The effectiveness of high-frequency monopolar diathermocoagulation in the treatment of chronic pulpitis

Aim. A study of the animicrobial action and clinical efficacy of high-frequency monopolar diathermocoagulation in the treatment of chronic forms of pulpitis. The reason for the development of complications in endodontic treatment is poor-quality instrumental treatment root canals.

Materials and methods. 102 patients with various chronic forms of pulpitis were divided into three groups of 34 patients each. In the first two groups, high-frequency monopolar diathermocoagulation was used in endodontic treatment in different modes. In the third group, endodontic treatment was carried out without the use of diathermocoagulation (comparison group). The root canal microflora in chronic pulpitis in vivo was studied twice-before and after diathermocoagulation.

Results. It was established that high-frequency monopolar diathermocoagulation in the effect mode is 3, power is 4 (4.1 W) and effect is 4, power is 4 (5.4 W) with an exposure time of 3 seconds, it has a pronounced antibacterial effect on all presented pathogenic microflora obtained from the root canals of the teeth. High clinical efficacy of high-frequency monopolar diathermocoagulation in the treatment of teeth with chronic pulpitis has been proved. 

1. Sipaviit E., Manelien R. Pain and flareup after endodontic treatment procdures // Baltic Dental and Maxillofacial Journal. 2014. №16. Р. 25-30.

2. Gulabivala K., Y-L Ng. 5: Treatment planning – Endodontics // Endodontics. 2014. P. 120-141.

3. Scott N. Peterson, Erik Snesrud, Jia Liu. The Dental Plaque // Microbiome in Health and Disease. 2013. №8 (3). Р.584-587.

4. Orekhova L.Yu., Krylova V.Yu., Mayorov P.S. et al. The degree of mechanical effectiveness of cleaning root canals with various antiseptic agents // Endodontics Today. 2013. №3. Р. 54-56.

5. Makeeva I.M., Volkov A.G., Dikopova N.Zh., Talalayev Ye.G. Endodontic treatment efficacy enhancement by means of instrumental physiotherapy // Stomatology. 2017. №96 (2). Р. 17-19.

6. Ruddle C. J. Focus On: Lasers for Disinfection // Dent Today. 2017. №36 (3). Р. 16.

7. Tamura T. Basic stady on the application of high frequency currents to endodontic therapy // Jpn.J.Conserv. 1992. №40. Р. 140.

8. Daurova F.Yu., Volkov A.G., Dikopova N.Zh. et al. The use of monopolar high-frequency diathermocoagulation in endodontic dentistry // Russian Dental Journal. 2018. T. 22. №2. Р. 117-120.

9. Makeeva I.M., Volkov A.G., Daurova F.YU. et al. Hardware treatment methods in dentistry. Textbook. – M.: RUDN, 2017. – Р. 112.

10. Volkov A.G., Dikopova N.Zh., Makeeva I.M. et al. Hardware methods of diagnosis and treatment of dental diseases // Textbook for students of dental faculties of medical universities. I.M. Sechenov First Moscow State Medical University (Sechenov University). – M.: Publisher I.M. Sechenov First MGMU (Sechenov University), 2016. – Р. 62.

11. Volkov A.G., Daurova F.Yu., Dikopova N.Zh. et al. Diathermocoagulation: substantiation of application in endodontic treatment // Dentristry for all. 2018. №4. S. 32-36.

12. Tsarev V.N., Podporin M.S., Ippolitov Ye.V. et al. Experimental rationale of endodontic therapy of chronic forms of pulpitis and periodontitis using photo-activated disinfection and ultrasound treatment // Journal of microbiology, epidemiology and immunobiology. 2016. №6. S. 66-73.

13. Yefanov O.I., Tsarev V.N., Volkov A.G. et al. The antibacterial efficacy of different kinds of transcanal direct current application // Russian Dental Journal. 2008. №2. Р. 38-42.