Complex Treatment Of Periodontitis Research Articles

ИНФЕКЦИОННЫЙ ЭНДОКАРДИТ В ПРАКТИКЕ ВРАЧА-СТОМАТОЛОГА: КЛИНИЧЕСКИЙ СЛУЧАЙ

Subject. The subject of this case report is infective endocarditis.
 Objective. The objective is to describe a clinical case under outpatient-polyclinic conditions at the dentist’s (periodontist’s) office.
 Methodology. Infective endocarditis is one of the most severe coronary vascular diseases associated with high mortality affected by the area and characteristics of infection, the phase of development, the type of a causative agent, the time to start antibacterial therapy, coexisting diseases, the extent of sequelae, surgical treatment and other circumstances. Following the appropriate treatment, more than 70% patients with infective endocarditis achieve recovery. 
 Conclusions. This case report presents clinical manifestations in the oral cavity of a patient with infective endocarditis. The patient did not exhibit specific symptoms of infective endocarditis serving as the basis for the preliminary dental diagnosis and sending the patient to a cardiologist, rheumatologist for examination and treatment. It should be noted that the patient needs the complex treatment of periodontitis, oral cavity sanation, the case follow-up, supportive periodontal therapy and professional oral hygiene on a quarterly basis. These all can significantly improve the patient’s quality of life and longevity.

Dynamics of index scores after complex treatment of periodontal diseases in persons with general somatic pathology

The purpose of the study was to evaluate the effectiveness of the developed schemes of complex treatment and prevention of periodontal tissue diseases in patients with general somatic pathology according to the dynamics of periodontal and hygienic indices. Treatment was carried out in 134 patients with inflammatory and dystrophic-inflammatory diseases of the perio­dontium against the background of somatic pathologies: two developed schemes of complex treatment of periodontal diseases were used, taking into account the values of the CPITN index. All patients were divided into 2 groups: the main (73 (54.48 %) patients), whose treatment was carried out using the schemes developed by us, and the comparative (61 (45.52 %) patients), in whom the treatment of periodontal pathology was carried out according to generally accepted schemes. The dynamics of the values of PMA, OHI-S indices and the vacuum test of gingival capillary resistance were evaluated according to the method of Kulazhenko V.I. before the treatment of periodontal diseases, 3, 6 and 12 months after it. After 12 months of follow-up, the values of the PMA index remained significantly lower compared to the values before treatment, and the state of oral hygiene remained satisfactory in patients of both groups. In the examined main group, an increase in the time of formation of hematomas on the gums ((62.14±0.38) seconds) was observed by 1.15 times compared to the data before treatment, but in the patients of the comparison group, this indicator was lower than the initial data. Тhe patients of the main group showed an improvement in all index scores, while in the comparison group, the values of these indices were below the initial values. Treatment of periodontal disease with values of the CPITN index ≤ 2 and > 2 points against the background of general somatic pathology, with the use of schemes developed by us, contributed to the elimination of inflammation, improvement of oral hygiene and normalization of hemodynamics in the periodontal tissues, which was confirmed by the positive dynamics of index scores in the near and distant periods of observation. Keywords: treatment of periodontal diseases, somatic pathology, index assessment of periodontal status.

Имитационное моделирование воздушно- капельного пути передачи респираторных вирусов в стоматологической практике

Objective. In simulation modeling, to study the airborne transmission of respiratory viruses to medical personnel during dental treatment of patients. Materials and methods. During the complex treatment of chronic periodontitis with the use of a bacteriophage preparation, a simulation of the airborne respiratory infection viruses was performed. The spread of the staphylococcal phage was evaluated in 50 air samples and 190 flushes from the doctor, his personal protective equipment, tools and environmental objects by a modified Grazia method on the target bacteria of non-pathogenic Staphylococcus xylosus. The identification of the bacteriophage was carried out in PCR. Results. In the complex treatment of periodontitis in patients using bacteriophages, it was detected in 84.00% [95% CI 63.92–95.46] dental office air samples with maximum frequency in the patient's treatment area, the doctor's and assistant's areas (100.00% [95% CI 47.82–134.48]). The bacteriophage equally contaminated the inner surfaces of the medical mask and the nasal cavity of the doctor (p = 0.62). The maximum amount of phage was isolated from dental equipment: air-water syringe ((35.30 ± 10.55)·107 PFU/ml) and an ultrasonic scaler ((23.02 ± 7.72)·107 PFU/ml). Conclusion. The use of aerosol-generating procedures in the treatment of dental diseases is accompanied by intensive contamination by viruses of the air of the dental office, environmental objects and personal protective equipment, which determine the high risks of infection of medical care workers. Key words: aerosol generating technologies, bacteriophage, airborne transmission, medical care workers, patients, dentistry

