graduate student
Ufa, Ufa, Russian Federation
employee
Ufa, Ufa, Russian Federation
employee
Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
Subject. A sufficiently sensitive, high-resolution method of laser doppler flowmetry is used to characterize the сlaudication in the oral mucous membrane and periodontal tissues. This method makes it possible to detect early changes in the microcirculatory bloodstream and predict the course of chronic apical periodontitis. With the help of the method of laser doppler fluorometry, a comparative monitoring of the microcirculatory bloodstream of the mucous membrane of the transitory fold in the area of intact teeth and teeth with chronic apical periodontal was carried out. The aim of this study was efficiency determination of complex endodontic treatment of chronic apical periodontitis on the basis of monitoring the state of microcirculation of the mucous membrane in the transitory fold of the studied teeth. Methodology. Control group consisted of 55 patients with chronic apical periodontitis, and 20 patients with intact teeth aged 20 to 30 years old who underwent the analysis of microcirculation of the mucous membrane of the transitional fold of the studied teeth using laser doppler flowmetry (LDF). Results. The indicators IM, Kv, Q among 20 patients with intact teeth examined with the method of laser doppler flowmetry (LDF) were taken as normal. Studied parameters are significantly lower than normal in 55 patients with chronic apical periodontitis. In case of patients with chronic apical periodontitis, the inclusion of complex composed of the root canal system treatment by diode laser and the insertion into the root canal trombocytic autoplasma and its injection in projection of the root end in the protocol of endodontic treatment of chronic apical periodontitis helps to normalize microcirculation in the mucosa of the transitory folds of the investigated teeth. Summary. The study of the dynamics of the complex of endodontic treatment of chronic apical periodontitis showed its high efficiency (p≤0.001).
apical periodontitis, microcirculation, laser doppler flowmetry, laser diode, platelet autoplasma
1. Adamchik, A. A. (2017). Sposob glubokoy dezinfektsii sistemy kornevogo kanala pri lechenii destruktivnykh form periodontita [Method of deep disinfection of the root canal system in the treatment of destructive forms of periodontitis]. Endodontiya today [Endodontics today], 1, 4-7. (In Russ.).
2. Anjutin, R. G., Ivkina, S. V., Apraksin, M. A. (2008). Normativnyye znacheniya parametrov mikrotsirkulyatsii krovi v slizistoy obolochke polosti nosa i rotoglotki po dannym lazernoy dopplerovskoy floumetrii [Normative values of parameters of blood microcirculation in the mucosa of the nasal cavity and oropharynx according to laser doppler flowmetry]. Regionarnoe krovoobraschenie i microcirkulyatsiya [Regional blood circulation and micro-circulation], 3, 23-27. (In Russ.).
3. Gerasimova, L. P., Yusupova, A. F., Usmanova, I. N., Sorokin, A. P. (2019). Otsenka effektivnosti lecheniya khronicheskogo apikal'nogo periodontita na osnovanii densitometricheskogo i mikrobiologicheskogo metodov issledovaniya [Evaluation of the effectiveness of treatment of chronic apical periodontitis on the basis of densitometric and microbiological research methods]. Problemy stomatologii [Problems of dentistry], 15, 2, 17-24. (In Russ.).
4. Gizzatullina, L. L. (2006). Issledovaniye gemodinamiki pul'py zuba pri zabolevaniyakh tverdykh tkaney s pomoshch'yu ul'trazvukovoy dopplerografii [Study of the hemodynamics of dental pulp at the diseases of the hard tissue with Doppler ultrasound]. Regionarnoe krovoobraschenie i microtsirkylatsiya [Regional blood circulation and microcirculation], 2 (18), 101-102. (In Russ.).
5. Girina, M. B., Morozova, E. A. (2005). Perspektivy razvitiya ul'trazvukovoy vysokochastotnoy dopplerovskoy floumetrii [Prospects of development of ultrasonic high-frequency Doppler flowmetry]. Regionarnoe krovoobraschenie i microtsirkylatsiya [Regional blood circulation and microcirculation], 4, 1 (13), 42-49. (In Russ.).
