employee
Stavropol', Stavropol, Russian Federation
employee
Stavropol', Stavropol, Russian Federation
employee
Cherkessk, Cherkessk, Russian Federation
employee
Cherkessk, Cherkessk, Russian Federation
employee
Stavropol', Stavropol, Russian Federation
graduate student
Stavropol', Stavropol, Russian Federation
graduate student
Stavropol', Stavropol, Russian Federation
Subject. The article presents the data of a comparative analysis of the traditional method of treating chronic generalized periodontitis of mild to moderate severity and with the use of periodontal dressings in combination with an antibacterial photodynamic system. The goal is to study the effectiveness of the methodology of complex therapy for the treatment of periodontal diseases using periodontal dressings and antibacterial photodynamic therapy. Methodology. We observed 120 patients with inflammatory periodontal diseases aged 18 to 55 years (men ― 52, women ― 68), who were divided into the control and main groups. In the control group, treatment was carried out according to the traditional scheme of drug therapy, in the main ― according to the method of complex therapy. The treatment regimen according to this technique included the use of periodontal dressings and an antibacterial photodynamic therapy system: photosynthesis was applied to the affected area of the periodontal pocket, after which the pathogenic microorganisms were stained for 1-3 minutes, then the liquid was thoroughly washed from the periodontal pockets and the laser affected the affected area for 60 seconds. Results. The proposed treatment regimen using an antibacterial photodynamic system in combination with periodontal dressings allows to achieve a pronounced and prolonged anti-inflammatory effect in periodontal tissues without local and systemic use of antibiotics, reduces treatment time for mild periodontitis by 29, average ― by 57 %, reduces the likelihood recurrence, lengthens the duration of remission. Findings. The use of complex treatment of periodontitis of mild to moderate severity allows the method to accelerate the restoration of periodontal tissues, relieve inflammation, saturate the tissues with oxygen, reduce the rate of relapse by 2.6 times and reduce the duration of relapse of this disease within 24 months. Our data allow us to implement this treatment regimen in practical healthcare.
chronic generalized periodontitis, periodontal dressing, bleeding gums, oral mucosa, pain
1. Babajanyan, S. G., Kazakova, L. N. (2013). Vliyaniye endokrinnoy patologii na razvitiye i techeniye zabolevaniy v polyakh rta [The effect of endocrine pathology on the development and course of diseases in the mouth]. Saratovskiy nauchno-meditsinskiy zhurnal [Saratov Journal of Medical Scientific Research], 9, 3, 366–369. (In Russ.)
2. Kraynov, S. V., Mikhalchenko, V. F., Popova, A. N., Yakovlev, A. T., Linchenko, I. V. (2018). Vliyaniye immunomoduliruyushchey terapii na kletochnyy sostav desnevoy zhidkosti u lits pozhilogo vozrasta, stradayushchikh parodontitom [The effect of immunomodulating therapy on the cellular composition of the gingival fluid in elderly patients with periodontitis]. Problemy stomatologii [Actual problems in Dentistry], 14, 1, 21–25. (In Russ.)
3. Kraynov, S. V., Mikhalchenko, V. F., Yakovlev, A. T., Popova, A. N., Alekhanova, I. F. (2017). Glubina parodontal'nogo karmana» ili «velichina poteri prikrepleniya», kakoy parametr vybrat' v gerontostomatologii [The depth of the periodontal pocket "or" the magnitude of the attachment loss ", which parameter to choose in gerontostomatology]. Problemy stomatologii [Actual problems in Dentistry], 13, 4, 9–14. (In Russ.)
4. Karakov, K. G., Vlasova, T. N., Oganyan, A. V., Khachaturian, E. E., Khachaturian, A. E. (2016). Antiksiolitik na fone kompleksnoy terapii krasnogo ploskogo cheloveka v praktike vracha-parodontologa [Antioxiolytic against the background of complex therapy of a red flat person in the practice of a periodontologist]. Novyye teorii i praktiki stomatologii : materialy XV Foruma uchonykh Yuga Rossii v ramkakh nauchnoy konferentsii [New Theories and Practices of Dentistry : materials of the XV Forum of Scientists of the South of Russia as part of a scientific conference], 69–72. (In Russ.)