The use of carboxytherapy in the complex treatment of periodontal diseases

Relevance. Today, inflammatory periodontal diseases are one of the most common pathologies seen at dental appointments. During the treatment of these diseases, the main goal of the therapy is to reduce the intensity of inflammatory manifestations.Materials and methods. The article presents the results of the application of the original method of carboxytherapy to reduce the inflammatory component at the initial phase of the treatment of inflammatory periodontal diseases.The technique suggests the injection of 0.5–1.0 ml of medical carbon dioxide into the vestibular mucobuccal fold and the dental papillae region with a special injector. The study was conducted at the department of prosthodontics of Samara State Medical University. The study divided the patients into two groups. The control group underwent professional oral hygiene, and the main-group patients had an additional carboxytherapy treatment developed by the authors. The study evaluated the effectiveness of the treatment using the OHI-S, PMA, and Muhllemann indices and the restoration of blood filling using the periodontal bloo d flow assessment method.Results. After the treatment, the main group showed a statistically significant decrease in the assessed indices and blood circulation restoration in the periodontium, which indicates a significant effect of the method used. Allergic and toxic effects on the mucous membrane did not manifest in the carboxytherapy group during the observation period. Patients did not complain about pain and discomfort.Conclusion. So, based on the conducted studies, we can conclude that the method of carboxytherapy is highly effective as one of the elements of the c omplex treatment of periodontal diseases.

Combined use of antimicrobial medication and physical therapeutic factors in periodontitis

Metronidazole-based preparations are widespread in periodontal practice among those with antibacterial action. However, recently, reports are increasing about the resistance of pathogenic microorganisms to metronidazole. The treatment of this problem is facilitated by the combined effect of metronidazole and physical therapeutic factors, which can ensure the delivery of the antimicrobial agent to periodontal tissues and its deposition. The efficacy of Metrogil Dent gel ultraphonophoresis with low-frequency ultrasound and Metrogil electrophoresis in the treatment of periodontitis has been proven. However, no information is available in the literature about the comparative effectiveness of ultraphonophoresis and electrophoresis of metronidazole-based preparations in the complex treatment of periodontitis, which is of scientific and practical interest.

CURRENT TRENDS IN PERIODONTITIS TREATMENT AND PREVENTION: A LITERATURE OVERVIEW

The aim of this article is to review modern researches devoted to the study of methods of prevention and treatment of periodontitis. Results. It should be noted that the analysed scientific works only briefly touch on the issue of periodontitis prevention, noting that it depends on both oral hygiene and a person's lifestyle. To maintain healthy teeth and periodontal disease, dentists recommend: giving up smoking, eating a variety of foods, including vegetables and fruit in the diet, limiting the consumption of too cold and hot food, using dental floss and mouth rinses, choosing toothpaste and the hardness of the toothbrush taking into account the recommendations of the specialist Unfortunately, not all plaque can be removed at home. Hygiene becomes more difficult if the teeth are crowded, if there are prostheses or braces. Therefore, it is important to undergo preventive examinations every six months, not forgetting professional teeth cleaning at the dentist. Conservative treatment involves therapeutic (mechanical treatment of canals; medicinal (antiseptic) treatment of canals; if necessary, an incision to remove inflammatory products; sealing) and physiotherapeutic (UHF therapy; electrophoresis; laser therapy; therapeutic baths and pastes) procedures. Conservative treatment of periodontitis is accompanied by taking antibiotics. The surgical method of treatment involves resection of the tip of the tooth root with subsequent filling of the apical section of the canal; complete tooth root removal; tooth extraction. Due to the peculiarities of the anatomical structure of the root canals of the teeth, endodontic treatment becomes ineffective. Conclusion. At the current stage of development, the complex treatment of periodontitis has several treatment methods that combine the use of the most modern pharmaceuticals in combination with therapeutic and surgical methods, which in the future allows to obtain a fairly good and stable result.

