Based on evidence-based medicine, doctor-dentist can make the right decision on the choice of methods and means for performance of medical manipulations. Knowledge of the nature and duration of the violations of adaptive-compensatory reactions of the periodontal depending on the physico-chemical properties of sealers is an important part of endodontic treatment. In this work the problem of choice of filling material when obturation system of root canals. The results of the research could justify a differentiated approach to the choice of the root filling material with the position of evidence based medicine.

Important role in solving the problem of the clinical efficacy and biocompatibility widespread today in dental practice takes endogermetikov choice of material. Scientifically proven that there is a direct connection between the choice of filling sealer and a favorable prognosis after endodontic treatment. In this study we examined the relationship common to date of filling materials for obturation of root canals and their impact on periodontal tissue . The experiment was conducted on 60 white rats - males , who were divided into four groups depending on the material that obturated root canals . The data obtained show the objective picture of the impact on the efficiency properties sealers endodontic treatment

243 primary teeth in 112 children aged 3-8 years were treated using pulpotomy. The medicines «Pulpotek», «Trioxident» and «Viskosta» in combination with Zinkoxid Eugenol were used to cover the pulp stump. The reaction of immunocompetent cells of the teeth pulp to the above-mentioned medicines was studied in 48 teeth. 12 months later, after the treatment of pulpitis with Pulpotek and Viskostat combined with Zinkoxid Eugenol, the level IL 1β and TNF-α in the samples of the pulp tissue had no significant difference comparing with the normal index. There was no normalization of the pulp tissues in 33,3% of cases of pulpitis treatment with Trioxident that proved a decrease of the IL 1β level and an increase of that of TNF-α in the samples of the pulp tissues extracted after using this method

The retrospective analysis of 1000 out-patient cards of patients of 35-44 years which have addressed in clinic Chita SMА in 2012 is carried out. Analyzed affections anatomic groups of teeth (incisors and canines, premolars, molars) both jaws on segments, and also structure nosological forms and their communication among themselves. It is revealed high affections able-bodied population by a pulpitis and apical a periodontitis. A chronic periodontitis (the fibrous form) bottom molars were prevailing. At the analysis of communications it is not revealed authentic correlation in face-to-face group, direct dependence between frequency of a pulpitis and a periodontitis in group molars is revealed strongly. Authors explain the elicited facts distinctions in morphology of endodonts, possible accumulation of microorganisms (passive sedimentation) and their faster penetration on system of root channels bottom molars owing to gravity.

The article represents detailed description of inveterate apical periodontitis in accute condition complex treatment methodology. Two ways of treatment are considered. The choice depends on presense or absence of root canal and periapical teeth portion exudates. Medical products calcilan and polyoxidonium are used for the desease treatment. New methodology of root canal and periapical portion exudates sampling for bacteriological study is represented. The article represents both comparison study of complex treatment efficiency of inveterate apical periodontitis in accute condition using medical products polyoxidonium and calcilan based on root canal and periapical teeth portion bacteriological study, as well as static handling of the researches.

Current research is aimed at long term results evaluation of the photodynamic therapy efficacy in treatment patients with periodontitis. Light-emitting-diode lamp «Fotosan» with wavelength 625-635 nm was used as light source. Toluidine blue was used as photosensitizer. This article presents results of the photodynamic therapy treatment patients with periodontitis in 6, 12 and 24 months. The current study results show PDT efficacy in endodontic treatment.