5. Karakov, K. G., Savelyev, P. A., Mordasov, N. A., Ivanyuta, I. V., Ivenkov, L. V. (2018). Vliyaniye oboznacheniya zamestitel'noy gormonal'noy terapii u zhenshchin v postmenopauze na sostoyaniye tkaney parodontal'nogo kompleksa [The influence of the designation of hormone replacement therapy in postmenopausal women on the condition of the tissues of the periodontal complex]. Glavnyy vrach yuga Rossii [Head physician south of Russia], 5 (61), 43–45. (In Russ.)
6. Kolesova, N. A., Politun, A. M., Kolesova, N. V. (2006). Kontseptsiya geterogennosti bolezney parodonta, opredelyayushchaya osobennost' lechebnoy praktiki [The concept of heterogeneity of periodontal diseases, which determines the peculiarity of medical practice]. Sovremennaya stomatologiya [Modern dentistry], 3, 61–64. (In Russ.)
7. Korotkova, A. P. (2002). Diagnosticheskoye znacheniye stomatologicheskogo statusa elektrolitnogo sostava rotovoy zhidkosti pri nespetsificheskikh khronicheskikh gastroduodenitakh u detey [The diagnostic value of the dental status of the electrolyte composition of the oral fluid in non-specific chronic gastroduodenitis in children]. Stomatologiya detskogo vozrasta i profilya [Pediatric Dentistry and profile], 1-2, 40. (In Russ.)
8. Mordasov, N. A., Ivanyuta, I. V., Eremenko, A. V., Kuznetsova, O. V. (2016). Otsenka rezul'tatov kompleksnoy terapii khronicheskogo steroidnogo generalizovannogo [Evaluation of the results of complex therapy of chronic steroid generalized]. Aktual'nyye voprosy klinicheskoy stomatologii : sbornik nauchnykh rabot [Collection of Topical Issues in Clinical Dentistry : collection of scientific papers], 109–112. (In Russ.)
9. Mordasov, N. A., Novikov, S. V., Ivanyuta, I. V., Kasimova, G. V. (2017). Ispol'zovaniye antigipoksantov v kompleksnoy terapii khronicheskogo kataral'nogo gingivita [The use of antihypoxants in the treatment of chronic catarrhal gingivitis]. Materialy nauchno-prakticheskoy konferentsii [Materials of the scientific-practical conference], 71–75. (In Russ.)
10. Novikov, S. V., Savelyev, R. A., Eremenko, A. V. (2012). Ispol'zovaniye kompleksnogo gomeopaticheskogo preparata «Mukoza Kompozitum» pri khronicheskom retsidiviruyushchem aftoznom stomatite [The use of the complex homeopathic preparation "Mucosa Compositum" in chronic recurrent aphthous stomatitis]. Aktual'nyye voprosy klinicheskoy stomatologii : materialy XLVI nauchno-prakticheskoy konferentsii stomatologov Stavropol'skogo kraya [Collection Actual issues of clinical dentistry : materials of the XLVI Scientific and Practical Conference of Dentists of the Stavropol Territory], Stavropol State Medical Academy, 223–224. (In Russ.)
11. Novikov, S. V., Savelyev, P. A., Lavrinenko, V. I., Mordasov, N. A. (2017). Gomeopaticheskaya terapiya pri khronicheskom retsidiviruyushchem aftoznom stomatite [Homeopathic therapy for chronic recurrent aphthous stomatitis]. Aktual'nyye aspekty sovremennoy stomatologii i implantologii : materialy nauchno-prakticheskoy konferentsii [Actual aspects of modern dentistry and implantology : materials of the scientific-practical conference], 77–80. (In Russ.)
