Stavropol', Stavropol, Russian Federation
Stavropol', Stavropol, Russian Federation
Cherkessk, Cherkessk, Russian Federation
Cherkessk, Cherkessk, Russian Federation
Stavropol', Stavropol, Russian Federation
Pyatigorsk, Stavropol, Russian Federation
Pyatigorsk, Stavropol, Russian Federation
Importance. Currently, endodontic dental treatment is a complex manual process that requires in-depth knowledge of the anatomy of the crown and root part of the tooth, all this is necessary, as is a three-dimensional assessment of the structure of the pulp chamber of the root canal system, using modern technologies. In other words, a favorable result of endodontic treatment can be achieved in case of correct formation of access to the root canals and the qualitative removal of any inflamed, infected, degeneratively altered and necrotized pulp tissues. Objectives ― the study of the antibacterial effect and the possibility of using a laser photodynamic system for antibacterial treatment of root canals containing fragments of endodontic instruments. Methods. Fifteen patients aged from 18 to 50 years with 20 root canals containing fragments of an endodontic instrument were selected for work, previously treated for chronic periodontitis. Three samples for microbiological examination were taken: before the start of treatment, the sampling of dentinal chips from the root canal with a sterile file (sample A), after the instrumental treatment, medical treatment with 2.25 % sodium hypochlorite solution and the sampling of dentinal chips from the channel wall (sample B). Further, a photosensitase solution was placed in the root canal for 60 sec., Exposure was carried out with a laser beam for 120 seconds (HELBO system, Austria), dentinal chips collected (Sample C). Results. In samples A, the infection level corresponded to 4 points (marked bacterial load); in samples B ― 2 (average); in samples C ― 0. Conclusions. The use of a laser photodynamic system in the root canals, provides a high therapeutic effect, accelerates the process of medical treatment of the canal canal, by removing the dentinal chips and smear layer.
laser photodynamic system, drug treatment, fragments of endodontic instrument, periodontitis, root canal
1. Karakov, K. G., Khachaturian, E. E., Seiranidu, Z. A. (2012). Opyt klinicheskogo primeneniya lazernoy fotodinamicheskoy sistemy v stomatologii [The experience of the clinical application of the laser photodynamic system in dentistry]. Parodontologiya [Periodontics], 1, 61-63. (In Russ.)
2. Solovyova, O. A., Uzdenova, L. Kh., Novikov, S. V., Vanchenko, N. B. (2016). Rezul'taty kompleksnogo lecheniya obostrivshikhsya khronicheskikh verkhushechnykh periodontitov [Results of complex treatment of exacerbated chronic apical periodontitis]. Aktual'nyye voprosy klinicheskoy stomatologii : sbornik nauchnykh rabot [Topical issues of clinical dentistry. Collection of scientific papers], 125-127. (In Russ.)
3. 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, 3, 25-34.
4. Solovyova, O. A., Vanchenko, N. B., Ibragimova, Yu. V., Ryabikina, K. N., Karakotova, F..R. (2016). Kompleksnoye lecheniye verkhushechnykh periodontitov [Comprehensive treatment of apical periodontitis]. Aktual'nyye voprosy i perspektivy razvitiya meditsiny : sbornik nauchnykh trudov po itogam III mezhdunarodnoy nauchno-prakticheskoy konferentsii [Current issues and prospects for the development of medicine. Collection of scientific papers on the results of the III International Scientific and Practical Conference], 148-150. (In Russ.)
5. 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.
6. Solovyova, O. A., Novikov, S. V., Vanchenko, N.B., Erzinkyan, K.G., Kamyshan, M. A. (2016). Tselesoobraznost' kompleksnogo lecheniya obostrivshikhsya khronicheskikh verkhushechnykh periodontitov [The expediency of complex treatment of exacerbated chronic apical periodontitis]. Aktual'nyye problemy i dostizheniya v meditsine : sbornik nauchnykh trudov po itogam III mezhdunarodnoy nauchno-prakticheskoy konferentsii [Actual problems and achievements in medicine. Collection of scientific papers on the results of the III International Scientific and Practical Conference], 179-180. (In Russ.)
7. 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.
8. 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.
9. 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.
10. Schäfer, E., Florek, H. (2003). Efficiency of rotary nickel-titanium K3 instruments compared with stainless-steel hand KFlexofile. Part 1. Shaping ability in simulated curved canals. Int Endod J, 36, 199-207.
11. Grimm, W. D. et al. (2016). Neural crest-related stem cells of oral origins in vitro and used in osteoporotic sheep model for being investigated due to therapeutic effects in alveolar bone regeneration. Meditsinskij vestnik Severnogo Kavkaza, 11, 2, 192-196.
12. Saveliev, P. A., Novikov, S. V., Lavrinenko, V. I., Vanchenko, N. B. (2017). Lecheniye destruktivnykh periodontitov s ispol'zovaniyem aktivnoy zaapikal'noy terapii [Treatment of destructive periodontitis with the use of active zaapikalnoy therapy]. Aktual'nyye aspekty sovremennoy stomatologii i implantologii : materialy nauchno-prakticheskoy konferentsii [Actual aspects of modern dentistry and implantology. Materials of the scientific and practical conference], 80-83. (In Russ.)
