PREVALENCE OF PERIAPICAL TISSUE DISEASES
Abstract and keywords
Abstract (English):
The epidemiological aspects of endodontics in comparison with the epidemiology of caries have been insufficiently studied, especially in our country. Aim. The purpose of this work is to assess the endodontic status of patients depending on the level of dental caries resistance. Material and methods. We, based on clinical observations, put forward an assumption about the relationship between the frequency and nature of complications of caries and the level of their resistance to disease according to Nedosenko V.B. The subject of our study was to test this assumption on factual material. The materials of the study were medical documents of 292 patients treated for diseases of the periapical tissues. Orthopantomograms of these patients were analyzed. Methods of statistical analysis were used for assessments and conclusions: Kullback's information statistics and the difference method. Results. When considering the relationship between complications of caries and levels of resistance, an inverse relationship was found, that is, among persons with an average level of dental resistance to caries, the frequency of complicated forms is much lower than among persons with low and very low (p < 0.001). Most often, diseases of the periapical tissues with a destructive process in the periodontium occurred in persons with a low level of resistance. The frequency of diagnostics of destructive periodontitis arising without endodontic treatment and periodontitis arising after endodontic treatment in patients with an average level of resistance is lower than in patients with a low level of resistance. Discussions. The lower the level of resistance of teeth to caries, the more often untreated periodontitis is detected, more often destructive periodontitis occurs as an outcome of endodontic treatment for pulpitis. Conclusions. The data we have obtained allow us to increase the effectiveness of caries treatment, taking into account the level of tooth resistance.

Keywords:
diseases of periapical diseases, complications of caries, prevalence, endodontic status, resistance, periodontitis
References

1. Borovskiy E.V. Klinicheskaya endodontiya. Moskva : Stomatologiya. 1999:176. [E.V. Borovskiy. Clinical endodontics. Moscow : Stomatology. 1999:176. (In Russ.)].

2. Vetkova K.V., Borisenko M.A., Chekina A.V. Fagocitarnaya aktivnost' leykocitov pri hronicheskih formah apikal'nogo periodontita. Omskiy nauchnyy vestnik. 2014;128(1):14-17. [K.V. Vetkova, M.A. Borisenko, A.V. Chekina. Phagocytic activity of leukocytes in chronic forms of apical periodontitis. Omsk Scientific Bulletin. 2014;128(1):14-17. (In Russ.)].

3. Volozhin A.I., Sashkina T.I., Savchenko Z.I. Immunitet, tipovye formy ego narusheniya i principy korrekcii. Metodicheskoe posobie po patologicheskoy fiziologii i immunologii. Moskva. 1995:100. [A.I. Volozhin, T.I. Sashkina, Z.I. Savchenko. Immunity, typical forms of its violation and principles of correction. Methodical manual on pathological physiology and immunology. Moscow. 1995:100. (In Russ.)].

4. Glanc S. Mediko-biologicheskaya statistika. Moskva. 1999:459. [S. Glantz. Biomedical statistics. Moscow. 1999:459. (In Russ.)].

5. Dmitrieva L.A., Maksimovskiy Yu.M. Terapevticheskaya stomatologiya. Hacional'noe rukovodstvo. Moskva. 2009:912. [L.A. Dmitrieva, Yu.M. Maksimovsky. Therapeutic dentistry: national guidelines. Moscow. 2009:912. (In Russ.)].

6. Dolgov V.V., Men'shikov V.V. Klinicheskaya laboratornaya diagnostika. Nacional'noe rukovodstvo. T.1. Moskva : GEOTAR-Media. 2012:928. [V.V. Dolgov, V.V. Menshikov. Clinical laboratory diagnostics. National guideline. Vol.1. Moscow : GEOTAR-Media. 2012:928. (In Russ.)].

7. Zaks L. Statisticheskoe ocenivanie. Moskva : Statistika. 1976:573. [L. Zachs. Statistical estimation. Moscow : Statistics. 1976:573. (In Russ.)].

8. Koen C., Bernc R. Endodontiya. Sankt-Peterburg : Interlayn. 2000:696. [S. Cohen, R. Berns. Endodontie. St.-Petersburg : Interline. 2000:696. (In Russ.)].

9. Kuratov I.A., Nagaeva M.O., Korneeva M.V., Surkov M.A. Analiz prichin neudach endodonticheskogo lecheniya i udaleniya zubov s diagnozom "hronicheskiy apikal'nyy periodontit". Problemy stomatologii. 2019;15-1:28-32. [I.A. Kuratov, O.M. Nagaeva, M.V. Korneeva, M.A. Surkov. Analysis of the causes of failure of endodontic treatment and the causes of tooth extraction with a diagnosis of chronic apical periodontitis. Actual problems in dentistry. 2019;15-1:28-32 (In Russ.)]. https://www.elibrary.ru/item.asp?id=37602576

10. Kuratov I.A., Nagaeva M.O. Kliniko-rentgenologicheskaya ocenka effektivnosti lecheniya apikal'nogo periodontita s primeneniem avtorskoy metodiki vakuumno-struynoy irrigacii kornevyh kanalov. Problemy stomatologii. 2016;12-1:31-38.[I.A. Kuratov, M.O. Nagaeva. Clinical and radiographic evaluation of the effectiveness of treatment of apical periodontitis with the use of the author’s technique of vacuum-bolus irrigation of root canals. Actual problems in dentistry. 2016;12-1:31-38. (In Russ.)]. https://www.elibrary.ru/item.asp?id=25781401

11. Lamont R.Dzh., Berne R.A., Lantc M.S., Leblank, D.Dzh. Mikrobiologiya i immunologiya dlya stomatologov. Moskva : Prakticheskaya medicina. 2010:504. [R. Dzh. Lamont, R.A. Berne, M.S. Lantc, D.Dzh. Leblank. Microbiology and immunology for dentists. Moscow : Practical medicine. 2010:504. (In Russ.)].

