Diagnosis and Treatment Options of Endo-Perio Lesions

Abstract

Background: Endo-perio lesions (EPLs) are a significant challenge for modern scientific and practical dentistry, and the complexity of their etiology reduces the effectiveness of treatment and rehabilitation measures. Objectives: This study aimed to assess diode lasers' clinical efficacy in endo-perio lesions. Methods: The study was conducted from 2019 to 2022 and included several clinical and laboratory examinations of 100 patients with EPLs and 50 patients of the same age with periodontitis. Forty-one patients were distributed among the two groups: Group I consisted of 20 patients with EPLs treated with a dental diode laser (Picasso Lite, Italy, wavelength 810±10 nm, the pulsed mode was chosen, the average power was 0.1 - 2.5 W) along the standard treatment; Group 2 (the control group) consisted of 21 patients with EPLs and traditional methods of treatment. Results: Six months following the initiation of the therapy, we observed a strong positive correlation dependency in Group I (r=0.38, p=0.0975). The correlation analysis's findings for the control group of patients over that period were quite positive (r=0.32, p=0.1627). After a year, the results indicated that the level of TNF-a was considerably lower in the leading group than in the control group (p=0.0001). Conclusions: Laser therapy may be fully used in practical dentistry to treat mixed endodontic-periodontal lesions.