THE ROLE OF ENDODONTICS IN THE TREATMENT OF CHRONIC ODONTOGENIC DISEASES IN PREPARATION FOR PROSTHETICS
Abstract
Background. When planning orthopedic restoration of significantly destroyed teeth with signs of apical periodontitis, it is necessary to assess the complexity of root canal anatomy as one of the factors influencing successful endodontic dental treatment. Modern approaches in endodontics allow in most cases to achieve the restoration of bone tissue, as well as the elimination of the focus of chronic infection, which allows for subsequent orthopedic dental treatment in order to restore their function and increase the percentage of survival in the oral cavity.
Purpose. Improving the efficiency of orthopedic restoration of teeth with chronic odontogenic infection.
Materials and methods. 64 patients aged 18 to 45 were examined. All had clinical signs of failed endodontic treatment of the incisors in the upper and lower jaws with a dark, radiolucent focus in the apex region, as well as significant destruction of the crown requiring orthopedic restoration. The assessment of radiographic parameters was based on CBCT, and mobility was assessed clinically. The results were evaluated after 6, 12, and 24 months.
Results. All patients showed different signs of restoration of the bone tissue after 6 and 12 months and complete restoration of the bone tissue 24 months after the treatment. No pathological tooth mobility was found 24 months after the end of treatment in 100% (primary endodontic treatment) and 97.5% (repeated endodontic treatment) of patients.
Conclusion. The analysis of the anatomy of the root canals, and, accordingly, the complexity in biomechanical cleaning and washing of the root canals affects the decision to carry out treatment in one or two visits.
Downloads
References
Список литературы
Байназарова Н.Т. Анализ качества эндодонтического лечения, профилактика осложнений (по данным литературы) // Вестник КазНМУ. 2017. №3. С. 186-189.
Глухова Е.А., Межевикина Г.С. Клинико-лабораторное обоснование эффективности эндодонтического лечения // Наука молодых. 2019. Т.7. №2. С. 294-300.
Дмитриева Л.А., Максимовский Ю.М. Терапевтическая стоматология: национальное руководство. Москва, ГЭОТАР-Медиа, 2015. 888 с.
Клинический опыт терапии хронического апикального периодонтита / Шашмурина В.Р., Купреева И.В., Девликанова Л.И., Лубинская Е.В., Мишутина О.Л. // Вестник Смоленской государственной медицинской академиии. 2018. Т. 17. №1. С. 160-166.
Ковецкая Е.Е., Смоляк Е.С. Эффективность методов восстановления коронковой части зуба после эндодонтического лечения // Современные технологии в медицинском образовании. 2021. С. 1251-1254.
Кореневская Н.А. Постэндодонтическая реставрация в стоматологии. Витебск, ВГМУ, 2018. 177 с.
Латышева С.В., Будзейская Т.В. Проблемные вопросы в эндодонтии. Современный взгляд // Современная стоматология. 2015. №2. С. 4-7.
Лобко С.С. Рентенограмма как критерий эффективности лечения зубов // Современная стоматология. 2018. №1. С. 85- 87.
Манак Т.Н. Динамическая оценка эффективности различных протоколов эндодонтического лечения при помощи периапикального индекса // Современная стоматология. 2015. №4. С. 35-39.
Манак Т.Н. Информированность врачей-стоматологов по вопросам современных технологий лечения заболеваний пульпы и апикального периодонта // Стоматологический журнал. 2015. №2, Т. 16. С. 99-104.
Манак Т.Н., Савостикова О.С., Ермаркевич М.И. Современные возможности повторного эндодонтического лечения // Международные обзоры:клиническая практика и здоровье. 2018. №3. С. 36-40.
Показатели качества эндодонтического лечения: Отчет о согласованном мнение Европейского эндодонтического общества // Эндодонтия today. 2008. № 1-2. С. 3-12.
Саврасова Н.А., Мельниченко Ю.М., Кабак С.Л. Применение конусно-лучевой компьютерной томографии в эндодонтии // Стоматологический журнал. 2014. №3. С. 196-202.
Сахарук Н.А., Веретенникова А.А., Зеков Н.И. Оценка ближайших и отдаленных результатов эндодонтического лечения // Вестник ВГМУ. 2015. Т. 14. №5. С.108-113.
Чжоу М. Применение комбинированного силера на основе гидрооксида кальция и эпоксидных смол при эндодонтическом лечении осложненного кариеса: Автореф. дис. Кандидата мед. Наук. Воронеж, 2012.
Ball R.Z. Intraoperative Endodontic Applications of Cone-Beam Computed Tomography // Journal of endodontic, 2013, vol. 39, no. 4, pp. 548-557.
Fouad KW. Restoring of endodontically treated tooth. Concepts and techniques // The Saudi Dental Journal, 2014, vol. 16(2), pp. 61-69.
Ingle J.I., Bakland L.K., Endodontics. 4th ed. London, 1994, 944 р.
Juloski J. Ferrule effect: a literature review // J. Endod., 2012, vol. 38(1), pp.11-19.
Peroz I. Restoring endodontically treated teeth with posts and cores – a review // J. Dent., 2014, vol.42 (5), pp.582-587.
