Вісник проблем біології і медицини, Випуск 2, Том 2 (165)
Постійне посилання зібрання
Переглянути
Перегляд Вісник проблем біології і медицини, Випуск 2, Том 2 (165) за Автор "Brailko, N. M."
Зараз показуємо 1 - 1 з 1
Результатів на сторінці
Налаштування сортування
Документ Perforations as an endodontic complication: statistics and treatment methods(Полтавський державний медичний університет, 2022) Nazarenko, Z. Yu.; Yushchenko, Ya. O.; Tkachenko, I. M.; Brailko, N. M.; Lyashenko, L. I.; Назаренко, Зоряна Юріївна; Ющенко, Яна Олександрівна; Ткаченко, Ірина Михайлівна; Браїлко, Наталія Миколаївна; Ляшенко, Лілія ІванівнаPerforation is a complication that can occur during endodontic treatment mainly due to iatrogenic factors. Perforation creates a pathological course between the root canal system and periodontal tissues and threatens treatment success. Our study aimed to study the prevalence and causes of complications in endodontic treatment, including perforations, identification and practical application of the most effective treatment in the clinical case of combined perforation with the evaluation of the outcome in dynamics. To determine the prevalence of perforations, we conducted a survey among dentists on the frequency of this complication in endodontic manipulations, causes, methods of prevention, determination of perforations of tooth hard tissues, and their treatment. During the study, a comprehensive search of literature data was conducted. We treated the combined perforation with ProRoot MTA (Dentsply) based on the results obtained. According to our survey of dentists, perforation as a result of endodontic treatment was 10.5% (including lateral perforation of the root canal – 53.8%, furcation – 29.3%, the bottom of the tooth cavity – 14.1%, the apex of the root channel – 2.0%, combined – 0.8%). 87.8% of the surveyed contingent of doctors chose ProRoot AIT as the material of choice for closing perforations. In treating combined perforation with this material, we obtained positive clinical and radiological indicators dynamics. Thus, almost 95% of endodontic practitioners have dealt with perforations. The main reasons for the perforations were the lack of magnification, incorrect selection of tools and methods of working with it, insufficient knowledge of the anatomy of the tooth cavity and root canals, and lack of time for patient treatment. «ProRoot МТА» was the leading material of choice among practitioners.