13. 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.
14. 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.
15. Vanchenko, N. B., Garus, Ya. N., Lysenko, L. I., Makovetskaya, V. D. (2017). Kompleksnoye lecheniye destruktivnykh form khronicheskikh periodontitov [Complex treatment of destructive forms of chronic periodontitis]. Aktual'nyye voprosy i perspektivy razvitiya meditsiny : sbornik nauchnykh trudov po itogam mezhdunarodnoy nauchno-prakticheskoy konferentsii [Actual issues and prospects for the development of medicine. Collection of scientific papers on the results of the international scientific-practical conference], 56-57. (In Russ.)
16. Saveliev, P. A., Eremenko, A. V., Vanchenko, N. B. (2016). Klinicheskaya otsenka effektivnosti lecheniya pul'pita metodom subtotal'noy ekstirpatsii [Clinical evaluation of the effectiveness of treatment of pulpitis by the method of subtotal extirpation]. Novoye v teorii i praktike stomatologii : materialy XV Foruma uchonykh Yuga Rossii v ramkakh nauchnoy konferentsii [New in the theory and practice of dentistry: materials of the XV Forum of Scientists of Southern Russia framework of the scientific conference], 137-141. (In Russ.)
17. Saveliev, P. A., Solov'eva, O. A., Karakov, K. G., Khachaturyan, E. E., Sarkisov, A. A. (2016). Protivovospalitel'naya i antimikrobnaya terapiya pri lechenii verkhushechnykh periodontitov [Anti-inflammatory and antimicrobial therapy in the treatment of apical periodontitis]. Vestnik Meditsinskogo stomatologicheskogo instituta [Bulletin of the Medical Dental Institute], 1 (36), 8-11. (In Russ.)
18. Siral, S. V. et al. (2015). Treatment and rehabilitation of patients with subtotal mandible defects. Research Journal of Pharmaceutical, Biological and Chemical Sciences, 6, 6, 1803-1819.
19. Gileva, O. S., Khalilaeva, E. V., Libik, T. V. et al. (2009). Mnogostupenchataya validatsiya mezhdunarodnogo oprosnika kachestva zhizni «Profil' vliyaniya stomatologicheskogo zdorov'ya» OHIP-49-RU [Multistage validation of the international questionnaire of quality of life “Profile of the influence of dental health” OHIP-49-RU]. Ural'skiy meditsinskiy zhurnal [Ural Medical Journal], 8, 104-109. (In Russ.)
20. Kurbanov, O. R., Abakarov, S. I., Askhabova, L. M. (2015). Organizatsiya i upravleniye kachestvom stomatologicheskoy pomoshchi [Organization and quality management of dental care]. Moscow : BINOM, 392. (In Russ.)
21. Karakov, K. G., Khachaturian, E. E., Babayan, E. G., Gandylyan, K. S., Bazikov, I. A., Zelensky, V. A., Tsurova, M. A., Seyranidu, Z. A. (2015). Sravnitel'naya kharakteristika metodov lecheniya khronicheskikh periodontitov s primeneniyem antibakterial'noy fotodinamicheskoy terapii (v odno poseshcheniye) i preparata Calasept [Comparative characteristics of the treatment of chronic periodontitis with the use of antibacterial photodynamic therapy (in one visit) and Calasept]. Meditsinskiy vestnik Severnogo Kavkaza [Medical Bulletin of the North Caucasus], 3, 242-245. (In Russ.)
22. Chavushyan, K. D., Gadzatseva, Z. M., Markarova, G. V., Babayan, E. G., Karakov, K. G. (2010). Fotodinamicheskaya terapiya-effektivnyy sposob vozdeystviya na parodontopatogennyye mikroorganizmy pri lechenii parodontita [Photodynamic therapy is an effective way to influence the periodontal pathogens in the treatment of periodontitis]. Meditsinskiy vestnik Severno Kavkaza [Medical Journal of the North Caucasus], 1, 13-16. (In Russ.)
23. Kodylev, A. G., Shumsky, A. V. (2008). Primeneniye erbiy-khromovogo lazera v kompleksnom lechenii periodontita [The use of erbium-chromium laser in the complex treatment of periodontitis]. Endodontiyatoday [Endodontiyatoday], 1, 36-40. (In Russ.)
24. Mashchenko, I. S., Skotarenko, A. V. (2005). Lecheniye khronicheskikh destruktivnykh form periodontitov s ispol'zovaniyem tsiklofosfana [Treatment of chronic destructive forms of periodontitis using cyclophosphane]. DentalMarket [DentalMarket], 2, 62-67. (In Russ.)
25. Dieva, M. B. (2005). Effektivnost' endodonticheskogo lecheniya metodom depoforeza s ispol'zovaniyem «Mediksida» [The effectiveness of endodontic treatment with depophoresis using Medicsid: authoref. dis. ... cand. medical science]. Moscow, 22. (In Russ.)
