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Current insights into the quality of endodontic treatment

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The aim of the study is to analyze the factors that prevent the improvement of endodontic treatment. Materials and methods: we considered possible prospects for long-term endodontic treatment and prediction of results. Results of the study: these literature data show that intra- and extracorporeal factors influence the prediction of endodon treatment. Incomplete purification of pulp space after preparation, stability, ability of microflora to maintain apical inflammatory process, synthesis of intra- and extraradiclar biofilm, inactivation of medicines in root canal requires search of alternative irrigation agents and disinfection modes. In addition to the conventional preparation, the use of iodine preparations and physical factors in both primary and repeated endodontic treatment is promising. At the modern stage of endodontia, the size of the periapical lesion is not the main factor in deciding on conservative endodontic treatment or surgical treatment of the lesion. Due to the availability of tools, equipment and treatment techniques, endodontic intervention should ideally end successfully. But in the analysis of treatment results, a number of publications note that an unfavourable outcome is even in the case of «well-treated channels». Intracorneal factors include the complexity of endodontic anatomy, infection, diversity of microflora in the root canal system, its resistance and ability to organize into biofilm. Extracorporeal reasons include extradicular infection, «true» cysts, the presence of endo-periodontal lesions, root resorption, the reaction of periapical tissues to the foreign body (endogenous or exogenous origin) and yatrogenic factors (arising during preparation, irrigation of the root canal), toxic and irritating properties of the used drugs. Several of these etiological factors often lead to the development of the inflammatory process in the periodontal. Each can influence the outcome of endodontic treatment. The failure of conservative treatment is still recommended to be considered as the development of an infectious process.

Keywords

edodontic treatment, root canals, pulpitis, periodontitis, prognosis treatment

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DOI

10.20310/2658-7688-2019-1-3-16-21

UDC

616.314-02

Pages

16-21

References

1. Gambarini Dzh. Germetiziruyushchaya sposobnost' novogo obturatsionnogo materiala dlya kornevykh kanalov Epiphany One s tekhnologiej Resilon [Sealing ability of new obturation material for Epiphany One root canals with Resilon] // Endodontiya. – Endodontia Technology. 2008, no. 1, pp. 88-92. (In Russian). 2. Makedonova Yu.А., Firsova I.V. Germetiziruyushchaya sposobnost' novogo obturatsionnogo materiala dlya kornevykh kanalov Real Seal s tekhnologiej Resilon [The pressurizing ability of new obturation material for root canals Real Seal with Resilon technology] // Saratovskij nauchnyj meditsinskij zhurnal. – Saratov Journal of Medical Scientific Research. Saratov, 2012, vol. VIII, no. 1, pp. 111 -114. (In Russian). 3. Lutskaya I.K. Obosnovaniye vybora endodonticheskogo lecheniya [Justification of choice of endodontic treatment] // Novoye v stomatologii. – New in Dentistry. 2001, no. 2, pp. 28-30. (In Russian). 4. Skripnikova T.P. Klinicheskaya endodontiya. Fizicheskiye faktory, primenyaemye v endodontii: posobiye dlya vrachej-stomatologov [Clinical endodontia. Physical factors used in endodontia: guide for dentists]. Poltava, 1999, section VII, 35 p. (In Russian). 5. Beer R., Bauman M.А., Kiel'basa А.M. Illyustrirovannyj spravochnik po endodontologii [Illustrated handbook on endodontology.]. Moscow, 2008, 239 p. (In Russian). 6. Carrotte R. The problem of endodontics // J. Dental. 2005, vol. 3, p. 98. 7. Pedorets А.P., Pilyaev А.G., Pedorets N.А. Predskazuemaya endodontiya [Predictable endodontia]. Donetsk: Nord-Press Publ., 2006, pp. 14-20. (In Russian). 8. Maltezos C.M., Glickman G.N., Ezzo P., He J. Comparison of the sealing of Resilon, Pro Root MTA, and Super-EBA as root-end filling materials: a bacterial leakage study // J. Endod. 2006, vol. 32, pp. 324-327. 9. Gutman Dzh.L., Dumsha T.S., Lovdel P.E. Resheniye problem v endodontii [Solving problems in endodontia]. Moscow, 2008, p. 590. (In Russian). 10. Borovskij E.V. Otkaz ot plombirovaniya kornevogo kanala metodom odnoj pasty – neotlozhnaya zadacha endodontii [Refusal to seal root canal by one paste method – urgent task of endodontia] // Klinicheskaya stomatologiya. – Clinical Dentistry. 2000, no. 4, pp. 18-20. (In Russian). 11. Miklyaev S.V., Leonova O.M. Endodontal-periodontal lesions Colloquium-journal. 2019, no. 5-2 (29), pp. 18-19

Received

2019-10-27

Section of issue

Clinical medicine

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