Poster Session 1.O - Dental Research
Dr. Fekete, Ádám
hs2kg8
Centre for Translational Medicine, Semmelweis University, Budapest, Hungary; Department of Restorative Dentistry and Endodontics, Semmelweis University, Budapest, Hungary
06704116694
fekete.adam2@semmelweis.hu
Effect of Laser-Induced Heat Provocation Test on Gingival Microcirculation in Healthy Subjects
Ádám Fekete1,2, Tamás László Nagy2, Imola Tolnai2, Réka Fazekas1,2, Eszter Ágnes Szalai1,2, Beáta Kerémi1,2, János Vág1,2
1: Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
2: Department of Restorative Dentistry and Endodontics, Semmelweis University, Budapest, Hungary
Poszter
Poster Session 1.O - Dental Research
English
Dental Research
Introduction:
The vasodilatory capacity (VDC) of the oral microcirculation is diminished in certain pathological conditions, such as periodontitis, diabetes, smoking, and medication-related osteonecrosis of the jaw. Reduced VDC has been linked to poorer survival rates of mucosal flaps, making its assessment a critical component of surgical planning. While changes in VDC can be effectively monitored through thermal provocation tests, traditional methods are unsuitable for the oral cavity due to its unique anatomical and spatial characteristics.
Aim:
Our goal was to develop a standardized intraoral thermal provocation test and establish normative values stratified by sex, enabling the identification of patients at risk for pathological conditions.
Materials and Methods:
Thermal provocation test was performed using a 0.4 W diode laser applied for 4 seconds to the marginal gingiva of tooth 12 (FDI notation) in 13 healthy, non-smoking volunteers (7 males and 6 females) with good oral hygiene. Changes in the microcirculation of the marginal gingiva were monitored using Laser Speckle Contrast Imager (LSCI).
Data were recorded during a 2-minute baseline period, throughout the heat provocation, and for 15 minutes afterward. Statistical significance was assessed using Student’s t-test.
Results:
Our results indicate that irradiation with a 0.4 W laser for 4 seconds above tooth 12 induced significant hyperemia (males: baseline LSPU = 193±46 vs. peak LSPU=287±70, p=0.003; females: baseline LSPU=237±83 vs. peak LSPU=299±75, p=0.012). A paired Student’s t-test showed no difference in peak hyperemia between sexes (t=1.21, p=0.25) The peak hyperemia developed in approximately 27 seconds in both groups.
Conclusion:
A laser-based, standardized intraoral thermal provocation test was successfully developed as a simple, reversible, and non-invasive method to assess the vasodilatory capacity of the gingival microvasculature. However, due to the limited number of study participants, we have not yet been able to evaluate potential gender differences.
Funding:
FOK Faculty Research Grant 2025
Semmelweis University
Eszter Ágnes Szalai, Beáta Kerémi, János Vág
I give consent to the publication of my abstract on the website of the congress.
in doctoral studies after complex exam (PhD)
Szabad
elfogadva
poszter
nem rendelkezett róla
9737
16:36
16:39