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results of treatment of patients chronic apical peyoriodontitom with use of Pasta "metapeks"

Clinical example 1.

Patient P, 37 years. Has addressed from the complaint to unpleasant sensations, neyoznachitelnuju morbidity at nakusyvanii in 35. Objectively: 35 under a seal; the tooth is earlier treated concerning complicated caries, the root channel is sealed up endometazonovoj by Pasta.

The percussion 35 is painful, mucous giperemirovana, hydropic; the palpation of a transitive cord is painful. On the roentgenogram: 35 — the root channel is sealed up. In the field of an apex 35 centre rezorbtsii an osteal tissue with indistinct contours. Relative opyoticheskaja the density of the periapical destructive centre has made 117,10 ED, a destruction indicator (ПДі) - 11593 % (fig. 17.1).

The diagnosis: the Chronic granulating periodontitis 35 teeth.

Treatment: 35 — the pulp cavity, the root channel rasplombiroyovan is opened, the sodium solution gipoyohlorita is processed mechanically and ultrasound through 3 %. Working length of the root channel of 20,5 mm, about 25 sizes on ISO are dilated; Pasta is entered Into the root channel by means of a root filler «Me - tapeks». A time seal from stekloionomernogo cement.

For 5 days: there were complaints to insignificant morbidity at nakuyosyvanii on 35. A palpation of a transitive cord in the field of 35 painless, mucous light pink colours.

In 3 months: complaints on 35 are absent. A percussion 35 bezboleznenyona, mucous light pink colour, not hydropic; the palpation of a transitive cord is painless. On the roentgenogram: 35 - the reduction of the centre of a destruction of an osteal tissue has made 2 points. The relative optical density peyoriapikalnogo the destructive centre has made 108,11 ED, an indicator destyoruktsii (ПД2) - 10719 % (rice 17.2).

In 6 months: complaints on 35 are not present. The percussion 35 is painless, sliziyostaja light pink colour, not hydropic; a palpation of a transitive cord bezyoboleznenna. On the roentgenogram: 35 - there is a replacement of defect of a bone regeneyoratom, a reduction of the centre of a destruction of an osteal tissue 3 points. Relative opyoticheskaja the density of the periapical destructive centre has made 93,11 ED, a destruction indicator (PDz) - 9201 % (fig. 17.3).

Treatment 35 - sealing of the root channel by a method lateralnoj condensation of gutta-percha with «AN +». In the same visiting restoration koronyokovoj parts svetootverzhdaemym a material.

In 12 months: complaints on 35 are not present. The percussion 37 is painless, sliziyostaja light pink colour, not hydropic; the palpation of a transitive cord in obyolasti 37 is painless. On the roentgenogram: 35 — a centre reduction destrukyotsii an osteal tissue 4 points. The relative optical density periapiyokalnogo the destructive centre has made 82,11 ED, a destruction indicator (ПД4)—8121 % (fig. 17.4).

Fig. 17. The patient ∏., 37 years. The diagnosis: the Chronic granulating periodontitis 35.

17.1 - before treatment.

17.2 - in 3 months.

17.3 - in 6 months after endodonticheskogo treatments.

17.4 - in 12 months after application of Pasta "metapeks".

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Scientific source Zheleznaya Anna Pavlovna. APPLICATION «hitozana C SILVER» AT ENDODONTICHESKY TREATMENT of DESTRUCTIVE FORMS of the CHRONIC PERIODONTITIS. The dissertation on competition of a scientific degree of the candidate of medical sciences. Novosibirsk - 2011. 2011

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