graduate student
Ufa, Ufa, Russian Federation
employee
Ufa, Ufa, Russian Federation
employee
Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
employee
Ufa, Ufa, Russian Federation
Subject. One of the possible causes of the development of chronic apical periodontitis is the presence of facultative and obligate-anaerobic microflora, due to the vital activity of which there is a process of resorption of the periapical periodontal tissues and a violation of the microcirculation of the mucous membrane in the area of the transitional tooth fold with apical periodontitis, and modern endodontic treatment does not always contribute to them stabilization. The goal is a comparative study of the effectiveness of the impact of various methods of endodontic treatment of chronic apical periodontitis using x-ray, densitometric, microbiological methods and laser dopplerography in the short and long term. Methodology. Under our supervision, there were 110 patients aged 20 to 30 years with chronic apical periodontitis who underwent an analysis of bone density, an assessment of the state of microcirculation of the mucous membrane in the area of the transitional fold of the causative tooth, and microbiological examination of the contents of the root canal depending on the application of the scheme endodontic treatment. Depending on the obtained clinical diagnostic data, patients with chronic apical periodontitis were divided into two clinical groups: in I, endodontic treatment was carried out according to the scheme developed by us, in II — using the standard method of endodontic treatment. Results. In the group of individuals with the proposed method of endodontic treatment during microbiological examination, there was a positive trend in the qualitative and quantitative decrease in gram-positive facultative anaerobic bacteria (Enterococcus spp. And β-hemolytic streptococci), according to the data of radio-visual imaging and dental computed tomography, a tendency toward faster stabilization of indicators optical density of periapical tissues, analysis of laser dopplerography data proved a significant normalization of the state microcirculation of the mucous membrane in the area of the transitional fold in the near and long term compared with the standard method. Conclusions. The results of a comparative study of the proposed method of endodontic treatment of chronic apical periodontitis convincingly showed its advantage.
chronic apical periodontitis, microbial landscape of the root canal system, diode laser, platelet autoplasma, radiovisiography, dental computed tomography, densitometry, laser Doppler flowmetry (LDF)
1. Gizzatullina, L. L. (2006). Issledovaniye gemodinamiki pul'py zuba pri zabolevaniyakh tverdykh tkaney s pomoshch'yu ul'trazvukovoy dopplerografii [The study of the hemodynamics of tooth pulp in diseases of hard tissues using ultrasound dopplerography]. Regionarnoye krovoobrashcheniye i mikrotsirkulyatsiya [Regional blood circulation and microcirculation], 2 (18), 101-102. (In Russ.)
2. Dem'yanenko, 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 plasma-enriched plasma in dentistry]. Krymskiy terapevticheskiy zhurnal [Crimean therapeutic journal], 3. (In Russ.)
4. Karakov, K. G., Hachaturyan, E. E., Uzdenov, M. B., Uzdenova, L. H., Hachaturyan, A. E., Eremenko, A. V., Usnunc, YU. K. (2019). Sovremennyy vzglyad na antibakterial'nuyu obrabotku kornevogo kanala s pomoshch'yu lazernoy fotodinamicheskoy terapii [Modern view on antibacterial treatment of a root channel with a break-off of endodontic tool]. Problemy stomatologii [Actual problems in dentistry], 1, 15, 23-27. (In Russ.)
5. Krechina, E. K., Kozlov, V. I., Maslova, V. V. (2007). Mikrotsirkulyatsiya v tkanyakh desny parodonta [Microcirculation in periodontal gum tissue]. Moscow : GEOTAR Media. (In Russ.)
6. 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 radiographic evaluation of the effectiveness of treatment of apical periodontitis with the use of the author''s technique of vacuum-bolus irrigation of root canals]. Problemy stomatologii [Actual problems in dentistry], 12, 1, 31-38. (In Russ.)
7. 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 failure of endodontic treatment and the causes of tooth extraction with a diagnosis of chronic apical periodontitis]. Problemy stomatologii [Actual problems in dentistry], 1, 15, 28-32. (In Russ.)
