Analysis of the effectiveness of a new method of treating patients with complicated forms of caries
https://doi.org/10.36377/ET-0180
Abstract
AIM. The aim of the study was to compare the effectiveness of a new method of endodontic treatment a chronic fibrous pulpitis with a standard, generally accepted method at the end of 1 month and 12 months after treatment.
MATERIALS AND METHODS. were examined a total of 186 patients aged 20 to 60 years, including 94 (50.5%) men and 92 (49.5%) women, who underwent primary endodontic treatment of 302 teeth of various groups with a diagnosis of a chronic fibrous pulpitis (K04.03). A comparative assessment of the effectiveness of treating this pathology using various methods was carried out through an analysis of patient complaints, clinical examination, and radiographic monitoring of the condition of the tooth root canals and surrounding tissues. To statistically analyze the effectiveness of chronic fibrous pulpitis treatment using our method (Russian Federation Patent No. 2771916, May 13, 2022), we used the McNemar Q-test over time for the periods at the end of 1 month and 12 months after treatment.
RESULTS. In the first month after treatment, patients in Group III experienced minimal or no pain compared to patients in Groups I and II (p < 0.05). A comparative analysis of immediate radiographic treatment results revealed significant improvements in clinical outcomes when using our method compared to standard protocols (p < 0.05). After 12 months from the completion of treatment, a higher number of teeth with changes in the periodontal tissues was determined in patients of the first group and gradually decreased in the second and especially in the third group (χ2 = 9.75, df = 1, p = 0.002; χ2 = 7.03, df = 1, p = 0.008).
CONCLUSIONS. The conducted comparative analysis of the effectiveness of the new method and standard methods of treating a chronic fibrous pulpitis allows us to establish a significant advantage of our proposed method based on clinical and radiographic research methods (χ2 = 9.87, df = 1, p = 0.002).
About the Authors
M. S. Korchagina
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Milana S. Korchagina – Assistant Professor of the Department of Therapeutic Dentistry with a Course in Osteopathy
89, Chapaevskaya Str., Samara 443099, Russian Federation
Competing Interests:
The authors report no conflict of interest.
M. A. Postnikov
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Mikhail A. Postnikov – Dr. Sci. (Med.), Professor of the Therapeutic Dentistry Department with a Course in Osteopathy
89, Chapaevskaya Str., Samara 443099, Russian Federation
Competing Interests:
The authors report no conflict of interest.
E. N. Rozhkova
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Elena N. Rozhkova – Cand. Sci. (Med.), Applicant of the Department of Therapeutic Dentistry with a Course in Osteopathy
89, Chapaevskaya Str., Samara 443099, Russian Federation
Competing Interests:
The authors report no conflict of interest.
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For citations:
Korchagina M.S., Postnikov M.A., Rozhkova E.N. Analysis of the effectiveness of a new method of treating patients with complicated forms of caries. Endodontics Today. 2026;24(1):210-217. https://doi.org/10.36377/ET-0180
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