Low energy polarized light in the care of inflammations and gengival injuries in patients affected by Juvenile Idiopathic Arthritis

Background: Testing a useful procedure based on a com-plex periodontal repair and regeneration system through the use of a photobiomodulation device in which light, at low energy levels, modulates intra- and extracellular photoreceptors through molecular and cellular processes that can stimulate both anti-inflammatory mechanisms that a cell proliferation response. Methods: Healthy orthodontic patients (A) and affected by juvenile Idiopathic Arthritis (B) are selected at the dental clinic of the IRCCS CA' GRANDA Ospedale Maggiore Policlinico in Milan. Both groups will be submitted to the Griess test to quantify the degree of gingival / periodontal inflammation, found at the- salivary level as NO2-. The quantitative bleeding (FMBS) and semi-qualitative (IS) indices will be evaluated the latter using four different codes: Code 0: absence of bleeding in the survey; Code I: presence of bleeding in the survey, without redness and edema; Code 2: bleeding in the survey with redness and edema; Code 3: spontaneous bleeding. In addition, the quantitative (FMPS) and semi-qualitative plaque indices of Silness J & Loe H (IP) will be calculated, considering six surfaces per tooth; the latter attributing four different codes: Code 0: lack of plaque; Code I: 1/3 of the dental surface covered with plaque; Code 2: 2/3 of the dental surface covered with plaque; Code 3: more than 2/3 of the dental surface covered with plaque. Our attention will focus on the use of the medical device Light Therapy System that emits polarized, polychromatic, non-coherent and non-invasive light. Subjects with gingival / periodontal inflammation will be treated with the following method: lst and 4rd quadranta treated with phototherapy; 2nd and 3th quadrant a not treated with phototherapy. In this way each patient will be, at the same time, the case group and the control group. Results: The use of phototherapy, compared to not using this therapeutic procedure, is very effective in the treatment of inflammatory processes of the oral cavity. Conclusions: The use of polarized light in patients affect-ed by a compromising pathology such as Juvenile Idiopathic Arthritis could represent a solution and an ideal complement to the health of the oral cavity, as it guarantees fast healing and rapid pain relief. Therefore, it represents a safe and effective clinical treatment devoid of known side effects.