Evaluation of the effectiveness of treatment of chronic apical periodontitis with the use of high-intensity laser irradiation and platelet autoplasma

Abstract

Aim. The pathological process in the periodontal with chronic apical periodontitis is actively supported by optional and obligatory anaerobic microflora. The purpose was to improving the quality of endodontic treatment of chronic apical periodontitis using high-intensity laser radiation and injecting platelet autoplasma.Material and methods. We observed 55 young patients with chronic apical periodontitis of multi-rooted teeth of the upper and lower jaw without endodontic intervention. The method proposed by us was based on the qualitative decontamination of the root canal system in chronic apical periodontitis using a diode laser and injection injection of platelet-rich autoplasma. The following research methods were used: densitometric and microbiological.Results. Microbiological methods established the elimination of enterococci, β-hemolytic staphylococci, facultative anaerobic cocci, Gr+ sticks, yeast-like fungi of the genus Candida. Suppression of growth of facultative-anaerobic and obligate-anaerobic microflora, reduction of occurrence of γ and λ hemolytic streptococci, fusobacteria, Bacteroides. The complex has a pronounced antibacterial and anti-inflammatory effect. The use of autologous plasma increases the optical density of bone tissue in the periapical region of the chewing groups of the teeth of the upper and lower jaw. It has been established that the use of a diode laser and injection injection of platelet autoplasma in the treatment of chronic apical periodontitis in the dynamics of observation is effective and reasonable.

Keywords

• апикальный периодонтит
• денситометрия
• компьютерно-лучевая диагностика
• диодный лазер
• тромбоцитарная аутоплазма