INCREASING THE EFFICIENCY OF THE TREATMENT OF ENDOPARODONTAL LESIONS

Chronic inflammation in the periodontium, pulp and through pocket of which infection can spread towards root apex cause a retrograde development inflammatory process periapical tissues, is considered as an odontogenic focus.
 Aim: to study state periodontal periodontitis presence focus dynamics its change complex treatment.
 Material methods. 150 medical records dental patient were studied, among them randomized controlled 100 patients with combined endodontic lesions 50 individuals not burdened by this pathology was also conducted. At next stage 41 EPL The divided into two groups depending on treatment algorithm: I – diagnosis EPL20 main group, who, along standard treatment, received additional therapy decontamination CC laser curettage diode (Picasso Life); II 21 control group traditional treatment. Evaluation effectiveness proposed methods endoperiodontal carried out assessing degree gingival bleeding (SBI index (Muhlemann H.R. modified Cowell I., 1975)) probing depth (PD).
 Results. age indicators for most often varied within 40-49 years. second frequent subjects, amounted 50-59 When studying influence industrial environment factors irritating general toxic properties frequency occurrence EPl, it found that 14.0% have been working such conditions long time. In addition, number persons professionally diseases without signs apical 16.0%. course further analysis obtained anamnestic data, revealed alcohol abuse occurred 36.0% cases, 24.0%. Abuse tobacco products, against background there gums form hyperemia, edema, bleeding, noted half almost same 48.0%, whom pathological changes region detected parallel.
 Conclusion. certain periods observation, statistically significant distinguishing intergroup clearly expressed 6 months after completion therapeutic preventive measures, trend sharp decrease gum continued end observations when using laser.