EXPERIENCE OF USING A DIODE LASER IN THE COMPLEX TREATMENT OF EARLY MANIFESTATIONS OF CHRONIC INFLAMMATION IN PERIODONTAL TISSUES

The article presents data on the effect of a low-intensity diode laser and applications of adhesive plates based on biogel in the treatment of initial manifestations of chronic inflammation in periodontal tissues. Materials and methods. 3 equal randomized groups of 35 patients each with manifestations of chronic inflammation in periodontal tissues were created. In accordance with the protocol of local treatment, all patients underwent a complex of professional oral hygiene and motivation to conduct individual hygiene. In the main clinical subgroups, patients additionally received laser therapy and applications of adhesive plates on the gum, or treatment according to clinical protocols of StAR, 2001. The quantitative assessment of the periodontal condition was carried out using OHI-S indices – SBI, PMA, GI, PI. The aim of the study is to evaluate the change in hygienic and periodontal indices in patients with early manifestations of chronic inflammation in periodontal tissues after using laser therapy in combination with applications of adhesive plates based on biogel and methods of local treatment according to the clinical protocols of Dental Association of Russia, 2001. Results. A comparative evaluation of the effectiveness of the effect of a diode laser and applications of adhesive plates based on biogel and local treatment according to the clinical protocols of Dental Association of Russia, 2001 was confirmed by dynamic observation and monitoring of changes in reversible and irreversible indices. Conclusions. The observed qualitative decrease in indices in patients against the background of laser therapy and applications of adhesive plates based on biogel from the initial indicators was 8.2, 7.3 and 3.4 times for OHI-S, 7.2, 6.8 and 1.9 times for PMA, 5.9, 3.9, 2.6 times for SBI, 6.2, 4.5, 0.98 times for GI times, for PI 6,3,1 and 0.57 times (p < 0.001). In clinical subgroups, against the background of local treatment, according to the clinical protocols of Dental Association of Russia, 2001, the decrease in the index of OHY-S from the initial indicators occurred 3.3, 4.4, 1.8 times, for the PMA index 2.3, 4.5 times, for the SBI index 3.0, 2.6 times, for the GI index on average 2.1 times, for the PI index 2.5, 1.4 times, while its increase was observed in the subgroup with clinically intact periodontal disease by 6 months of dynamic follow-up and a decrease by 1.4 times by the year of follow-up (p < 0.001).