DYNAMIC EVALUATION OF THE EFFECTIVENESS OF THE USE OF SEALERS IN THE PREPARATION OF ROOT CANALS FOR ORTHOPEDIC RESTORATION OF TEETH

Abstract

Endodontic root canal preparation is widely implemented to plan orthopaedic teeth restoration, and obturation quality and impermeability affects both the success of orthopaedic restoration and long-term proper condition of a periodontium. Comparative analysis of various sealers showed the efficiency rate thereof for elimination of clinic symptoms, and preservation of a tooth functioning as well. Background: To improve the treatment efficiency for complicated caries during root canal preparation for post-endodontic orthopaedic restoration. Material and methods. Examination was comprised of 283 patients divided into 3 groups by sealer type: 1-AH plus, 2-ABT Sealer, 3-Bioroot RCS. Radiologic parameters and obturation quality were assessed on the basis of CBCT, occurrence of local tissue inflammation and orthopaedic structure integrity were assessed intraorally by clinical means. The outcome was assessed at 6-, 12-, 24-month points. Treatment efficiency and obturation quality were assessed using the European Society of Endodontology guidelines. Results. Each pulpitis treatment case met the success criterion; in treatment of chronic forms of periodontitis the best score was obtained in group 2, where both single-rooted and multi-rooted teeth were treated, with minor decrease in effectiveness in group 3. Conclusion. Use of ABT Sealer causes statistically accurate high quality of obturation both for single-rooted and multi-rooted teeth, while Bioroot RCS sealer causes high quality of obturation given a strict adherence to the canal biomechanical processing protocol. With AH Plus sealer usage, inappropriate obturation quality in multi-root teeth is noted.

Keywords

• эндодонтический силер
• ортопедическое восстановление
• качество обтурации