Efficiency of Treatment of Acute Focal Pulpitis by a Conservative Method Developed by a Dental Treatment Pad

Иващенко, В А; Kirsh, Kseniya D.; Adamchik, M.V.

doi:10.26787/nydha-2226-7425-2018-20-1-50-54

Cited by 3 publications

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“…Наиболее информативным и объективным способом оценки состояния пульпы является лазерная доплеровская флоуметрия (ЛДФ). Данный метод позволяет изучить изменения гемодинамики в пульпе зуба в ответ на патологические процессы, такие как кариозный зуб и воспаление в пульпе [9].…”

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On the question of choosing the most valid methods for diagnostics of pulpal hyperemia

Myasoedova,

Firsova,

Popova

et al. 2024

Journal of Volgograd State Medical University

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The choice of the most optimal methods for the diagnosis and treatment of reversible forms of pulpitis is an urgent issue of modern practical endodontics. The dental pulp is unique in its histological structure, innervation and microcirculation. Reversible forms of pulpitis (including pulp hyperemia) are associated with a number of morphological and functional changes in the neurovascular bundle, which, at their early stages, are not fully detected during clinical examination, and require the inclusion of additional functional diagnostic methods, which include not only in the assessment of the nerve elements of the pulp (EOD), but also the study of the state of microcirculation (LDF), a change in which can become a predictor of the inflammatory response. In order to determine the most valid method for assessing the condition of the pulp in reversible forms of pulpitis, 43 young people with a diagnosis of K04.00 (pulp hyperemia) deep caries were examined and treated. Each patient was assessed carious and intact (symmetrical) teeth. At the same time, in addition to clinical diagnostic methods, EOD and LDF were used (M and σ were evaluated). Within two weeks, after the treatment, in 2 patients with the highest values of EOD (19 and 21 μA at the time of the initial examination) and LDF (M: 21.14 and 23.56 arb. units and σ: 0.82 and 0.85 conventional units) was diagnosed with irreversible pulpitis, which required a different treatment strategy. Therefore, when diagnosing reversible forms of pulpitis, it is necessary to be guided not only by the data of a clinical examination (which is undoubtedly the main and determining one), but also to assess the state of the vascular and nervous elements of the pulp, changes in which often anticipate the clinical manifestations of the pathology of the pulp of the tooth.

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On the question of choosing the most valid methods for diagnostics of pulpal hyperemia

Myasoedova,

Firsova,

Popova

et al. 2024

Journal of Volgograd State Medical University

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Morphological Substantiation of Application of the Developed Stomatologic Medical Preparation by the Biological Method of Treatinment of the Pulpitis