6. Demyanenko, S. A., Tofan, V. (2017). Lecheniye apikal'nogo periodontita s primeneniyem obogoshchennoy trombotsitami plazmy krovi [Treatment of apical periodontitis using platelet-rich plasma]. Endodontiya today [Endodontics today], 4, 24-28. (In Russ.).
7. Karakov, K. G. Khachaturyan, E. E., Uzdenov, M. B., Uzdenova, L. H., Khachatryan, A. A., Eremenko, A. V., Hyusnunts, Y. K. (2019). Sovremennyy vzglyad na antibakterial'nuyu obrabotku kornevogo kanala s pomoshch'yu lazernoy fotodinamicheskoy terapii [A modern view of the antibacterial treatment of root canals with laser photodynamic therapy]. Problemy stomatologii [Problems of Dentistry], 15, 1, 23-27. (In Russ.).
8. Krechina, E. K., Kozlov, V. I., Maslova, V. V. (2007). Mikrotsirkulyatsiya v tkanyakh desny parodonta [Microcirculation in periodontal gum tissues]. Moscow : GEOTAR Media, 80. (In Russ.).
9. Krecina, E. K. (1996). Narusheniya mikrotsirkulyatsii v tkanyakh parodonta pri yego zabolevaniyakh i kliniko-funktsional'noye obosnovaniye metodov ikh korrektsii : avtoref. dis. … d-ra med. nauk [Disorders of microcirculation in periodontal tissues when the disease and clinical-functional substantiation of methods of their correction : dokt. diss]. Moscow, 40. (In Russ.).
10. Krupatkin, A. I., Sidorov, V. V. (2008). Otsenka spektral'nykh i nelineynykh parametrov mikrogemotsirkulyatsii tkaney i yeye regulyatsii s pomoshch'yu lazernoy dopplerovskoy floumetrii [Estimation of spectral and nonlinear parameters of tissue microhemocirculation and its regulation by laser doppler flowmetry]. Byulyuten NCCVS A. N. Bakuleva RAMN [Bulletin of NCCVS A. N. Bakuleva RAMS], 9, 6, 154. (In Russ.).
11. Krupatkin, A. I., Sidorova, V. V. (2005). Lazernaya dopplerovskaya floumetriya mikrotsirkulyatsii krovi : rukovodstvo dlya vrachey [Laser doppler flowmetry of blood microcirculation : a guide for doctors]. Moscow : Medicine, 252. (In Russ.).
12. Kuratov, I. A., Nagaeva, M. O. (2016). Kliniko-rentgenologicheskaya otsenka effektivnosti lecheniya apikal'nogo periodontita s primeneniyem avtorskoy metodiki vakuumno-struynoy irrigatsii kornevykh kanalov [Clinical and radiological evaluation of the effectiveness of treatment of apical periodontitis using the author's technique of vacuum-jet irrigation of root canals]. Problemy stomatologii [Problems of Dentistry], 12, 1, 31-38. (In Russ.).
13. Kuratov, I. A., Nagaeva, M. O., Korneeva, M. V., Surkov, M. A. (2019). Analiz prichin neudach endodonticheskogo lecheniya i udaleniya zubov s diagnozom "khronicheskiy apikal'nyy periodontit" [Analysis of the causes of failures of endodontic treatment and tooth extraction with a diagnosis of "Chronic apical periodontitis]. Problemy stomatologii [Problems of Dentistry], 15, 1, 28-32. (In Russ.).
14. Loginova, N. K., Ivanova, E. V., Troitskaya, T. V. (2008). Vliyaniye zhevatel'nykh nagruzok na funktsional'noye sostoyaniye sosudov pul'py zuba i yeye krovosnabzheniye [Masticatory loading influence upon dental pulp functional status and its blood supply]. Stomatologiya [Dentistry], 87, 6, 13-16. (In Russ.).