Comparative evaluation of the effectiveness of antioxidants in the complex treatment of periodontal diseases in patients with duodenal ulcer with fixed metal-containing dentures

Comparative evaluation of the effectiveness of antioxidants in the complex treatment of periodontal diseases in patients with duodenal ulcer with fixed metal-containing dentures

Clinical and laboratory assessment of the antimicrobial effect of water ozonated with short-wave ultraviolet radiation on the microbiota of periodontal pockets in the complex treatment of periodontitis

The study is devoted to the study of the effect of water ozonated with the help of short-wave ultraviolet radiation, used in the removal of dental plaque and hydromassage of the gums, on the microbiota of periodontal pockets.Examination and treatment of 102 patients aged 35–55 years with a diagnosis of chronic generalized periodontitis of moderate severity was carried out. The results of microbiological studies indicate the high efficiency of the removal of dental plaque using water ozonated with short-wave ultraviolet radiation and hydromassage of the gums in the complex treatment of chronic generalized periodontitis of moderate severity. The study of the microbiota of periodontal pockets after the use of ozonized water showed a significant decrease in the frequency of detection of representatives of anaerobic periodontopathogens, with an increase in the sowing of species of stabilizing microbiota.

Evaluation of the effectiveness of anti-inflammatory and antibacterial therapy of periodontal pathology

Aim. To evaluate the effectiveness of anti-inflammatory and antimicrobial therapy in periodontal tissue pathology.Materials and methods. 78 patients were examined. The results of treatment in 2 clinical groups were evaluated. Group 1 received traditional treatment; group 2 received therapy included local effects on the lymphatic system. The following methods were used in the study: clinical, radiological, bacterioscopic, cultural, immunological, expert assessments, mathematical statistics.Results. A comparative analysis of the results of treatment of patients with periodontitis showed the effectiveness of local effects on the lymphatic system.Conclusions. The data obtained allow us to conclude that in the clinical group of patients where local effects on the lymphatic system were used in the complex treatment of periodontitis, the effectiveness of therapy is higher, which is confirmed by the positive dynamics of clinical and laboratory indicators.

Фітопрепарати в комплексному лікуванні запальних захворювань пародонту

In this article the review of foreign and domestic literary sources, which are devoted to the actual problem of modern dentistry – the treatment of inflammatory diseases of periodontal tissues: gingivitis and periodontitis are presented. The complex approach to their treatment involves the appointment of a significant amount of pharmacotherapeutic drugs. Therapeutic failures and iatrogenic complications have led to the fact that today the interests of doctors and population to medicinal products significantly increased. The purpose of the study is to analyze the data of scientific literature on the use of plant-based medicinal products for the treatment of periodontal inflammatory diseases over the past 10 years. Materials and methods. Comprehensive and systematic analysis of literature. Review and discussion. The analysis of information sources on the use of plant-based medicinal products in dentistry both independently and in the composition of medical and prophylactic means has established that the modern assortment of plant-based preparations in the pharmaceutical market of Ukraine to a certain extent is limited. The emergence of new plant-based species that have been tested in conditions of experimental pathology and require an evidence-based clinical base is noted. The composition of plant-based preparations used for the treatment of inflammatory periodontal diseases include vitamins, biologically active substances, glycosides, alkaloids, in connection with a wide range of action: antiseptic, anti-inflammatory, regenerating, hemostatic, antioxidative. The data on plant-based preparations that are most often used such as chamomile extracts, calendula, hypericum, plantain, kalanchoe, aloe, eucalyptus, milfoil, nettle, calamus and plant-based species are summarized. The medicinal agents considered are mainly recommended for local treatment of periodontal diseases in the form of dental care means, mouth rinse, gel, chewing gum, herbal liquer. It is known that the complex treatment of periodontal diseases includes a general influence on the body. The properties of green tea with its wide range of actions are investigated. With antioxidant properties, it can be a healthy alternative for controlling destructive changes in periodontal diseases. Attention is drawn to the proposed unique natural complex “Resverazin” due to a wide range of pharmacological action, low toxicity and relative safety. The drug produces antioxidant, anti-inflammatory, immune stimulating, vasodilative, neuroprotective action. Conclusion. Based on the literature analysis, it can be concluded that the accumulated experimental and clinical data on the therapeutic properties of plants prove perspective of their use in the complex treatment of inflammatory periodontal diseases. Future studies are mandatory for further confirmation of the effectiveness of these medicinal plants