12. Mandra Yu.V., Vlasova M.I. Vozmozhnosti profilaktiki postoperacionnoy giperestezii s primeneniem diodnogo lazera pri lechenii kariesa zubov prisheechnoy lokalizacii. Problemy stomatologii. 2011;2:16-18. [Yu.V. Mandra, M.I. Vlasova. Possibilities of postoperative teeth hypersensivity prevention using diode laser while treatment of cervical carious lesions. Actual problems in dentistry. 2011;2:16-18. (In Russ.)]. https://elibrary.ru/item.asp?id=16324161

13. Nedoseko V.B. Rezistentnost' zubov v probleme kariesa: (kliniko-laboratornoe issledovanie) : dis. … d-ra med. nauk. Omsk, 1987:541. [V.B. Nedoseko. Resistance of teeth in the problem of caries: clinical laboratory research : dis. ... dr. med. sciences. Omsk, 1987:541. (In Russ.)].

14. Nikolishin A.K. Sovremennaya endodontiya prakticheskogo vracha. Poltava. 2003:208. [A.K. Nikolishin. Modern endodontics of a practical doctor. Poltava. 2003:208. (In Russ.)].

15. Novikov D.K., Novikova V.I. Ocenka immunnogo statusa. Moskva ; Vitebsk. 1996:281. [D.K. Novikov, V.I. Novikova. Assessment of the immune status. Moscow ; Vitebsk. 1996:281. (In Russ.)].

16. Ovruckiy G.D. Immunologicheskie mehanizmy zaschity protiv kariesa zubov. Profilaktika i lechenie bolezney zubov i parodonta : nauchnye trudy. Kazan'. 1988;69:3-8. [G.D. Ovrutskiy. Immunological mechanisms of protection against dental caries. Prevention and treatment of teeth and periodontal disease. Kaza. 1988;69:3-8. (In Russ.)].

17. Petrikas A.Zh., Zaharova E.L., Ol'hovskaya E.B., Chestnyh E.V. Rasprostranennost' oslozhneniy kariesa zubov. Stomatologiya. 2014;93(1):19-20. [A.Zh. Petrikas, E.L. Zakharova, E.B. Olkhovskaya, E.V. Honest. Prevalence of complications of dental caries. Dentistry. 2014;93(1):19-20. (In Russ.)].

18. Petrikas A.Zh. Pul'pektomiya. Moskva : Al'fa-Press. 2006:300. [A.Zh. Petrikas. Pulpotomy. Moscow : Alfa-Press. 2006:300. (In Russ.)].

19. Petrov R.V. Immunologiya. Moskva : Medicina. 1982:416. [R.V. Petrov. Immunology. Moscow : Medicine. 1982:416. (In Russ.)].

20. Ron' G.I., Dubrova N.A. Opyt primeneniya innovacionnyh tehnologiy v lechenii verhushechnogo periodontita. Endodontiya Today. 2009;1:3-5. [G.I. Ron, N.A. Dubrova. Experience of using innovative technologies in the treatment of apical periodontitis. Endodontology Today. 2009;1:3-5. (In Russ.)].

21. Tronstad L. Klinicheskaya edodontiya. Moskva : MEDpress-inform. 2009:288. [L. Tronstad. Clinical endodontics. Moscow : MEDpress-inform. 2009:288. (In Russ.)].

22. Yarilin A.A. Immunologiya. Moskva : GEOTAR-Media. 2010:752. [A.A. Yarilin. Immunology. Moscow : GEOTAR-Media. 2010:752. (In Russ.)].

23. Albandar J.M., Brunelle J.A., Kingman A. Destructive periodontal disease in adults 30 years of age and older in the United States, 1988-1994 // J. Periodontol. – 1999;70:13.

24. Bjarnsholt T. The role of bacterial biofilms in chronic infections // APMIS Suppl. – 2013;136:1-51. https://doi.org/10.1111/apm.12099

25. Brook I. Microbiology and management of periodontal infection // Gen. Dent. – 2003;51(5):424-428.

26. Eke P.I., Thornton-Evans G.O., Wei L, Borgnakke W.S, Dye B.A., Genco R.J. Periodontitis in US Adults: National Health and Nutrition Examination Survey 2009-2014 // J. Am. Dent. Assoc. – 2018;149(7):576-588. https://doi.org/10.1016/j.adaj.2018.04.023

27. Kassebaum N.J., Smith A.G.C, Bernabé E., Fleming T.D., Reynolds A.E., Vos T., Murray C.J.L, Marcenes W. Global, Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990-2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors // J. Dent. Res. – 2017;96(4):380-387. https://doi.org/10.1177/0022034517693566

28. Machin D., Cheung Y., Palmar M. Survival Analysis: A Practical Approach. 2-nd ed. London. 2006:261.

29. Tan C.X.W., Brand H.S., Kalender B., De Boer N.K.H., Forouzanfar T., de Visscher J.G.A.M. Dental and periodontal disease in patients with inflammatory bowel disease // Clin. Oral Investig. – 2021. doi: 10.1007/s00784-021-03835-6