Effectiveness of endodontic treatment in patients with generalized periodontitis with prevention of parasympathetic nervous system reactions

Abstract

Topicality. The prevalence of caries complications (pulpitis and periodontitis) in the population of Ukraine reaches 75-78%. According to date, endodontic treatment is at a high level, but due to some financial difficulties, the population of Ukraine is not receiving it in appropriate level. Improving the quality of endodontic treatment of periodontitis, especially acute and exacerbated ones, is an urgent problem of therapeutic dentistry. Nowadays, the development of treatment methods taking into account the condition of the patient's autonomic nervous system is quite relevant. Purpose. To determine the effectiveness of drug treatment in patients with exacerbated chronic periodontitis and endodontic treatment of teeth with II stage exacerbated course of generalized periodontitis, taking into account the state of the autonomic nervous system, in particular with the predominance of the parasympathetic nervous system. Material and methods. For the clinical study, 30 patients with exacerbated II grade perio-dontitis with periodontal lesions (exacerbated chronic periodontitis) with predominance of the parasympathetic nervous system were selected. Endodontic treatment of 25 teeth with acute course of II grade of generalized periodontitis and 10 teeth with perio-dontal-periodontal lesions (teeth with signs of exacerbated chronic periodontitis) was conducted in the main group of patients, with a predominance of the parasympathetic section of the autonomic nervous system. The comparison group consisted of 20 patients with predomi-nance of parasympathetic section of autonomic nervous system, which received endodontic treatment of generalized periodontitis (25 teeth) and exacerbated chronic periodontitis (10 te-eth), using conventional methods of treatment. All patients were examined using clinical methods. Results and discussion. The use of the proposed method of endodontic treatment with pre-medication showed a certain decrease in pain in patients after endodontic treatment. X-ray showed complete filling of root canals in all teeth. The statistical analysis showed a greater effectiveness of endodontic treatment in patients in the main group, who under-went premedication. Conclusions. Conducted clinical study and statistical analysis show the effectiveness of the proposed medicamental premedication during endodontic treatment of teeth in patients with prevalence of parasympathetic section of the autonomic nervous system.