EVALUATION OF THE RESULTS OF REPEATED ENDODONTIC TREATMENT OF CHRONIC APICAL PERIODONTITIS USING BIOMATERIALS. CLINICAL OBSERVATION

Aleksandr Sorokin; Larisa Gerasimova; Milyausha Kabirova; Irina Usmanova; Rasima Haybullina; Damira Tuchvatullina; Regina Khairullina; Elvira Latypova

doi:doi:10.18481/2077-7566-21-17-4-62-67

UDC 61

EVALUATION OF THE RESULTS OF REPEATED ENDODONTIC TREATMENT OF CHRONIC APICAL PERIODONTITIS USING BIOMATERIALS. CLINICAL OBSERVATION

Published в Actual problems in dentistry · Volume 17, Issue 4, 2021 · Pages 62–67 · Rubrics: THERAPEUTIC DENTISTRY

DOI 10.18481/2077-7566-21-17-4-62-67

Received: 03.12.2021 Accepted: 10.12.2021 Published: 28.12.2021 Language of publication: ENG

Authors

Aleksandr Sorokin ¹ · Larisa Gerasimova ² · Milyausha Kabirova ³ · Irina Usmanova ⁴ · Rasima Haybullina ⁵ · Damira Tuchvatullina ⁶ · Regina Khairullina ⁷ · Elvira Latypova ⁸

1 Bashkir State Medical Universitey (Department of Therapeutic Dentistry with the course IAPE, Associate professor)
Ufa, Ufa, Russian Federation

2 Bashkirskiy gosudarstvennyy medicinskiy universitet (professor, zaveduyuschaya kafedroy terapevticheskoy stomatologii s kursom IPO)
Ufa, Ufa, Russian Federation

3 Bashkirian State Medical University (department of therapeutic stomatology, dean of stomatological faculty)
Ufa, Ufa, Russian Federation

4 Bashkirian State Medical University (Department of Therapeutic Dentistry with the course of ICPE, Professor of the Department)
Ufa, Ufa, Russian Federation

5 Bashkirian State Medical University
Ufa, Ufa, Russian Federation

6 Bashkir State Medical University (Department of Therapeutic Dentistry with the course IDPO, Associate professor)
Ufa, Ufa, Russian Federation

7 Dental polyclinic No. 9, Ufa (Dentist-therapist)
Ufa, Ufa, Russian Federation

8 Dental polyclinic No. 5, Ufa (medical and preventive department, Head of department)
Ufa, Ufa, Russian Federation

ABSTRACT

Relevance. In the practice of a dentist, there are clinical situations when the chronic apical periodontitis, due to the ineffectiveness of the endodontic treatment, ends with a root apex resection, while the destruction of bone tissue in the periapical tissues remains. This paper presents cases of effective endodontic re-treatment of such teeth using biomaterials. The diagnostic value of the X-ray method was noted with an assessment of the density of the periapical tissue destruction focus using the densitometry method. The aim of the study is to determine the effectiveness of endodontic treatment of chronic apical periodontitis using biomaterials after root apex resection. Material and methods. The study included 42 patients aged 25–35 years with chronic apical periodontitis with root apex resection. All patients underwent clinical examination methods and an X-ray method with an assessment of the density of the periapical tissue destruction focus by densitometry. Results and discussion. The proposed method of endodontic re-treatment included temporary obturation of the root canal system with Bioimplant with Collapan gel in a 1:1 ratio, for a period of 15 to 30 days, followed by permanent filling of the root canal system according to the generally accepted technique. After 6 months, the optical density of the periapical tissues in 27 patients was within the normal range. In 15 patients, these indicators were 82% of the norm. After 12 months, the optical density was within the normal range in 90% of cases, in 10% – the optical density parameters approached normal values and amounted to 115.0-125.0 arbitrary units. Conclusions. When carrying out repeated endodontic treatment, it is recommended to temporarily obturate the root canal system using the Bioimplant biomaterial with Collapan gel, which will increase not only the density of periapical tissues to normal values, but also preserve the function of the tooth, which is important for practical health care.

KEYWORDS

repeated endodontic treatment optical density biomaterials chronic apical periodontitis densitometry

Information References

Authors:

1. Bashkir State Medical Universitey (Department of Therapeutic Dentistry with the course IAPE, Associate professor)

Ufa, Ufa, Russian Federation

2. Bashkirskiy gosudarstvennyy medicinskiy universitet (professor, zaveduyuschaya kafedroy terapevticheskoy stomatologii s kursom IPO)

Ufa, Ufa, Russian Federation

3. Bashkirian State Medical University (department of therapeutic stomatology, dean of stomatological faculty)

Ufa, Ufa, Russian Federation

4. Bashkirian State Medical University (Department of Therapeutic Dentistry with the course of ICPE, Professor of the Department)

Ufa, Ufa, Russian Federation

5. Bashkirian State Medical University

Ufa, Ufa, Russian Federation

6. Bashkir State Medical University (Department of Therapeutic Dentistry with the course IDPO, Associate professor)

Ufa, Ufa, Russian Federation

7. Dental polyclinic No. 9, Ufa (Dentist-therapist)

Ufa, Ufa, Russian Federation

8. Dental polyclinic No. 5, Ufa (medical and preventive department, Head of department)

Ufa, Ufa, Russian Federation

Type:

Article

Pages:

from 62 to 67

Status:

Published

Subject area:

UDC 61

Language:

English

Keywords:

repeated endodontic treatment, optical density, biomaterials, chronic apical periodontitis, densitometry

References

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EVALUATION OF THE RESULTS OF REPEATED ENDODONTIC TREATMENT OF CHRONIC APICAL PERIODONTITIS USING BIOMATERIALS. CLINICAL OBSERVATION

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