ANTIBIOTIC SENSITIVITY ISOLATION EVALUATION OF MAJOR MICROORGANISMS IN PERIODONTAL TISSUE PATHOLOGY

Relevance of research The loss of effectiveness and activity of antibiotics is caused by their irrational and inappropriate use (especially in self-medication). The risk of antibiotic-resistant mikrobiom potentially be associated not only with time proceeding systemic antibacterial component in the protocol complex treatment of periodontitis but with specific combinations of different used drugs duration, efficiency previously performed mechanical treatment by open or closed curettage, especially the dosing of selected antibiotics middlemen. In – depth study and development of or personalized approaches to treatment is relevant periodontitis by individualizing the choice of appropriate antibiotics for incorporation into the algorithm of complex therapy, or universal approaches, the possibility of implementation of which depends on arguing the effectiveness of a particular combination of antibacterial agents for the vast majority of patients according to studies with sufficient samples. Study Goal is to assess the levels of antibiotic resistance and antibiotic sensitivity of isolates of major microorganisms in periodontal tissue pathology. Materials and methods of research. The research was conducted on the basis of the University Dental Clinic and private dental clinics in Uzhhorod. Determination of levels antibiotic sensitivity was carried out using a disco-diffusion method with the advice and algorithm identified by order MOH Ukraine 05.04.2007 № 167 "On Approval of guidelines" Determination of the sensitivity of microorganisms to antibiotics and in accordance with the recommendations EUCAST (Eurepean Committee on Antimicrobial Susceptibility Testing). During the testing, standard sets of discs with antibiotics and appropriate test cultures were used, which were seeded with microorganisms obtained from patients with generalized periodontitis of varying severity. Research results and their discussion. During the microbiological analysis of smears obtained from periodontal pockets of whole patients study group, microorganisms were identified, which were characterized by relatively high levels of prevalence, among them: P. gingivalis, T. forsythia, F. nucleatum, P. intermedia, A. actinomycetemcomitans, K. pneumoniae, E. coli, E. cloaceae, S. aureus, S. haemolyticus, S. viridans, S. pyogenes. A detailed analysis of the distribution of mean levels of prevalence of antibiotic sensitivity and antibiotic resistance among the analyzed isolates was performed. The results of antibioticograms differ depending on the qualitative and quantitative composition of the isolated microorganisms, their levels of antibiotic sensitivity and antibiotic resistance. This distribution of results indicates the feasibility of a patient-centered approach to treatment, based on the preliminary identification of microorganisms isolated from periodontal pockets of patients, as well as determining the levels of their antibiotic sensitivity and antibiotic resistance. Conclusion. The application of the approach with preliminary determination of antibiotic sensitivity to microorganisms cultured from the oral cavity is characterized by the relevant biological principles of conducting. Prospects for further research. The analysis of the effectiveness of adjuvant antibiotic therapy in the process of complex treatment of periodontal patients and the development of personalized approaches to the treatment of periodontitis are promising.

The use of homeopathic drugs in the complex treatment of periodontal diseases in children with rheumatic diseases

The purpose of our study was to increase the level of treatment of periodontal diseases in children with rheumatic diseases through the use of injections of homeopathic drugs in complex treatment. To do this, they conducted a dental examination of children with rheumatological diseases, determined the degree of damage to periodontal tissues using the indices PMA, GI, CPITN and compared with the control group of children. The relationship between inflammatory processes in in periodontal tissues and rheumatic diseases in children was revealed and the effectiveness of homeopathic drugs in the complex treatment of periodontal tissues was assessed.

