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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">periodontology</journal-id><journal-title-group><journal-title xml:lang="ru">Пародонтология</journal-title><trans-title-group xml:lang="en"><trans-title>Parodontologiya</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1683-3759</issn><issn pub-type="epub">1726-7269</issn><publisher><publisher-name>Russian Periodontal Association (RPA)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33925/1683-3759-2023-28-1-19-30</article-id><article-id custom-type="elpub" pub-id-type="custom">periodontology-763</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ИССЛЕДОВАНИЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>RESEARCH</subject></subj-group></article-categories><title-group><article-title>Современное представление о применении эндоскопической техники на пародонтологическом приеме. Систематический обзор</article-title><trans-title-group xml:lang="en"><trans-title>Modern understanding of endoscopy technology at a periodontal appointment: a systematic review</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8026-0800</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Орехова</surname><given-names>Л. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Orekhova</surname><given-names>L. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Орехова Людмила Юрьевна, доктор медицинских наук, профессор, заведующая кафедрой терапевтической стоматологии и пародонтологии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Lyudmila Yu. Orekhova, DMD, PhD, DSc, Professor, Head of the Department of Restorative Dentistry and Periodontology</p><p>Saint Petersburg</p></bio><email xlink:type="simple">prof_orekhova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8407-7598</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Артемьев</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Artemiev</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Артемьев Никита Андреевич, ассистент кафедры стоматологии терапевтической и пародонтологии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Nikita A. Artemiev, DMD, Assistant Professor, Department of Restorative Dentistry and Periodontology</p><p>Saint Petersburg</p></bio><email xlink:type="simple">KuT.tm@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5691-0404</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Биричева</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Biricheva</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Биричева Ольга Александровна, кандидат медицинских наук, доцент кафедры стоматологии терапевтической и пародонтологии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Olga A. Biricheva, MD, PhD, Associate Professor, Department of Restorative Dentistry and Periodontology</p><p>Saint Petersburg</p></bio><email xlink:type="simple">biricheva.olga@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6376-3054</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кропотина</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Kropotina</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кропотина Анна Юрьевна, кандидат медицинских наук, доцент кафедры стоматологии терапевтической и пародонтологии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Anna Yu. Kropotina, MD, PhD, Associate Professor, Department of Restorative Dentistry and Periodontology</p><p>Saint Petersburg</p></bio><email xlink:type="simple">kropotina.a@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3548-0185</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кучумова</surname><given-names>Е. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuchumova</surname><given-names>E. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кучумова Елена Дмитриевна, кандидат медицинских наук, доцент кафедры стоматолгии терапевтической и пародонтологии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Elena D. Kuchumova, MD, PhD, Associate Professor, Department of Therapeutic Dentistry and Periodontology</p><p>Saint Petersburg</p></bio><email xlink:type="simple">edky@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нейзберг</surname><given-names>Д. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Neisberg</surname><given-names>D. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нейзберг Даниил Михайлович, кандидат медицинских наук, доцент кафедры стоматологии терапевтической и пародонтологии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Danil M. Neizberg, MD, PhD Associate Professor, Department of Restorative Dentistry and Periodontology</p><p>Saint Petersburg</p></bio><email xlink:type="simple">vibor_2000@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Санкт-Петербургский государственный медицинский университет им. академика И. П. Павлова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov First Saint Petersburg State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>29</day><month>03</month><year>2023</year></pub-date><volume>28</volume><issue>1</issue><fpage>19</fpage><lpage>30</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Орехова Л.Ю., Артемьев Н.А., Биричева О.А., Кропотина А.Ю., Кучумова Е.Д., Нейзберг Д.М., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Орехова Л.Ю., Артемьев Н.А., Биричева О.А., Кропотина А.Ю., Кучумова Е.Д., Нейзберг Д.М.</copyright-holder><copyright-holder xml:lang="en">Orekhova L.Y., Artemiev N.A., Biricheva O.A., Kropotina A.Y., Kuchumova E.D., Neisberg D.M.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.parodont.ru/jour/article/view/763">https://www.parodont.ru/jour/article/view/763</self-uri><abstract><p>Актуальность. Пародонтит является распространенным хроническим инфекционно-воспалительным заболеванием. Многочисленные микроорганизмы, в том числе пародонтопатогены, присутствующие в составе биопленок зубов, являются главной причиной развития воспалительных заболеваний пародонта. Лечение пародонтита на начальном этапе предусматривает механическое снятие зубных отложений с поверхности зуба. Имеются определенные сложности в проведении поддесневой обработки поверхности зуба. Это связано с ограниченным обзором при проведении поддесневого скейлинга. Опытный практикующий специалист не всегда имеет возможность качественно обработать все поверхности корней, полностью удалить зубной налет и зубной камень.