Evaluation of the effectiveness of comprehensive treatment of combined pulpalperiodontal lesions in patients with concomitant somatic pathology
https://doi.org/10.52888/0514-2515-2023-359-4-30-38
Abstract
Aim: The study aimed to improve the treatment outcomes of combined pulpal-periodontal lesions in patients with various multisystem disorders.
Material and Methods: The study included 150 patients with associated lesions of the intracanal-periradicular complex and various multisystem disorders. The age of the patients ranged from 20 to over 50 years. The patients were grouped based on the method used for endo-periapical therapeutic and preventive intervention. The first (main) group of somatic patients (n=50) received Hyaludent №4 and a calcium hydroxide preparation for prolonged endo-periapical effect over a month, coupled with macrophage reprogramming procedures using autoplasm.
Results and Discussion: In the somatic patients of the main group, by the end of the year from the start of the endoperiapical treatment and after 24 months, the visual-instrumental examination indicator of the intracanal and periradicular status was zero. In the first control group of patients, the total indicator of the visual-instrumental examination of the endo-periapical state after the first month was 17.1% less than that of the second group, and after 6 months, it was 10.2% less. In the second control group of patients, the minimum value of the visual-instrumental examination of the intracanal-periradicular status was noted one year from the beginning of the pulpal-periodontal treatment.
Conclusion: The maximum effectiveness of endo-periapical treatment was achieved in the main group of patients with intrasystem pathology, where the efficacy of endo-periapical treatment was nearly 90.0%.
About the Authors
F. Z. Imomova
Department of Therapeutic Dentistry of the SEI Institute of Postgraduate Education in Health Sphere of the Republic of Tajikistan
Tajikistan
Tajikistan
S. M. Karimov
Department of Therapeutic Dentistry of the SEI Institute of Postgraduate Education in Health Sphere of the Republic of Tajikistan
Tajikistan
Tajikistan
Karimov Safarakhmad Munavarovich – Candidate of Medical Sciences, assistant professor
734026, Dushanbe, I. Somoni st.
G. G. Ashurov
Department of Therapeutic Dentistry of the SEI Institute of Postgraduate Education in Health Sphere of the Republic of Tajikistan
Tajikistan
Tajikistan
References
1. Berezin K.A., Grekov A.Kh., Startseva E.Yu. Statisticheskie aspekty izucheniya rasprostranennosti khronicheskogo apikalnogo periodontita u vzroslogo naseleniya [Statistical aspects of studying the prevalence of chronic apical periodontitis in the adult population]. Sovremennye problemy nauki i obrazovaniya – Modern problems of science and education, 2015, No. 2, pp. 119-123.
2. Gorbunova I.L., Fedotova O.K. Obosnovanie vybora preparata dlya antisepticheskoy obrabotki kanala pri lechenii khronicheskogo granuliruyushchego periodontita [Justification of the choice of preparation for antiseptic treatment of the canal in the treatment of chronic granulomatous periodontitis]. Sovremennye problem nauki i obrazovaniya - Modern problems of science and education, 2015, No. 4, pp. 303-305.
3. Isakov S.V., Isakova T.I. Sovremennyy podkhod k lecheniyu khronicheskikh form periodontitov [Modern approach to the treatment of chronic forms of periodontitis]. Vestnik problem biologii i meditsiny - Bulletin of problems of biology and medicine, 2014, Vol. 1, No. 2 (107), pp. 160-164.
4. Karimov S.M., Mukhiddinov Sh.D., Gurezov M.R. Rezultaty primeneniya sposoba prolongirovannoy antisepticheskoy obrabotki sistemy kornevykh kanalov pri periapikalnoy destruktsii zubov v esteticheski znachimoy okklyuzionnoy zone [Results of application of the method of prolonged antiseptic treatment of the root canal system in periapical destruction of teeth in the aesthetically significant occlusal zone]. Vestnik poslediplomnogo obrazovaniya v sfere zdravookhraneniya - Herald of postgraduate education in health sphere, 2019, No. 3, pp. 59-63.
5. Radyshevskaya T.N., Linchenko I.V. Kompleksnoe lechenie destruktivnykh form khronicheskogo periodontita [Complex treatment of destructive forms of chronic periodontitis]. Nauchnyy almanakh - Scientific almanac, 2016, No. 1-2 (15), pp. 404-406.
6. Tagaeva Sh.O. Situatsionnaya otsenka kachestva endodonticheskogo lecheniya u patsientov s sochetannym endodonto-parodontalnym porazheniem [Situational assessment of endodontic treatment quality in patients with combined endodonto-parodontal lesions]. Vestnik poslediplomnogo obrazovaniya v sfere zdravookhraneniya- Herald of postgraduate education in health sphere, 2018, No. 3, pp. 69-72.
7. Han L., Okiji T. Bioactivity evaluation of three calcium silicate-based endodontic materials. International endodontic journal, 2017, Vol. 46, No 3, pp. 808-821.
Review
For citations:
Imomova F.Z., Karimov S.M., Ashurov G.G. Evaluation of the effectiveness of comprehensive treatment of combined pulpalperiodontal lesions in patients with concomitant somatic pathology. Health care of Tajikistan. 2023;(4):30-38. (In Russ.) https://doi.org/10.52888/0514-2515-2023-359-4-30-38
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