Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
Relevanct of the research topic. One of the possible causes of apical periodontitis is the infectious inflammatory process of the periapical periodontal tissues. The microflora of the root canal system is represented by various microorganisms, among which streptococci, enterococci and staphylococci most often prevail. The complex anatomy of the root canal system ensures the growth and reproduction of microorganisms, and the endodontic treatment does not always contribute to their qualitative and quantitative reduction. Purpose ― study of the effectiveness of endodontic treatment of chronic apical periodontitis in the near and long term. Methods. We observed 110 patients aged 20 to 30 years with apical periodontitis, bone density analysis and microbiological examination of the contents of the root canal. Depending on the obtained clinical and laboratory data, the patients were divided into two clinical groups: in group I endodontic treatment of 55 teeth was carried out according to the scheme developed by us; in group II — 55 teeth using the standard method of treatment. Results. In endodontic treatment of chronic apical periodontitis, treatment of the root canal system with a diode laser promotes better decontamination of the microflora. Coal mining introduction into the root canal system and in the region of the transition folds of the platelet autoplasma leads to an increase of the reparative process in the periapical region (p≤0.05). Summary. The inclusion in the Protocol of endodontic treatment of apical periodontitis of treatment of the root canal system with a diode laser and injection of platelet autoplasm is a more effective method of treatment in comparison with the traditional one.
apical periodontitis, microbial landscape of root canals, diode laser, platelet autoplasma, radiovisiography, dental computed tomography, densitometry
1. Gulyaeva, O. A., Averyanov, S. V., Solodky, V. G. et al. (2016). Primeneniye autologichnoy trombotsitarnoy plazmy v stomatologii [The use of autologous platelet plasma in dentistry]. Ufa : Healthcare of Bashkortostan. (In Russ.)
2. Demyanenko, S. A., Tofan, Yu. V., Tkachenko, I. M. (2018). Sovremennyye aspekty v lechenii khronicheskogo apikal'nogo periodontita [Modern aspects in the treatment of chronic apical periodontitis]. Vestnik problem biologii i meditsiny [Bulletin of problems of biology and medicine], 1, 4, 146. (In Russ.)
3. Demyanenko, S. A., Tofan, Yu. V. (2018). Sovremennyye vzglyady na voprosy primeneniya obogashchennoy trombotsitami plazmy krovi pri endodonticheskom lechenii khronicheskogo apikal'nogo periodontita [Modern views on the use of platelet-rich blood plasma in endodontic treatment of chronic apical periodontitis]. Krymskiy terapevticheskiy zhurnal [Crimean therapeutic journal], 3. (In Russ.)]
4. Maksimovskij, Ju. M., Mitronin, A. V. (2014). Terapevticheskaja stomatologija. Kariesologija i zabolevanie tverdyh tkanej zubov. Endodontija : uchebnoe posobie [Therapeutic dentistry. Cariesology and the disease of hard tooth tissues. Endodontics]. Moscow : GEOTAR-Media. (In Russ.)
5. Mitronin, A. V., Sobkina, N. A., Pomeshchikova, N. I., Dmitrieva, L. A. (2018). Ispol'zovaniye komp'yuternoy mikrotomografii dlya otsenki kachestva endodonticheskoy obrabotki zuba pri ispol'zovanii sovremennykh instrumentov [Using computer microtomography to assess the quality of endodontic treatment of a tooth using modern tools]. Endodontiya Today [Endodontiya Today], 1. (In Russ.)
6. Mitronin, A. V., Robustova, T. G., Manak, T. N., Lebedev, K. A., Ponyakina, I. D. (2018). Kompleksnoye lecheniye patsiyentov s mnozhestvennymi ochagami vospaleniya periapikal'nykh tkaney zubov [Comprehensive treatment of patients with multiple foci of inflammation of the periapical tissues of the teeth]. Sovremennaya stomatologiya [Modern dentistry], 4 (73). (In Russ.)