15. Loginova, N. K. (2005). Vozmozhnosti funktsional'noy diagnostiki v kariyesologii [Possibilities of functional diagnostics in cariesology]. Novoe v Stomatologii [New in dentistry], 4, 40-41. (In Russ.).
16. Loginova, N. K., Krecina, E. K., Ermol’ev, N. (2007). Funktsional'naya diagnostika v stomatologii [Functional diagnostics in dentistry]. Moscow : GEOTAR-Media, 119. (In Russ.).
17. Lunitsina, Y. V., Zubova, I. E. (2015). Sravnitel'naya otsenka effektivnosti razlichnykh metodik plombirovaniya kornevykh kanalov zubov [Comparative evaluation of the effectiveness of different methods of root canal teeth]. Problemy stomatologii [Problems of Dentistry], 2, 9. (In Russ.).
18. Orekhova, L. Y., Kuchumova, E. D. Prokhorova, O. V., Shchigel`skaya, N. S., Spetsakov, D. A. (2002). Opyt issledovaniya mikrotsirkulyatsii parodonta i pul'py zuba pri ortodonticheskom lechenii [The experience of the study of the microcirculation of the periodontal and dental pulp during orthodontic treatment]. Endodontiya today [Endodontics today], 2, 3-4, 12-14. (In Russ.).
19. Orekhova, L. Y., Kuchumova, E. D., Styuf, YA. V. (2007). Krovosnabzheniye pul'py zuba. Metody issledovaniya pul'py zuba [Blood supply of the tooth pulp. Methods of investigation of tooth pulp]. Parodontologiya [The Periodontics], 1 (42), 55-58. (In Russ.).
20. Orekhova, L. Yu., Prokhorova, O. V., Kudryavtseva, T. V. (2001). Metody issledovaniy mikrotsirkulyatsii parodonta i pul'py zuba [Methods of investigation of periodontal microcirculation and tooth pulp]. Materialy nauchno practicheskoj konferentsii “Metody issledovaniya mikrotsirkulyatsii v klinike [Proc. “Methods of research of microcirculation in clinic”]. St. Petersburg, 38-41. (In Russ.).
21. Pavlovich, O. A. (2013). Kompleksnaya otsenka effectivnosti ysovershenstvovannogo sposoba terapii distruktivtyh form hronicheskogo apicalnogo periodontita [A comprehensive assessment of the effectiveness of an improved method for the treatment of destructive forms of chronic apical periodontitis : author. dis. ... cand. med. sciences]. Krasnodar, 25. (In Russ.).
22. Rabinovich, I. M., Dmitrieva, N. A., Golubeva, S. A. (2013). Otsenka effektivnosti antimikrobnogo vozdeystviya metoda fotodinamicheskoy terapii na mikrofloru kornevogo kanala u patsiyentov s zabolevaniyami pul'py i periodonta [Evaluation of the effectiveness of antimicrobial effects of photodynamic therapy on the microflora of the root canal in patients with pulp and periodontal diseases]. Endodontiya today [Endodontics today], 1, 26-29. (In Russ.)
23. Sorokoumova, D. V. (2019). Sravnitel'naya otsenka effektivnosti ul'trazvukovykh i zvukovykh metodov aktivatsii irrigatsionnogo rastvora v kornevykh kanalakh s prostoy i slozhnoy anatomiyey (eksperimental'noye issledovaniye) [Comparative evaluation of the effectiveness of ultrasound and sound methods of activation of irrigation solution in root canals with simple and complex anatomy (experimental study)]. Problemy stomatologii [Problems of Dentistry], 15, 1, 57-62. (In Russ.)
24. Gerasimova, L. P., Usmanova, I. N., Kabirova, M. F., Yusupov, A. F., Sorokin, A. P. (2019). Sposob lecheniya hronicheskogo apicalnogo peridontita s ispolovaniem vysoko intensivnogo la zernogo oblucheniya sistemy kornevyh kanalov I in ektsionnogo vvedeniya trombotsitarnoj aytoplazmy [Method of treatment of chronic apical periodontitis with the use of highintensity laser irradiation of the root canal system and injection of the introduction of thrombocytic autoplasma]. Patent 2695070, 19.07. 2019, 2018141032, 21.11.2018, 21.11.2018, 20, 11. (In Russ.)
