|
- IRMS - Nicolae Testemitanu SUMPh
- 1. COLECȚIA INSTITUȚIONALĂ
- MedEspera: International Medical Congress for Students and Young Doctors
- MedEspera 2018
Please use this identifier to cite or link to this item:
http://hdl.handle.net/20.500.12710/10921
Title: | Acute pulpitis. Etiology and treatment |
Authors: | Groza, Marin |
Keywords: | pulpitis;treatment;relapse;direct capping |
Issue Date: | 2018 |
Publisher: | MedEspera |
Citation: | GROZA, Marin. Acute pulpitis. Etiology and treatment. In: MedEspera: the 7th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2018, p. 222-223. |
Abstract: | Introduction. Dental pulp inflammation (pulpitis) represents a totality of functional and
structural biochemical reactions and processes, having an adaptive, compensatory and restorative
character and evolving in a succession of phases due to the pathogen action. All acute and
chronic diseases of the pulp and periodontium are the cause of the formation of odontogenic
inflammatory processes, which cause pain and serve as foci of infection, either exacerbating or
triggering general or systemic illnesses. Dental pulp diseases are treated in a well-established
order, taking into account all the aspects, such as etiology, epidemiology, prophylaxis, diagnosis
and treatment. The success in pulp diseases depends on the ability to choose the optimal methods
and techniques for each type of diagnosis and clinical picture. In the case of non-qualitative
endodontic treatment, the organism sensitization occurs and in some cases complications
develop, such as: massive destruction of bone tissue, which can trigger septicemia, meningitis,
sinus thrombosis, endocarditis, mediastinitis etc. It is unacceptable to have bad or superficial
knowledge of topographic anatomy of teeth, by the endodontist. It is also worth noting that
besides the knowledge of endodontic instruments and materials, it is of great importance to know
the techniques of mechanical and medicated preparation as well as the root canal filling.
Aim of the study. To determine the most rational and effective methods of treatment of acute
pulpitis.
Materials and methods. Ten patients (4 women and 6 men) aged 19-40 years (10 teeth - 1
canine, 5 premolars and 4 molars) were subjected to complex examination and treatment.
Following the clinical and paraclinical examination, 4 patients with acute diffuse pulpitis and 6
patients with acute focal pulpitis were diagnosed. In the treatment we applied the direct capping
method, vital pulp amputation and extirpation in acute focal pulpitis and the method of vital pulp
extirpation in diffuse acute pulpitis.
Results. Of all the cases with the diagnosis of acute focal pulpitis, the relapse was observed only
in patients who were treated by the direct capping method (2 patients). In the case of the other
patients, both acute focal pulpitis and acute diffuse pulpitis were treated by surgical methods
(vital pulp amputation and extirpation), positive results being obtained, without relapses or
complications.
Conclusions. The method of vital pulp amputation and extirpation resulted in a higher efficiency
of the treatment of acute pulpitis, compared to the conservative method. |
URI: | https://medespera.asr.md/wp-content/uploads/Abastract-Book-2018.pdf http://repository.usmf.md/handle/20.500.12710/10921 |
Appears in Collections: | MedEspera 2018
|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.
|