Comparison of the Treatment Efficacy of Endo-Perio Lesions Using a Standard Treatment Protocol and Extended by Using a Diode Laser (940 nm).

Elżbieta Dembowska,Aleksandra Jaroń,Joanna Bladowska,Grzegorz Trybek,Aleksandra Homik-Rodzińska,Ewa Gabrysz-Trybek

doi:10.3390/jcm11030811

Elżbieta Dembowska, Aleksandra Jaroń + Show 4 more

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https://doi.org/10.3390/jcm11030811

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Abstract

Marginal and periapical periodontal diseases cause massive destruction of tooth tissues and surrounding tissues, such as alveolar bone and maxillary sinus floor, visible on radiographs. Lesions involving the apical and marginal periodontium are endo−perio (EPL) lesions. This study aimed to compare the treatment efficacy of endo−perio lesions using a standard treatment protocol and a standard diode laser-assisted treatment protocol. The 12 patients were divided into the study (a) and control (b) group. Periodontal indices, tooth vitality and mobility, occlusal status, and radiographic diagnosis were evaluated. Standard EPL treatment was then performed—without (a) and with (b) the use of diode laser (940 nm). Again, after six months, the above-mentioned parameters were evaluated and compared. The treatment of endo−perio lesions is a significant challenge for modern dentistry. Diode lasers are increasingly used in addition to traditional treatment methods. The conventional use of a 940 nm diode laser with an average power of 0.8 W in pulsed mode allows for the depth of periodontal pockets to be reduced. In addition, the use of a diode laser has a significant effect on tooth mobility and reduces bone loss.

Highlights

Marginal and periapical periodontal diseases cause massive destruction of the tooth’s tissues, and surrounding tissues, such as alveolar bone and the floor of the maxillary sinus, visible on radiographs [1]
This study aimed to compare the effectiveness of treating endo−perio lesions using a standard treatment protocol and a standard treatment protocol augmented with a diode laser
Null hypothesis—there is no difference in the efficacy of treating endo−perio lesions using a standard treatment protocol and a standard treatment protocol augmented with a diode laser

Summary

Introduction

Marginal and periapical periodontal diseases cause massive destruction of the tooth’s tissues, and surrounding tissues, such as alveolar bone and the floor of the maxillary sinus, visible on radiographs [1]. Lesions that involve apical and marginal periodontium are endo−perio lesions (EPL). According to the 2017 classification, this type of lesion affects people with and without periodontal disease [2]. Secondary changes begin in the pulp of the tooth. The pulp is in a reversible inflammation state, but irreversible inflammation develops over time. Three main connection pathways are responsible for the occurrence of EPL: the main canals of the dental roots, the lateral and accessory canals, and the dentinal canals [2,3,4,5,6,7]

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