Preview

Endodontics Today

Advanced search

Clinical evaluation of the effectiveness of the treatment of chronic forms of periodontitis using transchannel laser non-pigmented photoablation

https://doi.org/10.36377/1683-2981-2023-21-1-30-35

Abstract

Aim. Comparative evaluation of the effectiveness of the treatment of chronic forms of periodontitis using a new technology of transcanal laser pigmentless photoablation and classical classical surgical techniques for the treatment of periapical lesions with odonto-preserving operations.  

Materials and methods. The treatment was carried out in 40 patients with chronic periodontitis on 64 teeth. All patients were divided into 2 groups – the main group and comparison of 20 in each. In the main group, treatment was carried out with the use of transchannel laser photoablation, in the comparison group, with the use of surgical odonto-preserving techniques. The immediate and long-term results of treatment were evaluated according to clinical and radiological signs.

Results. In the main group using the new technology of laser transcanal photoablation on the 3rd day, patients noted the presence of pain 3.3 times less, the presence of hyperemia 6.4 times less, the presence of edema 5.3 times less than in the comparison group with the use of traditional surgical procedures. treatment methods. X-ray 12 months after treatment in the main group, complete recovery was observed 1.46 times in more cases than in the control group.  

Conclusions. Our clinical and radiological studies confirm the expediency of using transchannel laser photoablation in the treatment of chronic periodontitis. 

About the Authors

N. A. Chunikhin
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation

Nikita A. Chunikhin – PhD student

20с1, Delegatskaya st, Moscow, 27473



I. O. Sorokin
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation

Igor O. Sorokin – student

20с1, Delegatskaya st, Moscow, 27473



I. V. Zima
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation

Ilya V. Zima – student

20с1, Delegatskaya st, Moscow, 27473



E. A. Bazikyan
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation

Ernest A. Bazikyan – Professor, Doctor of Medical Sciences, Head of Department, Honored Doctor of the Russian Federation

20с1, Delegatskaya st, Moscow, 27473



A. A. Chunikhin
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation

Andrey A. Chunikhin – Associate Professor, Professor

20с1, Delegatskaya st, Moscow, 27473



References

1. Orekhova L.Yu., Shaida L.P., Chorny R.V., Zernitskaya E.A., Saunina A.A. Reasons for maintaining the periapical focus of infection after endodontic treatment. Ways to resolve the issue. Endodontics Today. 2018; 2:64-69.

2. Braz-Silva P.H., Bergamini M.L., Mardegan A.P., De Rosa C.S., Hasseus B., Jonasson P. Inflammatory profile of chronic apical periodontitis: a literature review. Acta Odontol Scand. 2019; 77(3):173- 180.

3. Labis V.V., Bazikyan E.A., Kozlov I.G. Bacterial factor as a participant of the infectious and inflammatory process in the oral cavity. Russian Dental Journal. 2013; 4:19-21.

4. Kirsanova S.V., Bazikyan E.A., Gurevich K.G., Fabrikant E.G. Clinical and social characteristics of patients with partial absence of teeth and the introduction quality of life criteria to assess the effectiveness of their treatment. Institute of Dentistry. 2007;4(37):24-25.

5. Goncharov I.Yu., Bazikyan E.A., Bychkov A.I. The use of hydroxyapol in the filling of bone defects in the jaws and stimulation of osteogenesis. Dentistry. – 1996; 75:54-56.

6. Bazikyan E.A., Volchkova L.V., Lukina G.I. A practical guide to endodontics. M.: Prakt. medicine, 2007: 111

7. Tarasenko S.V. Piyamov R.R. Treatment of patients with periapical lesions using high-intensity lasers and a dental microscope. Medical almanac. 2015;3(38):184-189.

8. Tsurumachi T. Current strategy for successful periradicular surgery. Journal of Oral Science. 2013;55(4):267-273.

9. Chunikhin N.A., Bazikyan E.A., Chunikhin A.A., Klinovskaya A.S. Study of the influence of nanosecond laser radiation when exposed to inflamed periodontal tissues using comparative morphological analysis. Russian dentistry. 2021; 3:47-48.

10. Chunikhin A.A., Bazikyan E.A., Syrnikova N.V., Chobanyan A.G. Comparative evaluation of the efficiency of singlet oxygen generation by a laser nanosecond module of a robotic surgical complex in model biochemical environments. Russian dentistry. 2017;10(2):30-35.

11. Chunikhin A.A., Bazikyan E.A., Zairatyants O.V. Evaluation of the effectiveness of nanosecond laser therapy for periodontal diseases in the experiment. Russian dentistry. 2017;10(4):3-7.

12. Bazikyan E.A., Syrnikova N.V., Chunikhin A.A., Zayratyants O.V. Morphological evaluation of singlet photooxytherapy in the treatment of periodontal diseases in a pilot study. Dentistry. 2018; 97(1):22-26.

13. Halse A., Molven O. A strategy for the diagnosis of periapical pathosis. J Endod 1986; 12: 534-538.

14. Rud J., Andreasen O., Moller Jensen J.E. Radiographic criteria for the assessment of healing after endodontic surgery. Int J Oral Surg. 1972; 1: 195-214.


Review

For citations:


Chunikhin N.A., Sorokin I.O., Zima I.V., Bazikyan E.A., Chunikhin A.A. Clinical evaluation of the effectiveness of the treatment of chronic forms of periodontitis using transchannel laser non-pigmented photoablation. Endodontics Today. 2023;21(1):30-35. (In Russ.) https://doi.org/10.36377/1683-2981-2023-21-1-30-35



Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1683-2981 (Print)
ISSN 1726-7242 (Online)