Clinical and experimental substantiation of the effectiveness of non-pigmented laser photoablation in the treatment of peri-implantitis
https://doi.org/10.36377/ET-0054
Abstract
INTRODUCTION. In the treatment of peri-implantitis, it is important to significantly relieve inflammation in the peri-implant area, stop bone resorption and stimulate tissue regeneration. This is possible when using laser radiation with the effects of pigment-free laser photoablation.
AIM. Improving the effectiveness of peri-implantitis treatment using pigment-free laser photoablation.
MATERIALS AND METHODS. An experimental comparative study in 28 animals with model peri-implantitis under the influence of laser radiation with pigment-free photoablation and mechanical treatment of the periimplant area in equal groups. Treatment of 70 patients with peri-implantitis in 2 equal groups of 35 patients – using pigment-free laser photoablation and mechanical treatment. In the groups, the immediate and remote results were assessed according to clinical signs. Before and after treatment, laboratory analysis of C-reactive protein, S-IgA and cortisol was performed.
RESULTS. Morphological analysis showed that the use of pigment-free laser photoablation helps to reduce inflammation and accelerate tissue regeneration. Clinical analysis showed high efficiency of pigment-free laser photoablation by 3.2 times compared to mechanical treatment. Analysis of laboratory research showed that the use of pigment-free laser photoablation helps to reduce CRP by 7.6, stimulate S-IgA by 1.2 times, stimulate cortisol by 1.3 times compared to traditional mechanical and drug treatment of peri-implant pockets.
CONCLUSIONS. Our experimental and clinical laboratory studies confirm the need to use pigment-free laser photoablation to improve the effectiveness of peri-implantitis treatment
About the Authors
A. A. Zhekova
Russian University of Medicine
Russian Federation
Competing Interests:
Russian Federation
Anastasia A. Zhekova – Assistant of the Department of Surgical Dentistry and Implantology of the N.D. Yushchuk Scientific Research Institute of Continuous Professional Education
4, Dolgorukovskaya St., Moscow 127006
Competing Interests:
The authors declare no conflict of interests
A. A. Chunikhin
Russian University of Medicine
Russian Federation
Competing Interests:
Russian Federation
Andrey A. Chunikhin – Dr. Sci. (Med.), Professor of the Department of Surgical Dentistry and Implantology of the N.D. Yushchuk Scientific Research Institute of Continuous Professional Education
4, Dolgorukovskaya St., Moscow 127006
Competing Interests:
The authors declare no conflict of interests
E. A. Bazikyan
Russian University of Medicine
Russian Federation
Competing Interests:
Russian Federation
Ernest A. Bazikyan – Honored Doctor of the Russian Federation, Dr. Sci. (Med.), Head of the Department of Surgical Dentistry and Implantology of the N.D. Yushchuk Scientific Research Institute of Continuous Professional
Education
4, Dolgorukovskaya St., Moscow 127006
Competing Interests:
The authors declare no conflict of interests
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Review
For citations:
Zhekova A.A., Chunikhin A.A., Bazikyan E.A. Clinical and experimental substantiation of the effectiveness of non-pigmented laser photoablation in the treatment of peri-implantitis. Endodontics Today. https://doi.org/10.36377/ET-0054
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