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Chronic gangrenous pulpitis. Methods of diagnosis and treatment

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dc.contributor.author Stefirta, Iulia
dc.date.accessioned 2020-07-10T07:50:36Z
dc.date.available 2020-07-10T07:50:36Z
dc.date.issued 2018
dc.identifier.citation STEFIRTA, Iulia. Chronic gangrenous pulpitis. Methods of diagnosis and treatment. In: MedEspera: the 7th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2018, p. 257. en_US
dc.identifier.uri https://medespera.asr.md/wp-content/uploads/Abastract-Book-2018.pdf
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/11226
dc.description Department of odontology, periodontology and pathology, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova en_US
dc.description.abstract Introduction. Gangrenous pulpitis is characterized by septic modifications of the dental pulp and its decomposition under the action of aerobic and anaerobic germs that strictly involve the teeth and apical periodontium. The fermentative decomposition of proteins in dentinal canals and the organic substance in the tooth structure causes a decreased tooth resistance. Pulp gangrene can be an infection focus for the whole organism. It is therefore necessary to remove the infection focus in time, endodontically and effectively. The effectiveness of endodontic treatment depends on several factors: biomechanical preparation, irrigation, medicated dressings, endodontic space sealing and restoration of the anatomical shape of the dental crown. Aim of the study. To study the etiology, pathogenesis and clinical evolution of chronic gangrenous pulpitis and the optimal treatment methods. Materials and methods. A group of eight patients (3 women and 5 males) aged 25-50 years, were subjected to complex examination and endodontic treatment, being diagnosed with chronic gangrenous pulpitis. To increase the treatment efficacy, APEXDENT preparation was used, being applied on temporary dressings. It has an effect of inducing the formation of calcified tissue, antimicrobial action, decomposition and elimination of necrotic material and its discharge from the root canal. In the treatment we have applied modern technologies of permiabilization, sterilization and filling of the root canals. Results. Of the 8 patients treated endodontically, only 2 relapsed. The study confirms that APEXDENT preparation corresponds to 75% of its properties and is effective in the treatment of chronic gangrenous pulpitis. Conclusion. Temporary application of APEXDENT paste in the root canal resulted in a good sterilization of the root canals. Most importantly, the obtained results allowed us to use APEXDENT paste in the treatment of chronic gangrenous pulpitis. en_US
dc.language.iso en en_US
dc.publisher MedEspera en_US
dc.subject pulp en_US
dc.subject pulp gangrene en_US
dc.subject infection focus en_US
dc.subject endodontic treatment en_US
dc.title Chronic gangrenous pulpitis. Methods of diagnosis and treatment en_US
dc.type Article en_US


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  • MedEspera 2018
    The 7th International Medical Congress for Students and Young Doctors, May 3-5, 2018

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