Actual problems in dentistry Actual problems in dentistry Проблемы стоматологии 2077-7566 2412-9461 116500 10.18481/2077-7566-2026-22-1- ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ LITERATURE REVIEW ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ COMPARISON OF THE EFFECTIVENESS OF OPTICAL VISUALIZATION METHODS IN PERIODONTOLOGY. SYSTEMATIC REVIEW СРАВНЕНИЕ ЭФФЕКТИВНОСТИ ОПТИЧЕСКИХ МЕТОДОВ ВИЗУАЛИЗАЦИИ В ПАРОДОНТОЛОГИИ. СИСТЕМАТИЧЕСКИЙ ОБЗОР Артемьев Никита Андреевич Artemyev Nikita A. kut.tm@mail.ru Никифорова Анастасия Андреевна Nikiforova Anastasia A. annikif2003@yandex.ru Нартова София Андреевна Nartova Sofia A. nartova_sofiya@mail.ru Кропотина Анна Юрьевна Kropotina Anna Yu. kropotina.a@yandex.ru

кандидат медицинских наук;

candidate of medical sciences;

 Орехова Людмила Юрьевна OREKHOVA Lyudmila Yu. prof_orekhova@mail.ru

доктор медицинских наук;

doctor of medical sciences;

 Нейзберг Даниил Михайлович Neyzberg Daniil M. vibor_200@mail.ru

кандидат медицинских наук;

candidate of medical sciences;

 Лукавенко Алина Алексеевна Lukavenko Alina Alekseevna alina812ru@mail.ru

кандидат медицинских наук;

candidate of medical sciences;

 Порхун Татьяна Васильевна Porkhun Tatiana Vasilievna dr.porchun@gmail.com

кандидат медицинских наук;

candidate of medical sciences;

 Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова Санкт-Петербург Россия First Saint Petersburg State Medical University named after Academician I. P. Pavlov, Saint Petersburg, Russia Saint Peterburg Russian Federation Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова Санкт-Петербург Россия First Saint Petersburg State Medical University named after Academician I.P. Pavlov Saint Peterburg Russian Federation Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова Санкт-Петербург Россия First Saint Petersburg State Medical University named after Academician I.P. Pavlov Saint Peterburg Russian Federation Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова Санкт-Петербург Россия First Saint Petersburg State Medical University named after Academician I. P. Pavlov Saint Peterburg Russian Federation Первый Санкт-петербургский государственный медицинский университет имени академика И. П. Павлова Санкт-Петербург Россия First St. Petersburg State Medical University named after Academician I. P. Pavlov Saint Peterburg Russian Federation Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова Санкт-Петербург Россия First Saint Petersburg State Medical University named after Academician I.P. Pavlov Saint Peterburg Russian Federation Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова Санкт-Петербург Россия First Saint Petersburg State Medical University named after Academician I.P. Pavlov Saint Peterburg Russian Federation Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова Санкт-Петербург Россия First Saint Petersburg State Medical University named after Academician I.P. Pavlov Saint Peterburg Russian Federation 22 1 10 10 03 03 2026 https://dental-press.ru/en/nauka/article/116500/view

Актуальность. Качество профессиональной гигиены полости рта – ключевой фактор успеха лечения хронического пародонтита. Традиционно снятие зубных отложений с поверхности корня выполняется "вслепую", однако визуальный контроль позволяет значимо повысить эффективность манипуляции. Для визуализации предлагается использовать операционный микроскоп, бинокулярные лупы и пародонтальный эндоскоп. Цель – изучение доступной информации и анализ данных о целесообразности, эффективности и области применения увеличительных приборов в практике врача-стоматолога. Методология. Поиск в базах PubMed, Google Search, Embase, Web of Science, ScienceDirect, SciELO и Elibrary (2016-2025) по стратегии, соответствующей PRISMA. На основе критериев отбора было выбрано 36 публикаций. Включены рандомизированные контролируемые испытания, сравнивающие удаление зубного камня с поверхности корня с использованием одного из устройств увеличения с контролем (без увеличения) или между собой. Первичные исходы: изменение глубины зондирования и уровня клинического прикрепления. Проведен качественный синтез данных. Результаты. Анализ данных литературы показал, что применение увеличительных приборов улучшает визуализацию операционного поля. Их применение способствует более точному выявлению поддесневых зубных отложений по сравнению с осмотром невооруженным глазом. Процедура снятия зубных отложений с поверхности корня с использованием эндоскопа продемонстрировала статистически значимо большее уменьшение глубины зондирования в глубоких карманах (≥ 5 мм) по сравнению с контролем. Данные по эффективности микроскопа и бинокулярных луп противоречивы: только одно исследование показало преимущество микроскопа при определенном увеличении, в то время как другие не выявили значимых различий в основных индексах. Ограничением является высокая неоднородность исследований в протоколах, опыте операторов и длительности наблюдения. Выводы. Использование пародонтального эндоскопа повышает эффективность полирования поверхности корня в глубоких карманах, потенциально снижая потребность в хирургическом вмешательстве. Преимущества микроскопа и бинокулярных луп в рутинном нехирургическом лечении требуют подтверждения в более стандартизированных рандомизированных исследованиях. Клинический выбор устройства должен учитывать глубину карманов, доступность и обученность персонала.

Relevance. The quality of professional oral hygiene is a key factor in the successful treatment of chronic periodontitis. Traditionally, the removal of dental deposits from the root surface is performed “blindly,” relying on the dentist's tactile sensations, but visual control can significantly increase the effectiveness of the procedure. For visualization, it is recommended to use a surgical microscope, binocular loupes, and a periodontal endoscope. The purpose of this systematic review is to study the available information and analyze data on the feasibility, effectiveness, and scope of application of magnifying devices in dental practice. Methodology. Search in PubMed, Google Search, Embase, Web of Science, ScienceDirect, SciELO and Elibrary (2016–2025) databases using a strategy consistent with PRISMA. Based on the selection criteria, 36 publications were selected. Randomized controlled trials comparing root scaling using one of the magnification devices with a control (without magnification) or with each other were included. Primary outcomes: change in probing depth and clinical attachment level. A qualitative synthesis of the data was performed. Results. Analysis of the literature data showed that the use of an operating microscope, binocular loupes, and a periodontal endoscope improves visualization of the operative field. The use of magnifying devices contributes to more accurate detection of subgingival dental deposits compared to examination with the naked eye. The procedure of removing dental deposits from the root surface using an endoscope demonstrated a statistically significant greater reduction in probing depth in deep pockets (≥5 mm) compared to the control. Data on the effectiveness of microscopes and binocular loupes are contradictory: only one study showed the advantage of a microscope at a certain magnification, while others did not reveal significant differences in the main indices. A limitation is the high heterogeneity of studies in terms of protocols, operator experience, and duration of observation. Conclusions. The use of a periodontal endoscope increases the effectiveness of root surface polishing in deep pockets, potentially reducing the need for surgical intervention. The advantages of microscopes and binocular loupes in routine non-surgical treatment need to be confirmed in more standardized randomized studies. The clinical choice of device should take into account pocket depth, accessibility, and staff training.

 воспалительные заболевания пародонта операционный микроскоп бинокулярная лупа пародонтальный эндоскоп минимально инвазивная пародонтология профессиональная гигиена полости рта глубокие пародонтальные карманы inflammatory periodontal diseases operating microscope binocular loupe periodontal endoscope minimally invasive periodontology professional oral hygiene deep periodontal pockets

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