Extracorporeal shock wave therapy in periodontics: A new paradigm
Journal name: Journal of Indian Society of Periodontology
Original article title: Extracorporeal shock wave therapy in periodontics: A new paradigm
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Munivenkatappa Lakshmaiah Venkatesh Prabhuji, Shaeesta Khaleelahmed, Sujatha Vasudevalu, K. Vinodhini
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Extracorporeal shock wave therapy in periodontics: A new paradigm
Year: 2014 | Doi: 10.4103/0972-124X.134597
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Extracorporeal shock wave therapy (ESWT) has garnered increasing attention in medical science as a promising treatment modality, particularly in the management of various conditions such as urolithiasis and orthopedic disorders. Beyond its established applications, ESWT is gaining traction in the field of dentistry, where it has the potential to revolutionize practices in periodontics, especially by enhancing treatment outcomes. This article delves into the efficacy of ESWT in stimulating bone regeneration, inducing neovascularization, and its possible roles in various dental treatments.
Bone Regeneration Induced by ESWT
One significant aspect of ESWT is its ability to promote bone regeneration. Research has demonstrated that ESWT can facilitate osteoblast activation and enhance the expression of essential growth factors involved in bone healing, such as bone morphogenic proteins (BMP). Studies indicate that applying ESWT can lead to improved healing in mandibular fractures and increased expression of osteogenic markers following treatment. Additionally, in models of periodontal disease, ESWT has been shown to effectively regenerate alveolar bone lost due to inflammation, highlighting its potential as a non-invasive adjunct treatment option for enhancing periodontal regeneration.
Conclusion
In summary, the applications of ESWT in dentistry, particularly in periodontics, reveal promising evidence of its multifaceted benefits. The non-invasive nature of this treatment, coupled with its anti-inflammatory and regenerative properties, positions ESWT as a valuable adjunct in periodontal therapy. Nevertheless, further research is essential to explore its practical applications, optimize treatment parameters, and assess economic feasibility for routine clinical use. As existing studies indicate, the integration of shock wave therapy may pave the way for advancements in periodontics, marking the beginning of a transformative approach in oral health treatment strategies.
FAQ section (important questions/answers):
What is Extracorporeal Shock Wave Therapy (ESWT) used for?
ESWT is primarily used to manage conditions such as urolithiasis, cholelithiasis, and various orthopedic and musculoskeletal disorders. It is also being explored for applications in dentistry, particularly in enhancing treatment outcomes in periodontal diseases.
How does ESWT promote bone regeneration?
ESWT promotes bone regeneration by stimulating osteoblasts, increasing the expression of bone morphogenic proteins, and inducing neovascularization. Studies have shown improved healing of mandible fractures and the regeneration of alveolar bone in periodontal disease.
What are the anti-inflammatory effects of ESWT?
ESWT has shown anti-inflammatory properties by reducing inflammatory markers and inducing the production of nitric oxide. This can lead to decreased inflammation in conditions such as osteonecrosis of the femoral head and improved healing.
Is ESWT effective in treating periodontal diseases?
There is limited evidence supporting ESWT's effectiveness in periodontics, but it holds promise for inducing alveolar bone regeneration and disrupting pathogenic biofilms. Future studies are needed to confirm its practical application in periodontal therapy.
Can ESWT be used for calculus removal in dentistry?
Studies suggest that while ESWT may not be as efficient for calculus removal compared to ultrasonic instruments, it shows comparable effectiveness in biofilm disruption, indicating its potential for dental applications.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Extracorporeal shock wave therapy in periodontics: A new paradigm”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
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Anti-inflammatory properties, Analgesic effect, Treatment outcome, Sialolithiasis, Osteoblasts, Dental calculus, Extracorporeal shock wave therapy, Tissue regeneration, Periodontal therapy, Growth factor, Peri-implantitis, Shock waves, Oral bacteria, Bactericidal efficacy, Cavitation bubbles, Energy level.