МОНИТОРИНГ СОСТОЯНИЯ МИКРОЦИРКУЛЯЦИИ СЛИЗИСТОЙ ОБОЛОЧКИ В ОБЛАСТИ ПЕРЕХОДНОЙ СКЛАДКИ ЗУБОВ С ХРОНИЧЕСКИМ АПИКАЛЬНЫМ ПЕРИОДОНТИТОМ В ДИНАМИКЕ КОМПЛЕКСНОГО ЭНДОДОНТИЧЕСКОГО ЛЕЧЕНИЯ

Albert Gadiullin,Alina Yusupova,Irina Usmanova,Larisa Gerasimova,Алина Юсупова,Альберт Гадиуллин,Ирина Усманова,Лариса Герасимова

doi:10.18481/2077-7566-2019-15-3-75-81

Albert Gadiullin, Alina Yusupova + Show 6 more

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https://doi.org/10.18481/2077-7566-2019-15-3-75-81

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Abstract

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).

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