Dentist № 3 (50) – 2023, pp. 14-19                                                                                                             SCIENTIFIC PUBLICATION

Vacuum test Kulazhenko on the resistance of gingival capillaries – archaism or method of objectification of the functional state of periodontal tissues (pathophysiological aspect of the problem)

A.K.Iordanishvilia, P.V.Morozb, I.I.Bobyntsevc

aMD, PhD, DMSci, Professor, Medico-Social Institute, S.M. Kirov Military Medical Academy, Saint-Petersburg, Russia
bMD, PhD, Associate Professor, S.M. Kirov Military Medical Academy, Saint-Petersburg, Russia
cMD, PhD, DMSci, Professor, Kursk State Medical University, Kursk, Russia

https://doi.org/10.32993/dentist.2023.3(50).7

ABSTRACT
To study the periodontal tissues, inflammatory and dystrophic diseases of which more than 50% of the population of the globe occur, the following methods are used: rheoparadontography, laser Doppler flowmetry, ultrasonic high frequency Dopplerography (echoosteometry) and others which are often inaccessible for the public health institutions because of the need in special expensive equipment, training and preparation of the equipment.
The aim of the study. To correlate the assessment of the periodontal tissues condition in chronic generalized periodontitis with the help of modern methods of functional diagnostics and with the help of the test allowing to estimate the gingival capillaries resistance.
Objects and methods. 152 adult patients 45–56 years old were examined, 36 of them were not diagnosed with periodontal pathology, 116 patients had chronic generalized periodontitis of different severity degrees. Capillaroscopy, laser Doppler flowmetry, Kulazhenko’s test, peripheral blood circulation index in the gingiva were applied in all patients to assess the morphofunctional state of the periodontal tissues. In people suffering from chronic generalized periodontitis the state of the periodontium using the mentioned research methods was also evaluated one month after the completion of the complex treatment.
Results and discussion. It is shown that the test of Kulazhenko suggested in the last century and the technique of the index evaluation of the peripheral blood circulation in the gingival tissues based on it clearly and reliably correlate with the indices obtained with the help of modern appliances for hemocirculation studies.
Conclusion. Therefore, these techniques should retain their relevance for practical dentistry, especially since the use of Kulazhenko’s test has a significant positive therapeutic effect on periodontal tissues in its inflammatory pathology, and the use of IPCD allows to objectively assess the effectiveness of therapeutic and preventive measures, including during the dispensary of periodontological patients.

Keywords: periodontium, periodontal diseases, periodontitis, microcirculatory bed, Kulazhenko’s test, gingival peripheral blood flow index, reoparodontography, laser Doppler flowmetry, capillaroscopy

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Correspondence to:  Е-mail: professoraki@mail.ru