Effectiveness of endodontic treatment in patients with generalized parodontitis with prevention of the sympatic vegetative nervous system

Authors

  • Віктор Маркіянович Батіг

DOI:

https://doi.org/10.33295/1992-576X-2020-1-49

Keywords:

exacerbated chronic apical periodontitis, generalized periodontitis, endodontic treatment, sympathetic vegetative nervous system

Abstract

Topicality. The prevalence of caries complications (pulpitis and apical periodontitis) in the population of Ukraine reaches 75–78 %. To date, endodontic treatment is at a fairly high level, but due to some financial difficulties, the population of Ukraine is not receiving it adequately. The efficacy of endodontic treatment, unfortunately, is quite low with many complications. Improving the quality of endodontic treatment of apical periodontitis is an urgent problem of therapeutic dentistry. Topical is the development of methods of treatment of diseases, taking into account the condition of the patient's vegetative nervous system.
Aim. To determine the effectiveness of medicamental treatment taking into account the state of the vegetative nervous system, in particular with the predominance of the sympathetic vegetative nervous system in patients with exacerbative chronic apical periodontitis and endodontic treatment of teeth with II grade of generalized periodontitis exacerbated course.
Material and methods. For this clinical study, 30 patients with generalized periodontitis exacerbated course and presence of apical periodontal lesions (exacerbated chronic apical periodontitis) with predominance of the sympathetic vegetative nervous system – the main group were selected. To normalize the state of the vegetative nervous system of patients in the main group, a scheme for medical preparation of patients was developed (Patent for utility model No 114198). In the main group of patients with predominance of the sympathetic vegetative nervous system, 20 teeth with exacerbated course of II grade of generalized periodontitis and 10 teeth with presence of apical periodontal lesion (ie, teeth with signs of exacerbated chronic periodontitis of the background of generalized periodontitis, were treated. The comparison group consisted of 20 patients with predominance of the sympathetic vegetative nervous system, who underwent endodontic treatment of generalized periodontitis (20 teeth) and 10 teeth with exacerbated chronic apical periodontitis using conventional treatment methods. All patients were examined using
clinical examination methods.
Results and Discussion. The use of the proposed method of endodontic treatment with pre-medication showed a certain decrease in pain in patients after endodontic treatment. Radiographically, in all teeth, full root canal filling was noted. The statistical analysis showed a greater effectiveness of endodontic treatment in patients in the main group, who underwent premedication.
Conclusions. Conducted clinical study and statistical analysis shows the effectiveness of the proposed medicamental premedication in the endodontic treatment of teeth in patients with predominance of the sympathetic vegetative nervous system.
Key words: exacerbated chronic apical periodontitis, generalized periodontitis, endodontic treatment, sympathetic vegetative nervous system.

Author Biography

Віктор Маркіянович Батіг

Батіг Віктор Маркіянович – доцент, завідувач кафедри терапевтичної стоматології
ВДНЗ України «Буковинський державний медичний університет» Міністерства охорони здоров’я України.
Тел.: (050) 978-24-16. E-mail: batig@email.ua.

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Published

2020-03-24

Issue

Section

PARADONTOLOGY