Keywords
periodontal pocket
surgical treatment of periodontitis
nonsurgical treatment of periodontitis
ultrasound
piezo-electric scaler
How to Cite
Abstract
The aim of the work was the investigation of the efficiency of the new improved method including ultrasound and medicament treatment of periodontal pockets in patients with Generalized Periodontitis (GP) of I–II stages of heaviness. The proposed method was introduced as an alternative, in some cases, to surgical pocket elimination. The method was applied in 38 patients (26–41 years old) with Generalized Periodontitis (GP) of I–II stages of heaviness. 21 patients were treated traditionally as the control group. Patients of the main group were subjected to local treatment of Chronic Generalized Periodontitis with consecutive two-visit treatment with the use of smooth and diamond coated perio-tips for ultrasound treatment of periodontal pockets with the help of piezo-electric scaler and final polishing of teeth root surfaces with abrasive substance and introduction of the periodontal chips with dekametoxin into the periodontal pockets and their subsequent closure with dental dressing containing quercetin.
Results and discussion
Direct positive effect of the proposed therapy of periodontal pockets in GP patients is characterized by the fact of periodontal pockets reduction from 3–4 mm to 1–1,5 mm, that means almost disappearance of periodontal pockets in 45% of patients with the I stage of Chronic Generalized Periodontitis. In the rest of patients with Chronic Generalized Periodontitis I stage of heaviness and 42% of patients with II stage of Chronic Generalized Periodontitis (in periodontal pockets depth up to 5,5 mm) substantial reduction of periodontal pockets from4, 65±0,21 mm to 2,14±0,09 mm (Р<0,01) took place. Thus, the necessity of surgical treatment in abovementioned patients was unnecessary.
Positive clinical results were proved by laboratory methods.
Changes in the levels of activating markers of lymphocytes (СD 71+, СD 25+, CD 95+) with regard to their normal indices in periodontal blood were estimated according to the coefficient of changes, which before the treatment indicated to 43,6% ± 2,84, and after the treatment was – 7,52±1,23.
Conclusions.
Obtained data indicate to the sufficient clinical effectiveness of the proposed by us local method in the treatment of patients with Chronic Generalized Periodontitis. This method enables to control pathogenic periodontal microorganisms using periodontal chips with dekametoxin and procedures of teeth root planning and polishing, thus obtaining smooth surfaces of exposed teeth roots. Deepithelization of the inner surfaces of the gums leads to the periodontal pockets elimination or their substantial reduction, as well as periodontal inflammation removal and stimulation of reparative processes in the gums.
Proposed local method of treatment in patients with Chronic Generalized Periodontitis of I–II stages of heaviness (with of pockets up to 5,5 mm) can be an alternative to surgical treatment of periodontal pockets.
Keywords: Chronic generalized periodontitis, periodontal pocket, surgical treatment of periodontitis, nonsurgical treatment of periodontitis, periodontal chips, ultrasound, piezo-electric scaler.
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