatment of chronic periodontitis

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Purpose Ivan, Kapudija Amalija, Kasaj Adrian, Willershausen Brita, Zafiropoulos Gregory-George, Bosnjak Andrija, Plancak Darije,
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 ( Purpose Ivan ) - University of Zagreb School of Dental Medicine Department of Periodontology
 ( Kapudija Amalija ) - Croatia Health Centre County of Zagreb
 ( Kasaj Adrian ) - Germany Johannes Gutenberg-University University Medical Center Mainz Department of Operative Dentistry and Periodontology
 ( Willershausen Brita ) - Germany Johannes Gutenberg-University University Medical Center Mainz Department of Operative Dentistry and Periodontology
 ( Zafiropoulos Gregory-George ) - Germany Johannes Gutenberg-University University Medical Center Mainz Department of Operative Dentistry and Periodontology
 ( Bosnjak Andrija ) - University of Rijeka Private Practice and Department of Oral Medicine and Periodontology
 ( Plancak Darije ) - University of Zagreb School of Dental Medicine Department of Periodontology

Abstract


Purpose: The purpose of the present randomized controlled clinical study was to evaluate the short-term outcomes of microcurrent electrical neuromuscular stimulation (MENS) as an adjunct method to nonsurgical periodontal therapy.

Methods: Twenty patients with moderate to severe chronic periodontitis were recruited into the study and randomly treated with either nonsurgical periodontal therapy followed by 5 MENS treatments with a microcurrent device or by nonsurgical periodontal therapy alone. Periodontal parameters were measured at baseline and 6 weeks following therapy, and included the plaque index, bleeding on probing, probing depth, and clinical attachment level (CAL).

Results: All measured values were reduced at the time of re-evaluation. The amount of inflammation was significantly reduced in both the test (P=0.002) and control group (P=0.015). The test group demonstrated a significant CAL gain at 6 weeks following therapy, including non-molar (P=0.009) and molar teeth (P=0.028). In comparison with the control group, the test group showed statistically significant differences in the CAL on both molar (P=0.027) and non-molar teeth (P=0.031).

Conclusions: In conclusion, the short-term results of the study indicate that MENS could be a suitable adjunctive method in the treatment of chronic periodontitis.

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Chronic periodontitis; Electric stimulation; Root planing; Periodontal diseases

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