Prospects of using ultrasound therapy in combination with preparation possessing antiseptic effect in complex treatment of periodontitis

Ultrasound is able to have a multifaceted therapeutic effect in periodontitis. In therapeutic doses, it affects a variety of local tissue reactions, stimulates compensatory, restorative, protective and adaptive mechanisms.Ultrasound in dosages used in clinical practice does not have an independent, direct antibacterial effect. In this regard, in the treatment of periodontitis, where the microbial factor plays an important role, it is advisable to use antiseptic solutions as a contact medium for ultrasonic effects. The study of the comparative effectiveness of low-frequency and high-frequency ultrasonic effects in combination with the domestic antiseptic preparation miramistin, which, with high antibacterial effectiveness, is characterized by the absence of adverse side effects, in the treatment of periodontitis, is of significant scientific and practical importance.

Evaluation of the Effectiveness of Laser Therapy in Complex Treatment of periodontal Diseases

Aim: The object of the study is to increase the efficiency of treatment in patients with generalized periodontitis by using a laser in complex treatment. Materials and Methods: Eighty patients underwent for instrumental and X-ray examination of the oral cavity, bacteriological studies of the microbiota of periodontal pockets, clinical analysis of peripheral blood that was taken from the ulnar vein and capillary blood that taken from the gums, as a local treatment carried lesion treatment portion of diode laser. Results: It was determined that opportunistic microflora, dominating before treatment in the contents of periodontal pockets, was not isolated in all patients, but on the 10th day of treatment, the microflora of periodontal pockets had stabilized. Both in the main group and in the comparison group, among neutrophils and monocytes, the populations of phagocytes with a low digesting ability prevailed, however, the proportions of medium- and highly active phagocytes after laser treatment were higher than after treatment with standard conservative therapy. Conclusions: The use of a laser for the therapeutic stage of the complex treatment of patients with generalized periodontitis of the I-II degree, chronic course contributes to the acceleration of reparative processes, a decrease in the degree of destruction in bone tissue, a decrease in the intensity of pain syndrome, a decrease in collateral edema, has an antibacterial effect and a longer stabilization of the periodontal condition.

Application of hirudotherapy in the complex treatment of periodontal diseases

This article reviews research data on the etiology, pathogenesis, and features of inflammatory periodontal diseases, the possibilities of using hirudotherapy to treat this group of diseases, and the mechanisms of action of this method. The literature search was conducted using the databases Scopus, Web of Science, MedLine, and Global Health. The mechanisms by which medical leeches influence the human body were analyzed.
 It is known that the progression of inflammatory periodontal diseases depends on risk factors such as age, smoking, gender, socio-economic factors, and some systemic diseases. The main features of chronic and acute periodontitis are periodontal pockets accompanying the loss of bone mass and attachment of the tooth to the alveolar process, which occur unevenly throughout the dentition. The decisive factor in inflammatory periodontal diseases is the presence of microorganisms. Hirudotherapy is a treatment method using the medical leech Hirudo medicinalis. In their secretion, leeches have more than 20 bioactive molecules with various effects. Their therapeutic mechanisms include six subtypes: a decrease in the content of cellular elements and neutrophils in mixed saliva, normalization of the microflora of the periodontal pocket, and an increase in the number of lactobacilli. The treatment method using leeches leads to a decrease in the depth of the periodontal pockets, normalization of the periodontal index, and tooth mobility. Hirudotherapy leads to a noticeable improvement in the clinical condition of periodontal tissues, is convenient to perform, affordable, and can be recommended for use in the practice of periodontists.

The use of ultrasound and ozone therapy in the complex treatment of periodontitis

Physiotherapy makes it possible to effectively influence all the links in the pathogenesis of periodontitis. The use of ultrasound plays a special role in the treatment of periodontal diseases. With the help of ultrasonic vibrations, drugs (ultraphonophoresis) can be introduced into the tissue. For its implementation, water and oil solutions of medicinal substances are used. In periodontal practice, ultrasound is most often used to remove dental plaque. It is of scientific interest to use low-frequency ultrasound in combination or in combination with physical factors that have a pronounced antibacterial effect, such as ozone . High oxidizing properties of ozone provide its therapeutic effect, manifested in disinfecting, metabolic, immunomodulating and deodorizing effects. When conducting local ozone therapy in the oral cavity, it is necessary to accurately dose the concentration of ozone, therefore, in our opinion, the use of ozonized solutions and oils in dentists is safer and more promising. The combined and combined effects in the treatment of periodontitis of low-frequency ultrasound and ozone therapy, in the production of ozone using short ultraviolet radiation, will provide a comprehensive therapeutic effect, which consists in suppressing the vital activity of pathogenic microorganisms and stimulating metabolic processes in the tissues of the macroorganism.