This article demonstrates research results, while comparing 2 groups of children, age 4-9, in which temporary molars restoration after treatment of chronic fibrous pulpitis were done using different techniques. First group included 64 children, whose 100 molars were restored, using standard metal crowns (manufactured by 3M ESPE, USA). Second group consisted of 53 children, whose 100 molars were restored, using filling materials (Composites, compomers and glass-ionomers.) While screening of children 4 month after temporary molars treatment, condition of teeth was measured, using following criteria: stable restoration, unstable restoration, signs of secondary decay, extraction of tooth due to the periodontal pathology. According to comparative study of stability of the restorations in temporary molars using standard metal crowns (manufactured 3M ESPE) and filling materials after endodontic treatment, using Pulpotec, stability molars restored by standard metal crowns is a lot higher than stability of molars, restored by different filling materials (94% and 60%). Maintenance of molars, restored by metal crowns is significantly higher, than in the group, in which molars were restored by different filling materials (99% and 91%). According to the results of this study, restoration of temporary molars using standard metal crowns should become part of the standardized treatment of pulpitis in temporary molars.

Among all oral diseases leading position holds dental caries and its complications. Despite the fact that modern dentistry has made great strides in the prevention and treatment of dental caries, the literature suggests maintaining a high prevalence of dental caries and its complications , reaching up to 98-100 % of the adult population. From our perspective, the ineffectiveness of measures for the prevention and treatment of dental caries and its complications can be connected with the individual characteristics of patients , such as their psychological state and behaviors. Based on the above, the aim of this work was to study the quality of life of patients with caries. The study involved 141 people aged 21 to 50 years, mean age was 37,2 ± 7,6 years. The study groups were identified with different levels of quality of life and made recommendations to improve the quality of life for patients with study pathology.

Widespread introduction of diagnostic computer technologies, in particular the method of CBCT, as a noninvasive examination of dental system to repeatedly rated one object , giving a detailed study of anatomical variations in the structure of the maxillary molars with fused roots. In order to assess the anatomical structure features of the maxillary molars with fused roots on a computer tomograph «Picasso Trio» program EzImplant using the CBCT were studied anatomical features of 24 maxillary molars with different variations of the structure according to the CT - scan of patients in Krasnoyarsk and the Krasnoyarsk Territory. The results showed that the method CBCT provides a great opportunity to study the peculiarities of the anatomical structure of the root canal system of the maxillary molars with fused roots.

The recent increase in the number of visits to dentists for the purpose of treatment and preservation of teeth. Thanks to new methods, tools and materials that appear in endodontic practice, the effectiveness of treatment of such teeth increases. The aim of this work is to establish a clear algorithm of treatment, to indicate the proper application of new methodologies

Poor quality treatment of periodontal inflammation is the cause of tooth extraction. Most of the teeth treated endodontically in the future are subject to retreatment. The success of conservative treatment of apical periodontitis appreciably depends from compliance with the standards of classical endodontics. This article summarizes three clinical cases of endodontic retreatment of destructive forms of apical periodontitis, where noted positive dynamics

The article is a continuation of the previously published work. Having examined the issues that arise every day in the dental practice, the author would like to highlight those that are at the interface of disciplines, emphasizing the importance of interdisciplinary dialogue and proper treatment, the result of which can not only maintain the cause tooth, but also to eliminate the pathological effect on the surrounding tissue chronic inflammation was noted. This material, full of vivid examples that will help clinicians in the struggle with complicated cases, where sometimes only dental aspect is not sufficient for a comprehensive approach.

In the following clinical situations dismantled everyday cases, require the use of apex locator Proper pixi to determine the length of the root canal. This device has a compact size, can continuously work not only in a dry root canal, but in all environments (solutions of hypochlorite sodium EDTA, various solvents), which is especially important in endodontic retreatment, the need of which occurs in recent years, more and more

The article presents the results of laboratory studies of the effectiveness of class I for filling cavities nanogibridny composite material in combination with other materials: glass-ionomer cement and flowable composites.

Dental caries remains one of the major problems in the world of dentistry. Searches for an optimal treatment of caries teeth continue through the introduction of the physico-chemical technologies antibacterial effects on hard tissues of the teeth. Among the new means of influencing the pathogens mentioned photodynamic is infection method of hard dental tissues. This article presents the results of laboratory studies of the effect of the diode laser Lazurit the test strains of microorganisms.