The choice of tactics of treatment of patients at the endo periodontal defeats with primary defeat of the parodont and secondary involvement of the endodont

Abstract

Relevance of a problem of the combined defeats of the parodont and endodont it is caused by high prevalence of pathology and lack of uniform approaches to complex treatment of this category of patients that has defined a research objective: optimization of methods of treatment the endoparodontalnykh of defeats taking into account pathogenesis of a disease. The research was conducted in 2 groups — main (n = 12) and comparisons (n = 13) which were made by patients with primary defeat of the parodont and secondary involvement in process of the endodont at which examination with use of a computer conical and beam tomography and the automated measuring system «Florida Probe» is conducted, and treatment included basic therapy of pathology of the parodont, endodontichesky treatment and the supporting therapy of the parodont. In the main group the basic and supporting therapy of pathology of the parodont included processing the parodontalnykh of pockets the VectortmParo system. The received results in the form of disappearance of bleeding, mobility of teeth, reduction of depth of a parodontalny pocket to values of ≤3,5 mm and restoration of structure of a bone tissue up to 1/3 lengths of a root with preservation of these indicators on the remote terms of observation in the main group in comparison with indicators of group of comparison «vector therapy» in treatment of patients with endoparodontalny defeats demonstrates efficiency of inclusion.

Keywords

• эндо-пародонтальные поражения
• тактика лечения
• пародонтит
• апикальный периодонтит
• вектор-терапия