Doppler flowmetry as a tool of predictive, preventive and personalised dentistry

Abstract

Periodontal lesions are considered a major problem in the global burden of oral diseases due to their high frequency and negative impact on quality of life. Periodontal inflammation is accomplished by a breakdown of microcirculatory function. Early detection of gingival microvessel dysfunction helps diagnose and prevent the progression of initial periodontal pathology. Doppler flowmetry is a useful tool in the diagnosis, monitoring, prognosis and management of periodontal patients which allows access not only of gingival blood flow but also of pulpal microcirculation. Doppler flowmeters might help to realise the ultimate target of predictive, preventive and personalised periodontology tailored with respect to the particular patient. This article highlights the main working principles of laser Doppler flowmeters and the ultrasonic Doppler flowmeters. The advances in blood flow measurement by ultrasonic flowmetry are discussed.

Effects of age, sex, and blood pressure on the blood flow velocity in dental pulp measured by Doppler ultrasound technique

“…Recently, researchers have utilized Doppler ultrasound for measurement of PBF. This offers obvious advantages for the estimation of blood flow, as it directly measures the frequency changes in ultrasound reflected from red blood cells . By using a Doppler ultrasound device, the PBF of vital teeth can be distinguished from root canal‐filled teeth .…”

“…This offers obvious advantages for the estimation of blood flow, as it directly measures the frequency changes in ultrasound reflected from red blood cells. 25 By using a Doppler ultrasound device, the PBF of vital teeth can be distinguished from root canal-filled teeth. 26 Changes in the PBFV can be identified after infiltration with an anesthetic agent containing epinephrine.…”

Comparison of microsurgical and macrosurgical technique using bioactive synthetic bone graft and collagen membrane for an implant site development: A randomized controlled clinical trial

“…It may be assumed that reduced vessel and tissue injury may facilitate the development of faster neovascularization. [262728]…”

Microcirculation disorders of the oral cavity in patients with primary Raynaud’s Phenomenon

“…For this reason, examination of microvascular circulation is one of the best methods for the diagnosis of pathological changes, since there are no clinical parameters available that would in prevention, since dysfunctions in microcirculation can be detected at a very early stage of the disease. 12 In dentistry, LDF can be used to diagnose vascular flow changes in the connective tissue of mucosae. 13 -16 LDF measurements within the oral cavity differ depending on the anatomical site.…”