Перегляд за Автор "Mikitenko, V. O."

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    Effect of root canal obliteration on the success of endodontic treatment
    (Полтавський державний медичний університет, 2023) Nazarenko, Z. Yu.; Mikitenko, V. O.; Tkachenko, I. M.; Brailko, N. M.; Lyashenko, L. I.; Vodoriz, Ya. Yu.; Назаренко, Зоряна Юріївна; Микитенко, В. О.; Ткаченко, Ірина Михайлівна; Браїлко, Наталія Миколаївна; Ляшенко, Лілія Іванівна; Водоріз, Ярослав Юрійович
    Obliteration is a pathological process characterized by the narrowing or complete closure of the root canal lumen due to the formation of tertiary dentin. In general, there are few etiological factors for the development of this pathological process, but they are considered quite unfavourable and can affect the success of both subsequent therapeutic and repeated endodontic treatment. Our study aimed to study the prevalence of obliteration of root canals during endodontic treatment and possible complications associated with this process, to analyze the causes of occurrence and to determine the most effective methods of treatment of this pathology. To determine the prevalence of the obliteration phenomenon of root canals, we surveyed practising dentists in the city of Poltava regarding the frequency of this problem during endodontic manipulations, the causes of its occurrence, methods of prevention and treatment. During the research, we conducted a comprehensive search of literature data in the MEDLINE, PubMed, and GOOGLE Scholar databases for 2002-2022 and a manual search of cited sources. Considering the obtained results, a patient with obliterated root canals complicated by perforation was treated with an analysis of the dynamics of the treatment process. After analyzing a questionnaire among practising dentists on the therapeutic profile of medical institutions in the city of Poltava (73 doctors), we determined that the vast majority of them - 93.3% - encountered the phenomenon of obliteration of root canals in their practice, and a certain proportion even repeatedly - 28.5%. The survey found that many doctors are not sufficiently informed about the leading new treatment methods for obliterated root canals. During the endodontic treatment of this pathology complicated by perforation, we established a significant therapeutic effect of the used technique. More than 90% of practising endodontists have encountered the phenomenon of obliteration, therefore, determining the optimal method of work when identifying this pathological process, its causes and complications is a rather important aspect and subject of research. During their practice, 32.3% of dentists encountered a complication during the treatment of obliterated canals - an iatrogenic perforation. The main reasons for this were: lack of necessary material and technical support (lack of increase, incorrect selection of tools and methods), lack of theoretical knowledge and practical skills.