References
Baynazarova N.T. Analiz kachestva endodonticheskogo lecheniya. profilaktika oslozhneniy (po dannym literatury) [Risk factors of periodontal disease in individuals with a bracket system (According to literature)]. Vestnik KazNMU, 2017, no. 3, pp.186-189.
Glukhova E.A., Mezhevikina G.S. Kliniko-laboratornoye obosnovaniye effektivnosti endodonticheskogo lecheniya [Clinical and laboratory substantiation of efficiency endodontic treatment]. Nauka molodykh, 2019, vol. 7, no. 2, pp. 294-300.
Dmitrieva L.A., Maksimovskiy Y.M. Terapevticheskaya stomatologiya: natsional’noe rukovodstvo [Therapeutic dentistry: national guidelines]. Moscow: GEOTAR-Media Publ., 2015, pp. 888.
Shashmurina V.R., Kupreeva I.V., Devlikanova L.I., Lubinskaya E.V., Mishutina O.L. Klinicheskiy opyt terapii khronicheskogo apikalnogo periodontita [Clinical experience of chronic apical periodontitis therapy]. Vestnik Smolenskoy gosudarstvennoy meditsinskoy akademiii, 2018, vol. 17, no. 1, pp. 160-166.
Koveckaya E.E., Smolyak E.S. Sovremennye tekhnologii v medicinskom obrazovanii, 2021, pp. 1251-1254.
Korenevskaya N.A. Postendodonticheskaya restavraciya v stomatologii [Post-endodontic restoration in dentistry]. Vitebsk: VGMU, 2018, 177 p.
Latysheva S.V., Budzeuskaya T.V. Problemnyye voprosy v endodontii. Sovremennyy vzglyad [Problems in endodontics. Modern view]. Sovremennaya stomatologiya, 2015, no. 2, pp. 4-7.
Lobko S.S. Rentenogramma kak kriteriy effektivnosti lecheniya zubov. [A radiograph serve as criterion of effectiveness endodontically treated teeth]. Sovremennaya stomatologiya, 2018, no. 1, pp. 85-87.
Manak T.N. Dinamicheskaya otsenka effektivnosti razlichnykh protokolov endodonticheskogo lecheniya pri pomoshchi periapikalnogo indeksa [Dinamic evaluation of different endodontics treatment protocols with using a periapical index]. Sovremennaya stomatologiya, 2015, no. 4, pp. 35-39.
Manak T.N. Informirovannost vrachey-stomatologov po voprosam sovremennykh tekhnologiy lecheniya zabolevaniy pulpy i apikalnogo periodonta [Awareness of dentists on modern technologies for the treatment of pulp and apical periodontal diseases]. Stomatologicheskii zhurnal, 2015, vol. 16, no. 2, pp. 99-104.
Manak T.N., Savostikova O.S., Ermarkevich M.I. Sovremennyye vozmozhnosti povtornogo endodonticheskogo lecheniya [Modern possibilities of repeated endodontic treatment]. Mezhdunarodnyye obzory:klinicheskaya praktika i zdorovye, 2018, no. 3, pp. 36-40.
Pokazateli kachestva endodonticheskogo lechenija: otchet o soglasovannom mnenii Evropejskogo endodonticheskogo obshhestva [Endodontic treatment quality indicators: report on the agreed opinion of the European endodontic society]. Endodontiya today, 2008, no.1-2, pp. 3-12.
Savrasova N.A., Mel’nichenko Yu.M., Kabak S.L., Primeneniye konusno-luchevoy kompyuternoy tomografii v endodontii [Application of cone-beam computed tomography in endodontics]. Stomatologicheskii zhurnal, 2014, no. 3, pp. 196-202.
Sakharuk N.A., Veretennikova A.A., Zekov N.I. Otsenka blizhayshikh i otdalennykh rezultatov endodonticheskogo lecheniya. [The evaluation of immediate and remote results of endodontic treatment]. Vestnik VGMU, 2015, vol. 14, no. 5, pp. 108-113.
Chzhou M. Primeneniye kombinirovannogo silera na osnove gidrooksida kaltsiya i epoksidnykh smol pri endodonticheskom lechenii oslozhnennogo kariyesa [Application of a combined Siler based on calcium hydroxide and epoxy resins in the endodontic treatment of complicated caries]. Voronezh, 2012.
Ball R.Z. Intraoperative Endodontic Applications of Cone-Beam Computed Tomography. Journal of endodontic, 2013, vol. 39, no. 4, pp. 548-557.
Fouad KW. Restoring of endodontically treated tooth. Concepts and techniques. The Saudi Dental Journal, 2014, vol. 16(2), pp.61-69.
Ingle J.I., Bakland L.K., Endodontics. 4th ed. London, 1994, 944 р.
Juloski J. Ferrule effect: a literature review. J. Endod., 2012, vol. 38(1), pp.11-19.
Peroz I. Restoring endodontically treated teeth with posts and cores – a review. J. Dent., 2014, vol. 42 (5), pp.582-587.
Copyright (c) 2023 Tatyana L. Marugina, Dmitry V. Kiprin, Anna I. Cherevatenko
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
