J Periodontal Implant Sci.  2011 Jun;41(3):117-122. 10.5051/jpis.2011.41.3.117.

Efficacy of electrical neuromuscular stimulation in the treatment of chronic periodontitis

Affiliations
  • 1Department of Periodontology, University of Zagreb School of Dental Medicine, Zagreb, Croatia. puhar@sfzg.hr
  • 2Health Centre County of Zagreb, Zagreb, Croatia.
  • 3Department of Operative Dentistry and Periodontology, University Medical Center Mainz, Johannes Gutenberg-University, Mainz, Germany.
  • 4Private Practice and Department of Oral Medicine and Periodontology, University of Rijeka, Rijeka, Croatia.

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.

Keyword

Chronic periodontitis; Electric stimulation; Root planing; Periodontal diseases

MeSH Terms

Chronic Periodontitis
Electric Stimulation
Hemorrhage
Humans
Inflammation
Male
Molar
Periodontal Diseases
Root Planing
Tooth

Figure

  • Figure 1 Treatment algorithm for the test (G1) and control (G2) groups. PI: plaque index, BoP: bleeding on probing, PD: probing depth, CAL: clinical attachment level, MENS: microcurrent electrical neuromuscular stimulation.

  • Figure 2 µ-med Dental Master MSG 1200.

  • Figure 3 Patient with electrodes to promote healing and stimulate lymph drainage (left side view).


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