JICDRO is a UGC approved journal (Journal no. 63927)

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LETTER TO THE EDITOR
Year : 2014  |  Volume : 6  |  Issue : 2  |  Page : 151

Hyperbaric oxygen therapy in periodontal diseases


INHS, Asvini Hospital, Colaba, Mumbai, Maharashtra, India

Date of Web Publication28-Oct-2014

Correspondence Address:
Rajeev Deo
INHS, Asvini Hospital, Colaba, Mumbai - 400 005, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2231-0754.143531

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How to cite this article:
Deo R. Hyperbaric oxygen therapy in periodontal diseases . J Int Clin Dent Res Organ 2014;6:151

How to cite this URL:
Deo R. Hyperbaric oxygen therapy in periodontal diseases . J Int Clin Dent Res Organ [serial online] 2014 [cited 2019 Jul 21];6:151. Available from: http://www.jicdro.org/text.asp?2014/6/2/151/143531

Dear Editor,

We have read the review article titled "Hyperbaric oxygen therapy (HBOT) in periodontal diseases" by Swapna A. Mahale, Pankaj K. Kalasva, Sunil Vinayak Shinde published in Journal of the International Clinical Dental Research Organization ǀ January-December 2013 ǀ Vol 5 ǀ Issue 1. The article discusses about HBOT in detail, its mechanism of action, type of chamber, indication, contraindication, and complication. All these are comprehended very well. But regarding preparation before HBOT require to be reconsidered; in fact, this is an important aspect of the therapy being successful. First of all, you require a Hyperbaric Physician, not a technician to examine the patients. [1] Technician is a person who only knows to operate the chamber and have knowledge of First-aid. It is unfortunate that in our country, there is no regulation about HBOT. Only course regarding Hyperbaric Medicine approved by MCI is Diploma in Marine Medicine which going to upgraded in MD Marine Medicine being conducted at Indian Naval Hospital Ship, Asvini, Colaba, Mumbai.

The Undersea Hyperbaric Medical Society (UHMS), an international society which regulates and guides about HBOT. Hyperbaric Physician is a qualified to assess the patients, decide about the pressure to be applied and the number of sitting required to reach the endpoint with a discussion with a concern specialist. As per UHMS and other international accepted protocols, topical oxygen therapy cannot be considered HBOT. This because the primary action of HBOT, as lucidly brought by authors, is due to dissolution of oxygen in plasma through respiratory route and is not achievable via local absorption of oxygen through skin (as in Topical oxygen therapy).

Idea is to sensitize others about hyperbaric medicine and hyperbaric oxygen therapy. Oxygen under pressure when breathed considered as drug which interacts with other drugs [2] and has its own complication, which can better dealt by Hyperbaric Physician.

We wish to congratulate the authors for highlighting the importance of HBOT in periodontal diseases. HBOT can be used as adjunctive therapy in periodontal diseases.



 
   References Top

1.
Dey D, Kochar RR, Rao KN. Rational for carrying out specific investigations prior to hyperbaric oxygen therapy. IJASM 2013;57:56-65.  Back to cited text no. 1
    
2.
Smith RG. An Appraisal of Potential Drug Interactions Regarding Hyperbaric Oxygen Therapy and Frequently Prescribed Medications. Wounds 2011;23:147-59.  Back to cited text no. 2
    




 

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