Modern methods of three-dimensional filling of the endodontic system

Abstract

Introduction. The root canal has a complex anatomy, with irregularities, isthmus and lateral channels, which contain bacteria and necrotic tissue. The tooth root are provided with main, accessory and lateral channels, apical delta and communications between different channels. Some of these areas are difficult to seal using traditional techniques. The major objective of the root canal treatment is the three-dimensional filling of the endodontic space after it has been completely cleaned, conformed and disinfected. The purpose of the canal filling is to seal any "exit gate", not to allow any exchange between the endodontic and periodontal space. Therefore, to achieve this goal, it is necessary to fill the canal as tightly as possible, without empty spaces enclosed. It is shown that the vast majority of endodontic failures are closely related to incomplete canal filling. By the most of the techniques used actualy is possible to fill the main root canal, but not to fill its lateral or apical channels. So, a variety of sealing techniques were developed using thermoplastic gutta-percha. They try to create a specific filling for each channel, root, which generates a three-dimensional filling that reproduces its own anatomy Aim of the study. Studying and applying in practice the modern methods of three-dimensional fillling of the endodontic system Materials and methods.. In the study were used methods of research and analysis of national and international bibliographic sources regarding the thermoplastic sealing of the endodontic system. The study is based on data obtained following the treatment applied to a sample of patients diagnosed with acute and chronic pulpitis, aged between 18 and 50 years. The object of study was the patients diagnosed with pulpitis, both types: acute and chronic Results. Following the practical application of modern methods of three-dimensional filling of the endodontic system, patients received adequate treatment, obtaining a tight filling without empty spaces, demonstrating the effectiveness of using modern methods in endodontic treatment. The results of this study have shown us that it is very important to consider that the percentage of success and prognosis of endodontic treatment depends directly on the ability of the filling to seal all communications of the canalicular system with the desmodontal space Conclusions. Following the study of the national and international literature and the practical application of the modern methods of filling the endodontic complex, we found that we can obtain a good and stable three-dimensional seal. The results obtained from the study have shown that we can achieve the elimination of root canal content using a correct treatment technique, by using of the medicinal materials and substances present at this time, and not least by the correct choice of the method of fillingthe endodontic space at the final stage. Compliance with the clinical protocol in the activity helps us to obtain an efficient, three-dimensional filling, without post-treatment complications.