scholarly journals Efficacy of Laser Doppler Flowmetry, as a Diagnostic Tool in Assessing Pulp Vitality of Traumatised Teeth. A Split Mouth Clinical Study

2021 ◽  
Vol 11 (8) ◽  
pp. 801
Author(s):  
Ani Belcheva ◽  
Maria Shindova ◽  
Reem Hanna

Aim: This study aimed to evaluate the efficacy of laser Doppler flowmetry (LDF) in determining the changes in the pulpal blood flow (PBF) during post-traumatic period of the traumatised permanent teeth. Methods: 88 teeth of 44 patients (mean age 10.30 ± 2.38) were recruited according to the eligibility criteria and divided into two groups: test group (44 traumatised teeth) and control group (44 sound and healthy teeth). The measurement of PBF was performed, using a LDF monitor. Results: The analysis of the LDF outcomes in function of diagnosis indicated that the measurements of the traumatised teeth were significantly higher than those of non-traumatised teeth (p ˂ 0.05). Conclusions: LDF application provides dentists with fundamental benefits in terms of an early and precise investigation of PBF. In addition, LDF is a useful monitoring tool for revascularization of traumatised teeth and reliable objective diagnostic indicator of pulp vitality. Trial registration: ClinicalTrials.gov (Registration number: NCT04967456).

2021 ◽  
Vol 10 (2) ◽  
pp. 18-24
Author(s):  
P. V. Vasilev ◽  
N. P. Erofeev ◽  
A. N. Shishkin

The article contains the results of a study of two different methods for calculating the spectral parameters of laser Doppler flowmetry in patients with diabetic microangiopathy caused by type 2 diabetes mellitus (main group) and those with excluded diabetes mellitus (control group). Spectral indices were calculated using either average or maximum amplitudes of the frequency ranges. When comparing the contribution of respiratory and pulse fluxmotions using average amplitudes, there were significant (p < 0.05) differences between the main and control groups. On the contrary, when using the maximum amplitudes, no significant differences were noted (p > 0.05). Also, significant correlations were found between the contributions of respiratory and pulse fluxmotions and the estimated glomerular filtration rate in the main group, using both calculation methods. These studies indicate the feasibility of using a technique based on the analysis of average amplitudes to increase the specificity of laser Doppler flowmetry as a method for diagnosing diabetic microangiopathy.


VASA ◽  
2005 ◽  
Vol 34 (4) ◽  
pp. 243-249 ◽  
Author(s):  
Drinda ◽  
Neumann ◽  
Pöhlmann ◽  
Vogelsang ◽  
Stein ◽  
...  

Background: Prostanoids are used in the treatment of Raynaud’s phenomenon and acral perfusion disorders secondary to collagenosis. In subjective terms, intravenous administration of these agents produces success in more than 50% of patients. The therapeutic outcome of clinical administration of alprostadil or iloprost may vary from individual to individual. Patients and methods: The following variables were analysed in a cross-over study in 27 patients with collagenosis and Raynaud’s phenomenon: plasma viscosity and erythrocyte aggregation (rheological variables), partial pressure of oxygen and laser Doppler flowmetry in the finger region, and lymphocyte phenotyping and interleukin (IL) determinations (immunological variables). Results: Laser Doppler flowmetry revealed significant differences between patients with secondary Raynaud’s phenomenon and a control group of 25 healthy subjects. Laser Doppler readings did not change significantly as a result of the treatments. Therapy with iloprost produced a reduction in IL-1beta, L-selectin (CD 62 L) and IL-6. Conclusion: The change in immunological variables due to iloprost may explain the long-term effects of prostaglandins in the treatment of Raynaud’s phenomenon. From our results it is not possible to infer any preference for iloprost or alprostadil.


