The use of PILER radiation in the complex treatment of periodontitis

Abstract

Introduction. Periodontitis is an inflammatory-dystrophic disease that leads to tooth loss, deterioration of health, negatively affects the quality of life, and about 11% of the world's population suffers from severe degrees of periodontitis. Traditional methods of treatment do not always bring the desired result, so the question arises of finding new methods of treatment, in particular, the use of low-intensity radiation. The purpose of this work was to determine the effectiveness of the PILER radiation effect on the dynamics of index assessment of periodontal tissues and the depth of periodontal pockets in patients with generalized periodontitis during complex treatment. In this study, 46 patients with chronic generalized periodontitis of the I-II degrees were treated. The patients were divided into two groups: the 1st group consisted of 22 patients who were treated according to generally accepted periodontological interventions, and the 2nd group – 24 patients who were additionally treated with PILER radiation with red spectrum radiation (λ=625-740 nm). The duration of irradiation was 20 minutes with a course of 10 procedures. The evaluation of the results of the treatment in both groups was determined using the PMA, Fedorov-Volodkina indices, the papilla bleeding index, and the periodontal pockets depth was determined. After the treatment, we got an improvement in all indicators in both groups. However, the periodontal tissue index and periodontal pocket depth scores were significantly better in group 2 compared to group 1.After 6 months, the PMA index was 14.1±2.57 in group 2, which is 42.4% better than the indicators of group 1 – 24.5±3.64; the Fedorov-Volodkina index was 1.3±0.47 in group 2, which is 27.7% better than the indicators of group 1 – 1.8±0.59; the papilla bleeding index was 0.54±0.51 in group 2, which is 57.4% better than the indicators of group 1 – 1.27±0.63; the depth of periodontal pockets was 2.31±0.41 in group 2, decreased by 1.29 mm compared to the initial data before treatment, which is 25% better compared to the data of group 1 – 3.08±0.32, where the decrease in depth of periodontal pockets occurred by 0.72 mm. Thus, PILER radiation has a positive effect on the dynamics of hygiene indicators, index assessment of periodontal tissues and the periodontal pockets depth. Based on the results of treatment, it can be stated that PILER radiation has an anti-inflammatory effect on periodontal tissues and can be recommended for use in the complex treatment of periodontal tissue diseases.