12. Sirak, S. V., Kopylova, I. A., Chebotarev, V. V., Al-Asfari, F. M. S. (2012). Ispol'zovaniye polikomponentnoy adgezivnoy mazi v sochetanii s immunomoduliruyushchim preparatom v kompleksnoy terapii puzyrchatki [Use of a multicomponent adhesive ointment in combination with an immunomodulatory drug in the treatment of pemphigus]. Parodontologiya [Periodontology], 17, 2, 62–65. (In Russ.)
13. Sirak. S. V., Rubtsova. N. G. (2013). Gigiyena polya rta s ispol'zovaniyem ionnoy zubnoy shchetki u patsiyentov s dental'nymi implantatami [Oral hygiene using an ionic toothbrush in patients with dental implants]. Meditsina kriticheskikh sostoyaniy [Medicine of critical conditions], 1, 44–48. (In Russ.)
14. Solovieva, O. A., Karakov, K. G., Khachaturian. E. E., Savelyev, P. A., Sarkisov, A. A. (2016). Protivovospalitel'naya i antimikobnaya terapiya pri lechenii verkhushechnykh periodontitov [Anti-inflammatory and antimycobic therapy in the treatment of apical periodontitis]. Vestnik Meditsinskogo stomatologicheskogo instituta [Bulletin of the Medical Dental Institute], 1, 8–10. (In Russ.)
15. Bakland, L. K., Andreasen, J. O. (2012). Will mineral trioxide aggregate replace calcium hydroxide in treating pulpal and periodontal healing complications subsequent to dental trauma? A review. Dental traumatology, 28 (1), 25–32.
16. Berglundh, T., Persson, L., Klinge, B. (2002). A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. Journal of clinical periodontology, 29, 3, 197–212.
17. Goldberg, M., Smith, A. J. (2004). Cells and extracellular matrices of dentin and pulp: A biological basis for repair and tissue engineering. Critical reviews in oral biology and medicine, 15 (1), 13–27.
18. Bishop, K, Dummer, P. M. (1997). A comparison of stainless steel Flexofiles and nickel -titanium NiTi Flex files during the shaping of simulated canals. Int Endod J, 30, 25–34.
19. Thompson, S. A., Dummer, P. M. H. (1997). Shaping ability of ProFile .04 taper series 29 rotary nickel-titanium instruments in simulated canals: part 1. Int Endod J, 30, 1–7.
20. Thompson, S. A., Dummer, P. M. H. (2000). Shaping ability of Hero 642 rotary nickel-titanium instruments in simulated root canals: part 1. Int Endod J, 33, 248–254.
21. Garip, Y., Gunday, M. (2001). The use of computed tomography when comparing nickel-titanium and stainless steel files during preparation of simulated curved canals. Int Endod J, 34, 452–457.
22. Schäfer, E., Lohmann, D. (2002). Efficiency of rotary nickel-titanium FlexMaster instruments compared with stainless steel hand K-Flexofile: part 1. Shaping ability in simulated curved canals. Int Endod J, 35, 505–513.
23. Grimm, W. D. et al. (2015). Translational research and therapeutic applications of neural crest-derived stem cells in regenerative periodontology. Current Oral Health Reports, 2, 4, 266–274.
24. Zhidovinov, A. V. et al. (2016). Research of local adaptation reactions of radiotherapy patients with defects of maxillofacial prosthetic with removable. International Journal of Applied and Fundamental Research, 5, 20.
25. Shatskaya, N. V., Vlasova, T. N., Eremenko, A. V., Vanchenko, N. B., Kuznetsova, O. V. (2017). Klinicheskaya otsenka kompleksa kompleksov protivovospalitel'nykh sredstv na sostoyaniye tkaney parodonta [Clinical evaluation of the complex of complexes of anti-inflammatory drugs on the condition of periodontal tissues]. Aktual'nyye voprosy klinicheskoy stomatologii [Actual issues of clinical dentistry], 155–157. (In Russ.)