2006 ◽  
Vol 17 (3) ◽  
pp. 219-222 ◽  
Author(s):  
Hakan Develioglu ◽  
Bülent Kesim ◽  
Aykut Tuncel

The purposes of this study were to compare the gingival blood flow (GBF) in test sites (teeth retaining fixed partial dentures) and control sites (contralateral natural teeth) and investigate whether there is any relationship between clinical indices and GBF values. Twelve healthy subjects (6 females and 6 males) aged 20 to 54 years were enrolled this study. The GBF was measured from the middle point of the marginal gingiva in the test and control sites using laser Doppler flowmetry (LDF). Additionally, plaque index, gingival index and probing depth measurements were recorded. Statistically significant difference (p<0.05) was found between the test and control sites for marginal GBF. In contrast, no significant difference (p>0.05) was found between test and control sites with respect to the clinical indices, except for plaque index. The findings of this study suggest that there is a significant relation between resin-bonded fixed partial dentures with margins located subgingivally and marginal GBF. Clinical indices are helpful to collect information about the clinical health status of gingival tissues, but GBF is a good tool to measure gingival tissue blood flow and assess periodontal health. In conclusion, laser Doppler flowmetry can be used together with clinical indices to evaluate the marginal gingival health.


2020 ◽  
Vol 61 (1) ◽  
pp. 77-86
Author(s):  
Rafael Schultz de Azambuja ◽  
Andrea Da Fontoura Recchi ◽  
Marisa Maltz ◽  
Juliana Jobim Jardim

This randomized controlled clinical trial evaluated the effectiveness of using indirect pulp protection with calcium hydroxide liner or universal adhesive over a period of 6 months in deep caries on permanent teeth after selective removal to soft dentin. The sample consisted of 68 patients with 55 molars and 21 premolars with deep caries lesion (with radiographic involvement ≥50% dentin deep caries), (median age 27 [distribution 7-54 years]), with signs of pulp vitality (positive response to cold test, absence of spontaneous pain, negative sensitivity to percussion tests, absence of radiographic imaging suggestive of periapical lesion) and absence of cuspid loss. After selective removal to soft dentin, the test group received a universal adhesive (n=38), whereas the control group indirect pulp protection with Calcium hydroxide (n=38). All teeth were restored with composite resin. The successful outcome for pulp vitality was assessed after six months. The results were submitted to the Kaplan-Meier survival analysis and the Log Rank test. The baseline variables were analyzed for their distribution in the two treatment groups by ᵪ2 test and showed a similarly distributed between groups. Success rates to pulp maintenance vitality were 95.5% for the control group and 96.7% for the test group (P=0,986). Two cases of failure were recorded, one pulp necrosis (control group) and one pulpitis (test group). There is no difference between the use of calcium hydroxide or only universal adhesive in indirect pulp protection after selective removal to soft dentine followed by composite restoration at six months of follow-up, showing a high rate of success for both treatments.


1994 ◽  
Vol 10 (2) ◽  
pp. 83-87 ◽  
Author(s):  
AEgir Rafn Ingolfsson ◽  
Leif Tronstad ◽  
Elliot V. Hersh ◽  
Charles E. Riva

2015 ◽  
Vol 9 (2) ◽  
pp. 0-0
Author(s):  
Коровкин ◽  
V. Korovkin ◽  
Ипполитов ◽  
Yuriy Ippolitov ◽  
Коровкина ◽  
...  

The article discusses the assessment of the level of interconnection of non-linear dynamic and oscillatory processes in the microvasculature of periodontal tissues by laser Doppler flowmetry. For this purpose an examination of 62 patients aged 18-36 years was carried out. The control group consisted of 20 healthy indi-viduals without co-morbidities with intact periodontium. The 1st group was 20 patients with chronic catarrhal gingivitis mild; the 2nd group – 22 patients with chronic generalized periodontitis mild. The laser Doppler flow-metry with spectral continuous wavelet analysis of the blood flow oscillations was carried out by the apparatus LACC-02 (SPE &#34;LAZMA&#34;, Russia). In the course of the study the authors evaluated the relative vibration ener-gy of E0 flow using spectral analysis of the records of the LDF (program 2.2.509 - SPE &#34;LAZMA&#34;, Russia) and normalized nonlinear dynamic parameters of microcirculation of periodontal tissues. This allows to reveal their relationship to the parameters of the oscillatory process, to conduct its analysis, to understand the state of the macroscopic behaviour of the modulating factors, both in normal and in pathological conditions. As result of this study, it was found that the changes of the normalized nonlinear parameters microvasculature of periodontal tissues during the inflammatory process (I and II study group) were characterized by a decrease of the chaotic behavior of the system of microcirculation and its order on the basis of the numerical parameters of randomness (*, D2 N).


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