7. Mitronin, A. V., Belyaeva, T. S., Zhekova, A. A. (2016). Otsenka effektivnosti primeneniya diodnogo lazera i fotoaktiviruyemoy terapii pri endodonticheskom lechenii [Evaluation of the effectiveness of the use of a diode laser and photo-activated therapy in endodontic treatment]. Stomatologiya [Dentistry], 95, 6-2. (In Russ.)
8. Mitronin, A. V., Belyaeva, T. S., Zhekova, A. A. (2016). Lazernyye tekhnologii v endodonticheskom lechenii khronicheskogo apikal'nogo periodontita: sravnitel'naya otsenka antibakterial'noy effektivnosti [Laser technologies in endodontic treatment of chronic apical periodontitis: a comparative evaluation of antibacterial efficacy]. Endodontiya Today [Endodontiya Today], 2. (In Russ.)
9. Orekhova, L. Yu., Dudareva, A. L., Berezkina, I. V. (2008). Sravnitel'naya kharakteristika informativnoy tsennosti razlichnykh metodov luchevoy diagnostiki [Comparative characteristics of the informative value of various methods of radiation diagnosis]. Parodontologiya [Periodontology], 3. (In Russ.)
10. Chibisova, M. A., Dudarev, A. L., Batyukov, N. M. (2012). Optimizatsiya diagnostiki i lecheniya khronicheskikh periodontitov zubov s ispol'zovaniyem dental'noy komp'yuternoy tomografii [Optimization of diagnosis and treatment of chronic periodontitis of the teeth using dental computed tomography]. Endodontiya Today [Endodontiya Today], VI (1-2). (In Russ.)
11. Gulyaeva, O. A., Bulyakov, R. T. (2016). Sposob lecheniya destruktivnykh form khronicheskogo periodontita s primeneniyem in"yektsionnoy formy autologichnoy tromboplazmy : patent Rossiyskoy Federatsii na izobreteniye [A method for the treatment of destructive forms of chronic periodontitis using an injection form of autologous thromboplasma: an invention patent of the Russian Federation]. 2627582, 05.25.2016. (In Russ.)
12. Carev, V. N., Mitronin, A. V., Cherdzhieva, D. A. (2011). Opredelenie izmenenija vidovogo sostava virulentnoj mikroflory pri jazvennom pul’pite na jetapah endodonticheskogo lechenija [Determination of changes in the virulent microflora species composition during ulcerative pulpitis at the stages of endodontic treatment]. Endodontija today [Endodontija today], 3. (In Russ.)
13. Carev, V. N., Mitronin, A. V., Ippolitov, E. V., Malazonija, T. T., Podporin, M. S., Manucharjan, L. A. (2015). Ocenka antimikrobnogo dejstvija fotodinamicheskoj terapii na vozbuditelej neklostridial’noj anajerobnoj infekcii polosti rta i griby roda Candida v eksperimental’nyh i klinicheskih issledovanijah [Evaluation of the antimicrobial action of photodynamic therapy on pathogens of non-clostridial anaerobic infections of the oral cavity and fungi of the genus Candida in experimental and clinical studies]. Endodontija today [Endodontija today], 3. (In Russ.)
14. Yusupova, A. F., Gerasimova, L. P., Usmanova, I. N., Sorokin, A. P. (2018). Sravnitel'naya kharakteristika pokazateley normy opticheskoy plotnosti kostnoy tkani v periapikal'noy oblasti u lits molodogo vozrasta [Comparative characteristics of the indicators of the optical density of bone tissue in the periapical region in young people]. Endodontiya Today [Endodontiya Today], 3. (In Russ.)
15. Hommez, G. M., De Meerleer, G. O., De Neve, W. J., De Moor. R. J. (2012). Effect of radiation dose on the prevalence of apical periodontitis-a dosimetric analysis. Clin. Oral Investig, 16, 6, 1543-1547.