8. Loginova, N. K., Krechina, E. K., Ermolyev, N. (2007). Funktsional'naya diagnostika v stomatologii [Functional diagnostics in dentistry]. Moscow : GEOTAR-Media. (In Russ.)
9. Lunitsyna, Y. V., Zubova, I. E. (2015). Sravnitel'naya otsenka effektivnosti razlichnykh metodik plombirovaniya kornevykh kanalov zubov [Comparative evaluation of the effectiveness of various methods of sealing the root canal]. Problemy stomatologii [Actual problems in dentistry], 2, 9. (In Russ.)
10. Maksimovsky, Yu. M., Mitronin, A. V. (2014). Terapevticheskaya stomatologiya. Kariyesologiya i zabolevaniye tverdykh tkaney zubov. Endodontiya : uchebnoye posobiye [Therapeutic dentistry. Cariesology and hard tooth disease. Endodontics : study guide]. Moscow : GEOTAR-Media. (In Russ.)
11. 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 [The use of computer microtomography to assess the quality of endodontic tooth processing using modern tools]. Endodontiya Today [Endodontics Today], 1, 22-26. (In Russ.)
12. 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 photoactivated therapy in endodontic treatment]. Stomatologiya [Dentistry], 95, 6-2. (In Russ.)
13. 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 the endodontic treatment of chronic apical periodontitis: a comparative assessment of antibacterial effectiveness]. Endodontics Today [Endodontics Today], 2, 27-29. (In Russ.)
14. Orekhova, L. Yu., Dudarev, A. L., Berezkina, I. V. (2008). Sravnitel'naya kharakteristika informativnoy tsennosti razlichnykh metodov luchevoy diagnostiki [The comparative characteristic of informatic value of beam diagnostics various methods]. Parodontologiya [Periodontology], 3. (In Russ.)
15. 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 [Comparative effectiveness of treatment of chronic apical periodontitis on the basis of densitometric and microbiological research methods]. Problemy stomatologii [Actual problems in dentistry], 15, 2, 17-24. (In Russ.)
16. Sorokoumova, D. V., Grigoryev, S. S., Lapteva, K. A., Shabalina, D. S., Kiseleva, D. V., Shagalov, E. S., Leonova, L. 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 assessment of efficiency ultrasonic and sound methods of activation irrigational solution in root channels with simple and difficult anatomy (pilot study)]. Problemy stomatologii [Actual problems in dentistry], 15, 1, 57-62. (In Russ.)
17. Gerasimova, L. P., Usmanova, I. N., Kabirova, M. F., Yusupova, A. F., Sorokin, A. P. (2019). Sposob lecheniya khronicheskogo apikal'nogo periodontita s ispol'zovaniyem vysokointensivnogo lazernogo oblucheniya sistemy kornevykh kanalov i in'yektsionnogo vvedeniya trombotsitarnoy autoplazmy : pat. 2695070 RF [A method for the treatment of chronic apical periodontitis using high-intensity laser irradiation of the root canal system and injection of platelet autoplasma: Pat. 2695070 RF]. 2018141032, 11.21.2018, 07.19.2019, 20, 11. (In Russ.)
18. Orekhova, L. Yu., Kuchumova, E. D., Prokhorova, O. V., Stuf, Y. V. (2002). Sposob otsenki funktsional'nogo sostoyaniya sosudov pul'py zuba : pat. 2210984 RF [A method for assessing the functional state of the pulp vessels of the tooth: US Pat. 2210984 RF]. 04.01.2002. (In Russ.)
19. 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.)
20. Kogina, E. N., Gerasimova, L. P., Saptarov, Yu. N. (2017). Sravnitel'naya effektivnost' kompleksnoy terapii i standartnogo metoda lecheniya destruktivnykh form periodontita na osnovanii densitometricheskogo i immunologicheskogo metodov issledovaniya [Comparative effectiveness of complex therapy and a standard method for the treatment of destructive forms of periodontitis based on densitometric and immunological research methods]. Problemy stomatologii [Actual problems in dentistry], 13, 3, 24-28. (In Russ.)
