Abstract:
Introduction: Chronic periodontitis is an inflammation of the apical parodontium mainly
infectious etiology, manifested by chronic inflammation of the apical periodontal space and alveolar
bone demineralization, more or less extensive, diffuse. Streamlining and improving the methods of
treatment of chronic granulate periodontitis is one of the most actual problems of dentistry.
Purpose and Objectives: To study the methods of treatment of chronic granulate periodontitis
and to choose the best one, choosing tools and materials that will lead to the desired result. Materials and methods: In accordance with the purpose and objectives, conservative
treatment was performed on 18 patients with chronic granulating periodontitis. Treatment was
carried out in several visits, using a temporary filling material “Diapex” based on calcium
hydroxide and iodoform.
Results: Optimal type of treatment of this pathology is the endodontic technique while a surgical
method is more traumatic for the patient. The endodontic technique includes instrumental removal of
necrotic debris from the root canal, antiseptic irrigation and 3Dimensional obturation of edodontic
space. The evacuation of disaggregated masses in periodontitis is effectuated by using several steps, part
by part, without pressure, under the protection of antiseptic, to not to push the necrotic contents in
periapical tissues. Currently the most common root canal irrigation solution is considered sodium
hypochlorite. The combination of ultrasonic energy with this antiseptic solution increases its
effectiveness. Final filling of root canals can be performed only when the tooth is asymptomatic and his
endodontic space can be dried. In other case the temporary obturation is recommended. The most often
it is efectuated by the pastes based on calcium hydroxide having the following properties: it has
antimicrobial activity, have the ability to remove persistent apical secretions, stimulates the formation of
calcified tissue, accelerates the decomposition of necrotized masses.
Conclusion: Successful treatment of chronic granulate periodontitis depends on the strict
compliance of requirements that need to be respected during each stage separately. The use of
sodium hypochlorite in combination with ultrasound and with the drugs based on the calcium
hydroxide increases the effectiveness of the treatment of chronic granulate periodontitis.
Description:
Department of therapeutic stomatology, State
Medical and Pharmaceutical University “Nicolae Testemitanu”, Chisinau, Republic of Moldova