16. Lei-Meng, J., Lak, B., Eijsvogels, L. M., Wesselink, P. R., Van Der Sluis, L. W. M. (2012). Comparison of the cleaning efficacy of different final irrigation techniques. J.Endodont., 38, 6, 838-841.
17. Yu, V. W. C., Khin, S. L., Hsu, S. et al. (2014). Risk score algorithm for treatment of persistent apical periodontitis. J. Dent. Res, 93, 11, 1076-1082.
18. Pereira, C. A., Romeiro, R. L., Costa, A. C. et al. (2011). Susceptibility of Candida albicans, Staphylococcus aureus, and Streptococcus mutans biofilms to photodynamic inactivation: an in vitro study. Lasers Med. Sci, 26, 3, 341-348.
19. Seal1, G. J., Ng, Y.-L., Spratt D., Bhatti, M., Gulabivala, K. (2002). An in vitro comparison of the bactericidal efficacy of lethal photosensitization or sodium hyphochlorite irrigation on Streptococcus intermedius biofilms in root canals. International Endodontic Journal, 35, 3, 268-274.
20. Sakamoto, M., Siqueira, J. F. Jr., Rocas, I. N. (2007). Bacterial restoration and preservation after endodontic treatment procedures. Oral Microbiol Immunol, 22, 19-23.
21. Ivashchenko, V. A., Adamchik, A. A. (2016). Kliniko-laboratornaya otsenka vremennykh past pri lechenii khronicheskogo apikal'nogo periodontita [Clinical and laboratory assessment of temporary pastes in the treatment of chronic apical periodontitis]. Kubanskiy nauchnyy meditsinskiy vestnik [Kuban scientific medical Bulletin], 4, 49-52. (In Russ.)
22. Sirak, A. G., Shchetinin, E. V., Sirak, S. V. et al. (2014). Razrabotka i eksperimental'noye ispol'zovaniye novykh stomatologicheskikh materialov dlya stimulirovaniya reparativ-nogo osteogeneza pri lechenii destruktivnykh form khronicheskogo periodontita [Development and experimental use of new dental materials to stimulate reparative osteogenesis in the treatment of destructive forms of chronic periodontitis]. Meditsinskiy vestnik Severnogo Kavkaza [Medical Bulletin of the North Caucasus], 9, 4, 332-336. (In Russ.)
23. Shchetinin, E. V., Sirak, S. V., Ignatiadi, O. N., Sirak, A. G., Demurova, M. K., Dygov, E. A. (2014). Eksperimental'no-laboratornoye obosnovaniye vybora antibakterial'nykh sredstv dlya lecheniya periodontita [Experimental-laboratory substantiation of a choice of antibiotics for the treatment of periodontitis]. Meditsinskiy vestnik Severnogo Kavkaza [Medical Bulletin of the North Caucasus], 9 (4), 349-351. DOI: 10.14300/ mnnc.2014.09097. (in Russ)
24. Baron, A., Lindsey, K., Sidow, S. J., Dickinson, D. et al. (2016). Effect of a Benzalkonium Chloride Surfactant-Sodium Hypochlorite Combination on Elimination of Enterococcus faecalis. Journal of Endodontics, 42, 1, 145-149.
25. Gonçalves, L. S., Rodrigues, R. C., Andrade, Jr. C. V., et al. (2016). The Effect of Sodium Hypochlorite and Chlorhexidine as Irrigant Solutions for Root Canal Disinfection: A Systematic Review of Clinical Trials. Journal of Endodontics, 42, 4, 527-532.
26. Pladisai, P., Ampornaramveth, R. S., Chivatxaranukul, P., Clin, Sci G. D. (2016). Effectiveness of Different Disinfection Protocols on the Reduction of Bacteria in Enterococcus faecalis Biofilm in Teeth with Large Root Canals. Journal of Endodontics, 42, 3, 460-464.