Physiotherapy in stomatology

3. Periodontitis  
A. acute periodontitis - after trepanation of the pulp chamber and outflow creation, the UHF-therapy is applied for reduction of 
the inflammatory process, darsonvalization by short spark (3-5 min), fluctuorization, diadynamic therapy, variable magnetic field is 
applied for reduction of the pain syndrome. It is possible to apply electrophoresis by iodine and 1 % tripsin for influence on 
regeneration processes. 
B. chronic periodontitis - electrophoresis by iodine and tripsin is applied for stimulation of regeneration processes in the 
periapical tissues, where destructive changes are present. Iodine is shown at serous, tripsin - at purulent inflammatory processes. 
Electrophoresis by iodine in frontal teeth does not recommended, since the teeth are painted into dark color. Tripsin hydrolyzes the 

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products of albuminous disintegration, promoting the fluigifying and removal of the exudate, destroying bacterial toxins and activating 
phagocytosis in tissues. 
Nowadays the most effective method of the chronic periodontitis treatment is the depophoresis by cuprous-calcium hydroxide. 
Besides, it is possible to apply also galvanizing. OH
- 
ions cause рН shift to the alkaline, which promotes activation of 
phagocytosis and reduction
of the process. 
It is possible to apply ultraphonophoresis by iodine, if ultrasound has positive influence. 
C. complications after the root canal sealing - pass as an acute periodontitis. At prevalence of the pain symptom 
darsonvalization, fluctuorization, diadynamic therapy is applied, and at inflammatory reactions UHF and microwave therapy is 
recommended. 
4. Diseases of parodont – the compulsory condition for application of physiotherapeutic procedures at treatment of parodont diseases 
is the removal of local traumatic factors - tooth calculi and the plaque. 

A. Gingivitis and parodontitis – during the treatment of various forms of gingivitis electrophoresis by various preparations is 
recommended: at hypertrophic gingivitis - 10% solution of calcium chloride, alternately from the anode and the cathode. Calcium has 
anti-inflammatory effect, and chlorine has cytotoxic effect. Cryotherapy, method of the spark discharge of darsonvalization is also 
applied. Electrophoresis by Ascorbic acid (5%), vitamin P (1%), solutions of tripsin, ribonuclease, aloe and 1% Nicotinic acids are 
applied during exudative processes. Application of darsonvalization, UHF-therapy, ultrasonic therapy is also recommended. Rather 
favorable effect renders hydrotherapy. 
B. Parodontosis - complex treatment of parodontosis should include physiotherapeutic procedures, which improve the trophy, 
blood circulation, metabolism in parodont tissues - vacuum therapy, vibrating and manual massage, IR-irradiation, heat therapy, oxygen 
therapy.