Topical antibiotic therapy in periodontology

Relevance. To successfully relieve the exacerbation of the inflammatory process in the periodontal tissues, it is necessary to resort to the use of systemic antibiotics to destroy the pathogenic microflora, especially in groups of patients with a burdened somatic history or with an aggressive course of periodontitis. The effectiveness of frequently used antibiotics may weaken over time and periodically conduct epidemiological studies of the sensitivity of periodontal pathogens to modern antibacterial drugs and inform specialists about the actualization of the use of these drugs in the complex treatment of periodontal diseases. Purpose. Analysis of the actual effectiveness of the use of a modern systemic antibacterial drug based on ciprofloxacin and tinidazole to relieve exacerbation of inflammation in the complex treatment of periodontal diseases. Materials and methods . The study involved 37 patients with signs of exacerbation of inflammation in the periodontal tissues. The range of examination included sequential determination of hygienic (OHI-s, SL) and periodontal (PMA, SBI) indices, probing of periodontal pockets and determination of loss of epithelial attachment (AED), the use of paraclinical examination methods: X-ray (CBCT) and microbiological (bacterial cultivation and subsequent determination of antibacterial sensitivity) studies, as well as Doppler ultrasound of periodontal tissues. To stop the exacerbation of the inflammatory reaction in the periodontal tissues, the patients were prescribed the drug Cifran ST according to the standard scheme recommended by the manufacturer under the control of a microbiological examination. Results. Based on the data of clinical and paraclinical examination methods, there is a high antibacterial efficacy of the drug Cifran ST in relation to the studied periodontopathogens and relief of the exacerbation of the inflammatory reaction in the periodontal tissues 5 days after the administration of the drug. Conclusion. The use of a broad-spectrum antibacterial drug Cifran ST helps to reduce inflammation during exacerbation of periodontitis.

Physiotherapy delivery systems-clinical and microbiological effectiveness in the treatment of chronic periodontitis

Relevance . Currently, the symbiotic microflora of the oral cavity plays an increasing role in the occurrence of periodontitis. Frequent use of modern medications for the treatment of patients with chronic generalized periodontitis is not the most effective therapy. One of the reasons for the low effectiveness of treatment can be considered long-term use of antibacterial drugs that lead to the development of dysbiosis in the oral cavity and immune imbalance. In order to improve the quality of periodontal treatment, dentists successfully use physical therapy. It is known that the diode laser has a high therapeutic efficiency, its use leads to a rapid subsiding of acute inflammatory phenomena, stimulation of reparative (recovery) processes, improvement of tissue microcirculation, normalization of the General immune system, and increased resistance (stability) of the body. Ozone generators used for dental treatment have a beneficial effect on periodontal tissues. Therapeutic ozone has: immunostimulating, bactericidal, fungicidal, anti-inflammatory, detoxifying and other properties. Purpose . The goal is to study the antibacterial effect of physiotherapy methods with local delivery of exposure agents. Materials and methods . We examined 80 patients with chronic generalized periodontitis of moderate severity, who, depending on the physiotherapy method used in the complex treatment of periodontitis, were divided into 2 groups of 40 people each: the first group used the Picasso led laser, and the second group used the Ozonedta device with combined local exposure to darsonvalization and ozone. The microbiological composition of periodontal pockets was determined before and after physical therapy. To isolate the aerobic microflora, we used the method of sector crops according to Gold (1965) with the calculation of the number of microorganisms in the obtained material. Anaerobes were identified by PCR using the «Multident» kit. The clinical effectiveness of the studied physiotherapy methods was evaluated 12 months after two courses of treatment (once every 6 months) using index indicators that characterize the state of periodontal tissues (PMA, CPI, Green-Vermillion, PPP, PDI, and the degree of gum recession). Results . After exposure to the Picasso diode laser, the number of aerobic microorganisms sown decreases, but not significantly. While the number of aerobic microorganisms significantly decreased after exposure to the «Ozonedta» device (P ≤ 0.001). The titer of the anaerobic microflora studied after exposure to the «Picasso» diode laser on the periodontal pocket changed in the direction of reducing the content of microorganisms by an average of 2 times, and after treatment with the ozone generator «Ozone DTA Generator» in the second group decreased by an average of 4.8 times. After 12 months of maintenance therapy, all clinical indices decreased significantly in both groups, especially the PMA index in the group where the «Ozonedta» device was used. Conclusion . Physiotherapy methods performed using the Picasso diode laser and the «Ozonedta» device for the treatment of periodontitis allow to obtain an antibacterial effect by non-drug local delivery of exposure agents in patients with chronic generalized periodontitis and significantly reduce the signs of inflammation in the periodontal tissues.

