THE PHOTODYNAMIC THERAPY IN THE TREATMENT OF DENTAL CARIES: NEW OPPORTUNITIES IN THE CONDITIONS OF GENETIC DETERMINATION OF THE CARIOUS DISEASE

Authors: Marina ANTONENKO, Serhiy PALAMARCHUK, Nataliya ZELINSKA, Olena ZNACHKOVA, Alina PARIY

Abstract:

The purpose of this phase of research is the foundation of the use of photodynamic therapy in the treatment of deep caries of acute and chronic forms of people with a high degree of genetic determinism to it. Materials and methods. Researches are based on the observations of 162 patients aged 18–25 years who have caries with a high degree of genetic determinism to carious disease at A (II)
B (III) Rh-. They were divided in groups. Group selection depends on the clinical flowing of deep caries and using antiseptic treatmentwith photodynamic therapy. We used a 0.1 % aqueous solution of toluidine blue as photosensitizer. It was irradiated by low-energy of dental diode laser (Elexxion Claros Pico laser, Germany). A wavelength was 35 nm, outputof 100 mV, a dose of energy -1.8 J. Results and discussion. We determined that the use of PDT improves the effectiveness of treatment and improves the forecast of treatment of acute deep caries in people with its genetic determination. However, the feasibility inclusion of PDT in the treatment algorithm for chronic deep caries flow is not defined. Conclusions. We proposed the differentiated tactical approach to treatment of acute dental caries. It contributes to increase the efficiency of personified secondary prevention of caries including its genetic determination.

Keywords:
  • acute deep caries
  • chronic deep caries
  • genetic determination to carious disease.
  • photodynamic therapy
  • photosensitizer