Иващенко

Адамчик

Таиров

2018

Kuban. nauсh. med. vestnik

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Федеральное государственное бюджетное образовательное учреждение высшего образования «Кубанский государственный медицинский университет» Министерства здравоохранения Российской Федерации, ул. Седина, д. 4, Краснодар, Россия, 350063. АННОТАЦИЯ Цель. Морфологическая оценка состояния тканей пульпы зуба после смоделированной острой травмы под влиянием разработанной стоматологической лечебной прокладкой и трех аналогов при лечении глубокого кариеса и острого очагового пульпита. Материалы и методы. В эксперименте исследование проводилось на белых лабораторных крысах. Полость на жевательной поверхности моляра верхней челюсти формировали шаровидным бором. Сформированные экспериментально поражения поверхностного слоя пульпы покрывались с применением разработанного стоматологического препарата и трех аналогов. Экспериментальных животных выводили из эксперимента на 3, 7 и 30-е сутки. Зубы животных фиксировались в 10% нейтральном растворе формалина, декальцинировали 3 суток, затем заливали в гистологическую среду. Срезы получали толщиной 5-15 мкм. Результаты. В ходе экспериментального исследования была обнаружена активизация реактивных и компенсаторных процессов в ткани пульпы зуба с сохранением ее жизнеспособности при использовании разработанного стоматологического лечебного препарата и препарата сравнения Биодентин на 30-й день эксперимента. Гистологически данные изменения выражались в повышении уровня обменных процессов и увеличении активации клеточных элементов ткани пульпы зуба на 30-й день эксперимента. Заключение. В результате проведенного экспериментального исследования разработанного стоматологического лечебного препарата для лечения глубокого кариеса и острого очагового пульпита было установлено специфическое и многофункциональное свойство в предупреждении, профилактики развития воспаления и усиления защитных свойств ткани пульпы под воздействием данного препарата. Морфологическая оценка применения разработанной стоматологической лечебной прокладки продемонстрировала быстрое купирование воспалительной реакции ткани пульпы в сроки -30 суток и нормализацию основных компонентов пульпы зуба. Разработанный стоматологический лечебный препарат в ходе проведенного экспериментального исследования подтвердил заявленные качества, а именно: противовоспалительные, антисептические, обезболивающие и не уступает по своим свойствам представленным в ходе экспериментального исследования препаратам -аналогам. Ключевые слова: кариес, пульпа, пульпит, биологический метод Для цитирования: Иващенко В.А., Адамчик А.А., Таиров В.В.. Морфологическое обоснование применения разработанного стоматологического лечебного препарата при биологическом методе лечения пульпита. Кубанский научный медицинский вестник. 2018; 25(5): 28-34. For citation: Ivashchenko V.A, Adamchik A.A., Tairov V.V. Morphological substantiation of application of the developed stomatologic medical preparation by the biological method of treatment of the pulpitis. Kubanskij nauchnyj medicinskij vestnik. 2018; 25(5): 28-34. (In Russ., English abstract). ABSTRACTAim. This study ...

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Morphological Changes in the Dental Pulp of Experimental Animals in the Treatment of Acute Partial Pulpitis using Modern Materials

Иващенко

Адамчик

Арутюнов

et al. 2019

Kuban. nauсh. med. vestnik

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Aim. To study the morphological changes in the tooth pulp of experimental animals when modelling acute partial pulpitis using calcium silicate modified with light-cured resin and calcium hydroxide.Materials and methods. An experimental model of acute partial pulpitis was applied including the formation of a cavity on the lingual surface of the tooth, which corresponded to advanced caries in terms of depth, followed by a slight perforation up to the tooth pulp with a sharp probe. This model of acute partial pulpitis was reproduced for 32 teeth in four sexually mature rams. The teeth were extracted together with the surrounding sockets 15, 30 and 90 days after the modelling of pulpitis, followed by their fi xation in 10% solution of neutral formalin. Decalcification was performed in 25% solution of Trilon B. The material was poured into celloidin; histological sections were stained with hematoxylin and eosin according to Masson’s trichrome procedure.Results. The histological examination of pulp from the main group (calcium silicate modified with light-cured resin) revealed the formation of a biological barrier from secondary dentin in the area of the cavity and perforation up to the pulp chamber on the 90th day after the experiment started. The tooth pulp revealed no signs of an inflammatory process. On the 90th day after the experiment started, no pronounced morphological changes in the main substance and dentinal tubules in the area of the cavity walls were noted in the coronal pulp of experimental animals from the comparison group (calcium hydroxide). A focal chronic inflammatory process was noted in the tooth pulp.Conclusion. It was established that the use of calcium silicate modified with light-cured resin in the experimentally created model of acute partial pulpitis was accompanied by the formation of a biological barrier and a well-developed zone of reparative dentin in the area of the cavity and perforation up to the pulp chamber, as compared to the group where calcium hydroxide was used. Thus, the study results confirmed the efficay of using calcium silicate modified with light-cured resin within the biological method for treating acute partial pulpitis, which shortens the functional recovery of tooth pulp.

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Efficiency of Treatment of Acute Focal Pulpitis by a Conservative Method Developed by a Dental Treatment Pad

Cited by 3 publications

References 0 publications

On the question of choosing the most valid methods for diagnostics of pulpal hyperemia

On the question of choosing the most valid methods for diagnostics of pulpal hyperemia

Morphological Substantiation of Application of the Developed Stomatologic Medical Preparation by the Biological Method of Treatinment of the Pulpitis

Morphological Changes in the Dental Pulp of Experimental Animals in the Treatment of Acute Partial Pulpitis using Modern Materials

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