21. Tokmakova, S. I., Lunitsyna, Yu. V., Semenkov, V. A. (2015). Sravnitel'naya otsenka kachestva mekhanicheskoy obrabotki kornevykh kanalov zubov sistemami vrashchayushchikhsya nikel'-titanovykh instrumentov [Comparative assessment of machining of root channels of the teeth by systems rotating nickel-titanium tools]. Problemy stomatologii [Actual problems in dentistry], 1, 20-22. (In Russ.)
22. Gerasimova, L. P., Kabirova, M. F., Usmanova, I. N., Kuznetsova, N. S., Farkhshatova, R. R. (2015). Ustroystvo dlya provedeniya lazernoy doplerovskoy floumetrii tkaney parodonta i tverdykh tkaney zubov : pat. 155186 RF [Device for laser Doppler flowmetry of periodontal tissues and hard tissues of teeth: US Pat. 155186 RF]. 2015116178/14, 04.28.2015, 09.27.2015, 27, 2. (In Russ.)
23. 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 tactics chronic periodontitis teeth using dental computed tomography]. Endodontiya today [Endodontics today], VI, (1-2). (In Russ.)
24. Tsarev, V. N., Mitronin, A. V., Cherdzhieva, D. A. (2011). Opredeleniye izmeneniya vidovogo sostava virulentnoy mikroflory pri yazvennom pul'pite na etapakh endodonticheskogo lecheniya [Determination of changes in the species composition of virulent microflora with ulcerative pulpitis at the stages of endodontic treatment]. Endodontiya today [Endodontics today], 3. (In Russ.)
25. Tsarev, V. N., Mitronin, A. V., Ippolitov, E. V., Malazonia, T. T., Podporin, M. S., Manucharyan, L. A. (2015). Otsenka antimikrobnogo deystviya fotodinamicheskoy terapii na vozbuditeley neklostridial'noy anaerobnoy infektsii polosti rta i griby roda Candida v eksperimental'nykh i klinicheskikh issledovaniyakh [Evaluation of the antimicrobial effect of photodynamic therapy on causative agents of non-clostridial anaerobic infections of the oral cavity and fungi of the genus Candida in experimental and clinical studies]. Endodontiya today [Endodontics today], 3. (In Russ.)
26. 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 norm of the optical density of bone tissue in the periapical region in young people]. Endodontiya today [Endodontics Today], 3. (In Russ.)
27. Yusupova, A. F., Gerasimova, L. P., Usmanova, I. N., Gadiullin, A. M. (2019). [Monitoring of the microcirculation of the mucous membrane condition in the transitory fold of teeth with chronic apical periodontitis in the dynamics of complex endodontic treatment]. Problemy stomatologii [Actual problems in dentistry], 15, 3, 75-81. (In Russ.)
28. 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.
29. 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.
30. Polat, S. Er. K., Polat, N. T. (2005). The lamp effect of laser Doppler flowmetry on teeth. J Oral Rehabil, 32, 11, 844-848.
31. 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.
32. 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.
33. 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.
34. 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.
35. 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.
36. Yu, V. S., Khin, L. W., Hsu, C. S. et al. (2014). Risk score algorithm for treatment of persistent apical periodontitis. J. Dent. Res, 93, 11, 1076-1082.
37. Seall, 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.
38. Sakamoto, M., Siqueira, J. F. Jr., Rocas, I. N. (2007). Bacterial restoration and preservation after endodontic treatment procedures. Oral Microbiol Immunol, 22, 19-23.
39. 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.
40. Ergün Kunt, G., Kökü, D., Ceylan, G., Yilmaz, N., Umut Giiler, A. (2009). Pulpal blood flow changes in abutment teeth of removable partial dentures. Bosn J Basic Med Sei, 9, 4, 296-300.
41. Gleissner, C., Kempski, O., Peylo, S., Glatxel, J. H., Willershausen, B. (2006). Local gingival blood fl ow at healthy and infl amed sites measured by laser doppler fl owmetry. J. periodontal, 77, 10, 1762-1771.
