Efficacy of electrical neuromuscular stimulation in the treatment of chronic periodontitis
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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.
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.
참고문헌 (23)
- Claffey N, "Non-surgical therapy. In: Lindhe J, Lang NP, Karring T, editors. Clinical periodontology and implant dentistry", pp.767~779 (2009), Blackwell Munksgaard
- Groeneveld MC, "A quantitative enzyme histochemical analysis of the distribution of alkaline phosphatase activity in the periodontal ligament of the rat incisor", J Dent Res, 72, pp.1344~1350 (1993)
- Yoshimura N, "Effects of electrical stimulation on period-ontal tissue regeneration in dogs", J Kyushu Dent Soc, 47, pp.590~606 (1993)
- Cheng N, "The effects of electric currents on ATP generation, protein synthesis, and membrane transport of rat skin", Clin Orthop Relat Res, 171, pp.264~272 (1982)
- Bassett CA, "Fundamental and practical aspects of therapeutic uses of pulsed electromagnetic fields (PEMFs)", Crit Rev Biomed Eng, 17, pp.451~529 (1989)
- Bach S, "The effect of electrical current on healing skin incision. An experimental study", Eur J Surg, 157, pp.171~174 (1991)
- Nessler JP, "Direct-current electrical stimulation of tendon healing in vitro", Clin Orthop Relat Res, 217, pp.303~312 (1987)
- Carley PJ, "Electrotherapy for acceleration of wound healing: low intensity direct current", Arch Phys Med Rehabil, 66, pp.443~446 (1985)
- Ciombor DM, "The role of electrical stimulation in bone repair", Foot Ankle Clin, 10, pp.579~593 (2005)
- Brighton CT, "Tre-atment of nonunion with constant direct current", Clin Orthop Relat Res, 124, pp.106~123 (1977)
- Jacobs JD, "Electrical stimulation of osteogenesis in pathological osseous defects", J Periodontol, 47, pp.311~319 (1976)
- Kaynak D, "A histopathologic investigation on the effects of electrical stimulation on periodontal tissue regeneration in experimental bony defects in dogs", J Periodontol, 76, pp.2194~2204 (2005)
- Bruzek DB, "Clinical study to evaluate the use of electronic anesthesia during dental hygiene procedures", Northwest Dent, 75, pp.21~26 (1996)
- Reuter E, "Pain suppression in the trigeminal region by means of transcutaneous nerve stimulation", Dtsch Zahnarztl Z, 31, pp.274~276 (1976)
- teDuits E, "The effectiveness of electronic dental anesthesia in children", Pediatr Dent, 15, pp.191~196 (1993)
- Oztaş N, "Clinical evaluation of transcutaneous electronic nerve stimulation for pain control during tooth preparation", Quintessence Int, 28, pp.603~608 (1997)
- Hargitai IA, "The effects of electrostimulation on parotid saliva flow: a pilot study", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 99, pp.316~320 (2005)
- Strietzel FP, "Electrostimulating device in the management of xerostomia", Oral Dis, 13, pp.206~213 (2007)
- Page RC, "Case definitions for use in population-based surveillance of periodontitis", J Periodontol, 78(7), pp.1387~1399 (2007)
- Todd I, "Electrical stimulation of transforming growth factor-beta 1 secretion by human dermal fibroblasts and the U937 human monocytic cell line", Altern Lab Anim, 29, pp.693~701 (2001)
- Plemons J, "Nonsurgical therapy In Periodontics: medicine, surgery, and implants", pp.237~262 (2004), Elsevier Mosby
- Claffey N, "Clinical indicators of probing attachment loss following initial periodontal treatment in advanced periodontitis patients", J Clin Periodontol, 22, pp.690~696 (1995)
- Claffey N, "An overview of nonsurgical and surgical therapy", Periodontol 2000, 36, pp.35~44 (2004)