Современные технологии и оборудование, например Perioscopy, дают возможность необходимого освещения и визуализации пародонтальных карманов, а также их содержимого. При этом для определения целесообразности использования эндоскопической техники и оценки ее преимуществ в консервативном лечении воспалительных заболеваний пародонта требуется изучение достаточного массива исходных данных и их систематизация.Материалы и методы. Поиск и изучение публикаций проводились по семи электронным базам данных: PubMed, Google Search, Embase, Web of Science, ScienceDirect, SciELO и eLibrary. Рассматривались публикации, вышедшие в период с 2000 по 2022 год, доступные в полном тексте, оцениваемые на предмет пригодности. В результате были выбраны 119 опубликованных материалов. В соответствии с критериями включения было отобрано 44 статьи, в том числе 42 с клиническими исследованиями и две обзорные. Методология данного исследования соответствует требованиям для систематических обзоров (PRISMA).Результаты. Качественная визуализация позволяет контролировать операционное поле, что обеспечивает доступ к труднодоступным местам и, как следствие, улучшает результаты пародонтологического лечения. Закрытый пародонтальный скейлинг как наиболее часто используемый нехирургический метод лечения воспалительных заболеваний пародонта основан на тактильных ощущениях стоматолога, его квалификации и практическом опыте. При отсутствии непосредственного визуального контроля даже опытный врач не всегда имеет возможность эффективно обработать все поверхности или полностью удалить зубной налет и зубной камень. По окончании процедуры, при последующем осмотре эндоскопом (Perioscopy), обнаруживаются участки сохранившегося зубного камня и биопленки, что является предпосылкой к дальнейшему разрушению тканей пародонта и последующему применению хирургических методов лечения.В статье рассмотрены материалы исследований, демонстрирующие достаточную эффективность стоматологического эндоскопа в лечении заболеваний пародонта. Отмечается, что использование эндоскопа значительно повышает качество лечения в случаях с глубокими пародонтальными карманами и тяжелой степенью пародонтита.Заключение. Эндоскопическая визуализация зубных отложений и содержимого пародонтальных карманов опосредованно снижает риск рецидивов и осложнений воспалительных заболеваний пародонта. При лечении пациентов с пародонтитом средней и тяжелой степени необходимо разрабатывать алгоритмы ведения таких пациентов с обязательным использованием эндоскопа.</p></abstract><trans-abstract xml:lang="en"><p>Relevance. Periodontitis is a common chronic infectious and inflammatory disease. Multiple microorganisms, including periodontal pathogens in the dental biofilm, are the principal reason for inflammatory periodontal diseases. The initial stage of periodontitis treatment involves the mechanical removal of dental deposits from the tooth surface. Subgingival scaling is technically complex due to the limited visualization. An experienced clinician does not always have a chance to thoroughly treat all roo ts’ surfaces and remove all plaque and tartar.Modern technology, e.g., Perioscopy, enables illumination and visualization of periodontal pockets and their content. Thus, dental endoscopy technology practicability determination requires the study of the systematization of a large initial data array.Materials and methods. Publications were searched and studied in seven electronic databases PubMed, Google Search, Embase, Web of Science, ScienceDirect, and SciELO II eLibrary. The study reviewed the articles published from 2000 to 2022, available in full text, and assessed for relevance. The search resulted in 119 selected publications. Based on the inclusion criteria, we selected 44 articles, which included 42 clinical trials and two reviews. The study methodology meets the requirements for systematic reviews (PRISMA).Results. High-quality visualization allows for the operating field control enabling access to hard-to-reach areas and improves periodontal treatment outcomes. Closed periodontal scaling, the most commonly used non-surgical inflammatory periodontal disease treatment technique, is based on the dentist’s tactile sensations and experience. Due to the lack of visual control, even an experienced practitioner may not always effectively treat all surfaces or remove all plaque and tartar. The examination with the endoscope (Perioscopy) after the instrumentation reveals areas of tartar and biofilm remains, which may lead to further periodontal destruction and future surgical treatment. The article presents the studies proving the sufficient effectiveness of a dental endoscope for periodontal disease treatment. It is of note that the endoscope significantly increases the treatment quality in cases with deep pockets and severe periodontitis.Conclusion. Endoscopic imaging of dental deposits and pocket content indirectly reduces the risk of recurrence and complications of inflammatory periodontal diseases. The treatment of patients with moderate and severe periodontitis requires the development of algorithms for the management of such patients with the mandatory use of an endoscope.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>пародонтит</kwd><kwd>лечение пародонтита</kwd><kwd>эндоскопия пародонта</kwd><kwd>эндоскопия в стоматологии</kwd><kwd>пародонтальные карманы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>periodontitis</kwd><kwd>periodontitis treatment</kwd><kwd>periodontal endoscopy</kwd><kwd>dental endoscopy</kwd><kwd>periodontal pockets</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Al-Qufaish M, Usmanova IN, Tuigunov MМ, Khusnarizanova RF, Gumerova MI, Shangareeva AI. Optimization of periodontal disease diagnosis by the results of clinical laboratory tests. 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