Comparative assessment of laser therapy efficiency of chronic generalized periodontitis treatment

Vladimir  Akimov; Anna Fedoskina; Diana Kuzmina; Tatiana  Vlasova

doi:10.21638/spbu11.2020.304

Authors

Vladimir Akimov St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation
Anna Fedoskina National Research Mordovia State University, 68, Bolshevistskaya ul., Saransk, 430005, Republic of Mordovia, Russian Federation
Diana Kuzmina St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation
Tatiana Vlasova National Research Mordovia State University, 68, Bolshevistskaya ul., Saransk, 430005, Republic of Mordovia, Russian Federation For citation:

DOI:

https://doi.org/10.21638/spbu11.2020.304

Abstract

This paper is a result of collaboration between personnel of Saint-Petersburg and Saransk medical universities. The purpose of the investigation was to improve treatment and secondary prevention of chronic generelized periodontitis on the base of pathogenetically substantiated scheme of laser therapy. Cohort prospective study included 98 patients (31 men and 67 women) suffered from chronic generelized periodontitis at the age from 30 to 50 years with disease prescription from 3 to 10 years. All the patients were divided into three groups: standard anti-inflammatory therapy, laser therapy, antioxidant therapy. Efficiency of periodontitis treatment in the groups was estimated by clinical laboratory data, stomatological indices (РМА, SBI, API,) resistance of gingival capillaries; degree of osseous resorption. State of lipid peroxidation (LP) was estimated by the level of malondialdehyde (MDA, Fe2+-MDA) and phospholipase А2. It was found that application of laser and metabolic therapy considerably increase efficiency of standard treatment regimen and secondary prevention of chronic periodontitis, that is manifested in significant decrease structural-functional changes and in restoration of paradontium tissues microcirculation.

Keywords:

chronic generelized periodontitis, laser therapy

Downloads

Download data is not yet available.

References

References

Lukinykh L. M. Diseases of the oral cavity. Nizhnii Novgorod, NGMA Publ., 2004. 508 p. (In Russian)

Chunikhin A. A., Bazikyan E. A., Zayratyants O. V. Estimation of the effectiveness nanosecond laser therapy of periodontal diseases in the experiment. Rossiiskaia stomatologiia, 2017, vol. 10, no. 4, pp. 3–7. (In Russian)

Cobb C. M. Lasers and the treatment of periodontitis: the essence and the noise. Periodontol. 2000, 2017, vol. 75, no. 1, pp. 205–295.

Gazhva S. I., Shkarednaia O. V., Piatova E. D. Integrated approach to the treatment of oral mucosa diseases in patients with chronic gastritis. Stomatology, 2013, vol. 65, рр. 16–19. (In Russian)

Navruzova U. O. Features of the periodontal disease at the metabolic disorder. Biology and integrative medicine, 2019, vol. 2, pp. 28–42. (In Russian)

Orekhova L. Yu., Loboda E. S., Oboeva M. L. Photodynamic therapy in complex treatment of inflammatory periodontal diseases. Actual problems of laser medicine, 2016, pp. 171–181. (In Russian)

Bartold P. M. Lifestyle and periodontitis: The emergence of personalized periodontics. Periodontol.2000, 2018, vol. 78, no. 1, pp. 7–11.

Gulati N. N., Masamatti S. S., Chopra P. Association between obesity and its determinants with chronic periodontitis: A crosssectional study. J. Indian Soc. Periodontol., 2020, vol. 24, no. 2, pp. 167–172.

Fernandes F. L. A., Clin J. Treatment of experimental periodontal disease by photodynamic therapy in immunosuppressed rats. Periodontol., 2009, vol. 36, no. 3, pp. 219–228.

Amkhadova M. A., Kopetskiy I. S., Prokop’ev V. V. The effectiveness ofphotodynamic therapy in the treatment of chronic generalized periodontitis. Rossiyskii stomatologicheskii zhurnal, 2016, vol. 20, no. 1, рр. 12–15. (In Russian)

Bazikjan E. A., Syrnikova N. V., Chunihin A. A. Perspective laser technologies in the therapy of periodontal diseases. Parodontologiia, 2017, vol. 22, no. 3, pp. 55–59. (In Russian)