Analysis of dynamic changing of radiological picture of periapical odontogenic processes of the jaws after different methods of dental treatment

Abstract

Purpose. To assess dynamic changes of radiological picture of periapical odontogenic processes after various methods of dental treatment - endodontic and surgical - to predict long-term results. Materials and methods. A total of 10 patients with periapical odontogenic processes of the jaws were treated on the basis of the Institute of dentistry of Sechenov University for 2 years from 2016 to 2018: 5 (50%) underwent endodontic treatment and 5 (50%) carried on operations. Radiological methods were provided before intervention, in the process (during dental canal treatment), in 6 and 12 months after manipulations. Results. Analyzed obtained research data were revealed positive effect of both methods -endodontic and surgical - for clinical and X-ray regression of the inflammatory focus, alike an increasing of bone density with a reduction of the discharge zone according to radiological examination in 6 months in all 10 cases (100%), the complete disappearance of the focus and the achievement of a density equal to the intact surrounding bone in 8 patients (80%). The absence of 100% positive long-term results in the treatment of periapical odontogenic processes in dentistry concerns both endodontic and surgical procedures because of the first is not always possible completely to eliminate the focus of infection, and the latter are associated with the presence of general operational risk and do not guarantee the duration of a positive outcome. Conclusion. Radiological method of examination plays important role in assessing of dynamic changes in the affected periapical area after dental treatment, along with clinical examination.