Complex treatment of periodontitis in patients with fractures of the lower jaw

Relevance. Tooth splints used to immobilize lower jaw fragments lead to the progression of periodontitis.Purpose. To study changes in periodontal tissues in patients with fractures of the lower jaw during immobilization with dentitional double jaw splints.Materials and methods. Patients with periodontitis during the treatment of fractures of the lower jaw were examined.Results. In patients with periodontitis who have a fracture of the lower jaw, inflammatory and destructive processes in periodontal tissues progress during the immobilization of fragments by the orthopedic method (tooth splints).Conclusion. Comprehensive treatment of periodontitis in fractures of the lower jaw, including dynamic magnetotherapy (DMT) and the treatment of periodontal pockets with liniment of cycloferon, reduces the severity of inflammatory and destructive processes in periodontal tissues.

ВЛИЯНИЕ НИЗКОИНТЕНСИВНОГО ЛАЗЕРНОГО ИЗЛУЧЕНИЯ НА ПОКАЗАТАЛИ ЭФФЕКТИВНОСТИ КОМПЛЕКСНОГО ЛЕЧЕНИЯ ГЕНЕРАЛИЗОВАННОГО ПАРОДОНТИТА

Subject. Periodontitis is an inflammatory and destructive process in periodontal tissues, the main etiological factor of which, according to modern concepts, is the microbial invasion of the gingival groove by qualitatively and quantitatively modified microorganisms of cervical plaque. Based on the etiopathogenetic bacterial-vascular mechanisms of the occurrence and progression of inflammatory and destructive periodontal diseases, the use of low-energy (low-intensity) laser exposure was included in all the algorithms for the comprehensive treatment of periodontitis that we studied.
 Objective: to study the effect of low-intensity laser radiation in combination with local non-steroidal anti-inflammatory drugs on the effectiveness of complex treatment of periodontitis.
 Methodology. The study involved 120 patients (60 men and 60 women), equally divided into four groups depending on the treatment performed. A randomized controlled trial with discrete longitudinal open observation was conducted.
 The therapy included the implementation of professional oral hygiene using an ultrasound apparatus, sandblasting, polishing all surfaces of the teeth, a hygiene lesson, recommendations. The methodology of pharmacological treatment was to perform the application of the anti-inflammatory drugs Oralsept and Arkoxia to the periodontal area for 15 minutes with a course of 10 procedures. In the second and fourth groups, low-energy laser exposure was performed using the Optodan apparatus in the second mode for 15 minutes. The course of therapy was 10 procedures.
 The clinical study was conducted according to generally accepted principles with mandatory x-ray control and an index assessment of the periodontal condition.
 Results. After a six-month observation period, in the first and third groups, there was a deterioration in both index and hemodynamic digital data, and in the second and fourth indicators remained at a fairly positive level, indicating the effectiveness of the therapy.
 Conclusions. The use of NLV increases the effectiveness of local exposure to non-steroidal anti-inflammatory drugs "Arkoxia" and "Oralsept" by 16 and 19 % respectively. The positive effect of NLV is maintained throughout the observation period.