DIRECT AND LONG-TERM RESULTS OF USING LASER GUM CORRECTION IN ORTHOPEDIC DENTISTRY

Abstract

The purpose – to analyze the results of the use of the laser gum correction in orthopedic dentistry – the dynamics of pain syndrome, the depth of the dentogingival groove. Materials and methods. The data of 100 patients – 46.0 % men and 54.0 % women aged 30 to 74 years, average age 57.3±15.1 years were included into the work. A visual analog scale (VAS) was used to assess the severity of the pain syndrome. The measurement of the depth of the gingival groove was carried out by means of a graduated periodontal probe with a distribution value of 0.5 mm. The clinical condition of the marginal periodontal tissues was determined using the gingival index.
 
 Results. It has been proved that with the use of laser correction pain syndrome occurs only in 2.0 % versus 16.0 % in the diathermic correction group. That is, the «odds» (OR - odds ratio) of the pain syndrome at laser correction decreased by 10.0 times (р = 0.023). A lower intensity of the pain syndrome was established in the laser correction compared to diathermic (p<0.05). It has been verified that higher indicators of the gingival index were observed in the laser correction group versus diathermic correction group (p<0.05) (after 1 month of observation). It has been proved that the minimum penetration into the gingival groove was detected when taking an impression after performing correction by a diathermic method (50.8±6.23 %) in comparison with the laser (64.7±4.2 %), p<0.05. Conclusions. The study reflects the effectiveness of laser correction with the use of the «Lika Surgeon» device in the immediate and long-term results of orthodontic treatment of patients. It has been determined that the severity of the pain syndrome in the early period is less when using the laser. The depth of furrow penetration during prospective observation was greater when using laser correction.