25. Orehova, L. Yu., Kuchumova, E. D., Prokhorov, O. V., Styuf, Y. V. (2002). Sposob ocenki funkcional'nogo sostoyaniya sosudov pul'py zuba [Method of assessment of functional state of vessels of the tooth pulp]. Patent 2210984, f01.04.2002. (In Russ.)
26. Tokmakova, S. I., Lunitsin, Y. V., Semenkov, V. A. (2015). Sravnitel'naya otsenka kachestva mekhanicheskoy obrabotki kornevykh kanalov zubov sistemami vrashchayushchikhsya nikel'-titanovykh instrumentov [Comparative evaluation of quality of mechanical treatment of root canals systems of rotary Nickel-titanium instruments]. Problemy stomatologii [Problems of Dentistry], 1, 20-22. (In Russ.)
27. Gerasimova, L. P., Kabirova, M. F., Usmanova, I. N., Kuznetsova, N., Farshatova, R. R. (2015). Ustrojstvo dlya provedeniya lazernoj doplerovskoj floumetrii tkanej parodonta i tverdyh tkanej zubov [The device for carrying out laser Doppler flowmetry of periodontal tissues and hard tissues of the teeth]. Patent 155186, 27.09.2015, 2015116178/14, 28.04.2015, 27, 2. (In Russ.)
28. Emshoff, R., Möschen, I., Strobl, H. (2004). Use of laser Doppler flowmetry to predict vitality of luxated or avulsed permanent teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 98, 6, 750-755.
29. Emshoff, R., Emshoff, I., Möschen, I. et al. (2004). Laser Doppler flow measurements of pulpal blood flow and severity of dental injury. Int. Endod. J, 37, 7, 463-470.
30. Ergün Kunt, G., Kökü, D., Ceylan, G., Yilmaz, N., Umut Giiler, A. (2009). Pulpal blood flow changes in abutment teeth of removable partial denture. Bosn J Basic Med Sei., 9, 4, 296-300.
31. Gleissner, C., Kempski, O., Peylo, S., Glatxel, J. H., Willershausen, B. (2006). Local gingival blood fl ow at healthy and inflamed sites measured by laser doppler fl owmetry. J. periodontal, 77, 10, 1762-1771.
32. Kozlov, V. L., Terman, O. A., Krechina, E. K. (1995). Monitoring for tissue blood flow in periodontium with Laser Doppler system during the correction of microcirculatory disorders. BIOS Europe, Barcelona, 18.
33. Musselwhite, J. M., Khtzman, B., Maizner, W., et al. (1997). Laser Doppler flowmetry: a clinical test of pulpal vitality. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod, 84-94.
34. Nilsson, G. E., Tenland, T., Oberg, P. A. (1988). Evaluation of a Laser Doppler, flowmeter for measurement of tissue blood flow. IEEE Trans. Bio-Med. Eng, 27, 597-604.
35. Polat, S., Er, K., Polat, N. T. (2005). The lamp effect of laser Doppler flowmetry on teeth. J Oral Rehabil, 32, 11, 844-848.
36. Polat, S. K., Akpinar, K. E., Polat, N. T. (2004). The sources of laser Doppler blood-flow signals recorded from vital and root canal treated teeth. Arch, of Oral Biology, 49 (1), 53-57.
37. Verdonck, H. W., Meijer, G. J., Kessler, P. et al. (2009). Assessment of bone vascularity in the anterior mandible using laser doppler fl owmetry. Clin. oral. implants. Res, 20, 2, 140-144.
38. Winzap-Kälin, C., Chappuis, V., von Arx, T. (2005). Laser Doppler flowmetry for vitality testing of traumatized maxillary incisors. Schweiz Monatsschr Zahnmed, 115, l, 12-17.
