Prevention of the development of pulp pathology in teeth with endo-periodontal lesions: an in vitro study
https://doi.org/10.36377/ET-0026
Abstract
AIM. To increase the effectiveness of prevention of development of pulp pathology in endo-periodontal lesions in patients with chronic periodontitis.
MATERIAL AND METHODS. In the course of the study, instrumental treatment of the outer surface of the extruded teeth was performed, which were divided into 3 groups: group 1 – ultrasonic skeleton “DTE D72” (n = 8); group 2 – Gracey curettes (n = 8); group 3 (control) – no treatment of the root surface (n = 8). Histological analysis of the extradited teeth, scanning electron microscopy of the teeth root surfaces treated, as well as energy dispersion X-ray spectroscopy of the examined nano-preparations were conducted.
RESULTS. In the coronal pulp, in 80% of cases, the presence of intrapulmonary calcificates was found, mainly in areas where cement integrity was impaired. Fractures and defects of the tooth root cement are 3 times more common in group 1 of the study than in groups 2 and 3, which correlates with the data of pigment penetration depth in the areas of cement destruction. The most effective obturation of the root outer surface was found in the first study group and amounted to 85%, which is 2 and 4 times more than the indicators of groups 2 and 3, respectively.
CONCLUSION. It has been shown that the best method of prevention of pulp pathology at endo-periodontal lesions is the use of Gracie curettes for carrying out hand scaling with subsequent impregnation of the treated tooth root surface with a “Dentin-sealing liquid”.
Keywords
About the Authors
D. A. Ostanina
Russian University of Medicine
Russian Federation
Russian Federation
Diana A. Ostanina – Cand. Sci. (Med.), Associate Professor of the Department of Therapeutic Dentistry and Endodontics
4, Dolgorukovskaya St., Moscow 127006
S. Sh. Alimukhamedova
Russian University of Medicine
Russian Federation
Russian Federation
Sabina Sh. Alimukhamedova – Student of the Department of the Faculty of Dentistry
4, Dolgorukovskaya St., Moscow 127006
A. V. Mitronin
Russian University of Medicine
Russian Federation
Competing Interests:
Russian Federation
Alexander V. Mitronin – Dr. Sci. (Med.), Professor, Dean of the Faculty of Dentistry, Head of the Department of Therapeutic Dentistry and Endodontics, Honored Doctor of Russian Federation
4, Dolgorukovskaya St., Moscow 127006
Competing Interests:
Alexander V. Mitronin is the members of the editorial board, however, it was excluded in the double-blind peer review process.
References
1. Gilyazeva V.V., Khanova I.A. Clinical-morphological characteristics of pulpes in endoparontal diseases with symptoms of inflammatory destruction. Health and Education Millennium. 2019;21(4):17–20. (In Russ.) https://doi.org/10.26787/nydha-2226-7425-2019-21-4-17-20
2. Kornetova I.V., Mitronin A.V., Rabinovich I.M. Current opportunities of primary endodontic treatment of chronic apical periodontitis with endo-perio origin. Endodontics Today. 2021;19(4):338–342. (In Russ.) https://doi.org/10.36377/1683-2981-2021-19-4-338-342
3. Mitronin A.V., Popova V.M., Dashkova O.P., Galieva D.T., Belozerova N.N. Long-term effects of endodontic treatment et endo-perio disease. Endodontics Today. 2017;15(2):37–40. (In Russ.) Available at: https://www.endodont.ru/jour/article/view/65 (дата обращения: 24.03.2024).
4. Moiseev D.A., Rumyantsev V.A., Volkov S.I., Kulyukina M.A., Konov A.A Morphological aspects of the relationship between periodontal tissues and dental pulp. Actual Problems in Dentistry. 2021;17(2):77–83. (In Russ.) https://doi.org/10.18481/2077-7566-20-17-2-77-83
5. Moroz P.V., Iordanishvili A.K. Risk factors of emergence and reason of low efficiency of treatment endodontoparodontalnykh of lesions. Endodontics Today. 2018;16(1):35–41. (In Russ.) Available at: https://www.endodont.ru/jour/article/view/176 (accessed: 24.03.2024).
6. Moiseev D.A., Volkov S.I., Konov A.A., Kulyukina M.A. The morphological and functional relationship between dental pulp and periodontal tissue in the aspect of endoperio lesions. Parodontologiya. 2021;26(4):289–299. (In Russ.) https://doi.org/10.33925/1683-3759-2021-26-4-289-299
7. Aboulfadl H., Hulliger J. Absolute polarity determination of teeth cementum by phase sensitive second harmonic generation microscopy. J Struct Bio. 2015;192(1):67–75. https://doi.org/10.1016/j.jsb.2015.08.011
8. Ricucci D., Siqueira J.F. Jr, Rôças I. N. Pulp response to periodontal disease: novel observations help clarify the processes of tissue breakdown and infection. J Endod. 2021;47(5):740–754. https://doi.org/10.1016/j.joen.2021.02.005
9. Blinova A.V., Rumyantsev V.A. Nanomaterials in the modern dentistry (review). Stomatologiya. 2021;100(2):103–109. (In Russ.) https://doi.org/10.17116/stomat2021100021103
Review
For citations:
Ostanina D.A., Alimukhamedova S.Sh., Mitronin A.V. Prevention of the development of pulp pathology in teeth with endo-periodontal lesions: an in vitro study. Endodontics Today. 2024;22(2):122-129. https://doi.org/10.36377/ET-0026
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