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 <front>
  <journal-meta>
   <journal-id journal-id-type="publisher-id">Actual problems in dentistry</journal-id>
   <journal-title-group>
    <journal-title xml:lang="en">Actual problems in dentistry</journal-title>
    <trans-title-group xml:lang="ru">
     <trans-title>Проблемы стоматологии</trans-title>
    </trans-title-group>
   </journal-title-group>
   <issn publication-format="print">2077-7566</issn>
   <issn publication-format="online">2412-9461</issn>
  </journal-meta>
  <article-meta>
   <article-id pub-id-type="publisher-id">71703</article-id>
   <article-id pub-id-type="doi">10.18481/2077-7566-2023-19-3-85-90</article-id>
   <article-categories>
    <subj-group subj-group-type="toc-heading" xml:lang="ru">
     <subject>СТОМАТОЛОГИЯ ДЕТСКОГО ВОЗРАСТА, ПРОФИЛАКТИКА И ОРТОДОНТИЯ</subject>
    </subj-group>
    <subj-group subj-group-type="toc-heading" xml:lang="en">
     <subject>PEDIATRIC DENTISTRY, PROPHILAXIS AND ORTODONTICS</subject>
    </subj-group>
    <subj-group>
     <subject>СТОМАТОЛОГИЯ ДЕТСКОГО ВОЗРАСТА, ПРОФИЛАКТИКА И ОРТОДОНТИЯ</subject>
    </subj-group>
   </article-categories>
   <title-group>
    <article-title xml:lang="en">COMPLICATED CARIES IN PERMANENT IMFORMED TEETH IN CHILDREN: EFFECTIVENESS OF TREATMENT</article-title>
    <trans-title-group xml:lang="ru">
     <trans-title>ОСЛОЖНЕННЫЙ КАРИЕС В ПОСТОЯННЫХ НЕСФОРМИРОВАННЫХ ЗУБАХ У ДЕТЕЙ: ЭФФЕКТИВНОСТЬ ЛЕЧЕНИЯ</trans-title>
    </trans-title-group>
   </title-group>
   <contrib-group content-type="authors">
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Ожгихина</surname>
       <given-names>Наталья Владленовна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Ozhgihina</surname>
       <given-names>Natalia V.</given-names>
      </name>
     </name-alternatives>
     <email>agat325@mail.ru</email>
     <bio xml:lang="ru">
      <p>кандидат медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>candidate of medical sciences;</p>
     </bio>
     <xref ref-type="aff" rid="aff-1"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Терешкина</surname>
       <given-names>Дарья Григорьевна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Tereshkina</surname>
       <given-names>Daria G.</given-names>
      </name>
     </name-alternatives>
     <email>dashulya.tereshkina@mail.ru</email>
     <xref ref-type="aff" rid="aff-2"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Брусницына</surname>
       <given-names>Елена Викторовна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Brusnitsyna</surname>
       <given-names>Elena V.</given-names>
      </name>
     </name-alternatives>
     <email>lb1@mail.ru</email>
     <bio xml:lang="ru">
      <p>кандидат медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>candidate of medical sciences;</p>
     </bio>
     <xref ref-type="aff" rid="aff-1"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Иощенко</surname>
       <given-names>Евгений Сергеевич</given-names>
      </name>
      <name xml:lang="en">
       <surname>Ioshenko</surname>
       <given-names>Evgeniy S.</given-names>
      </name>
     </name-alternatives>
     <email>ioshenko@yandex.ru</email>
     <bio xml:lang="ru">
      <p>кандидат медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>candidate of medical sciences;</p>
     </bio>
     <xref ref-type="aff" rid="aff-1"/>
    </contrib>
   </contrib-group>
   <aff-alternatives id="aff-1">
    <aff>
     <institution xml:lang="ru">Уральский государственный медицинский университет</institution>
    </aff>
    <aff>
     <institution xml:lang="en">Ural State Medical University</institution>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-2">
    <aff>
     <institution xml:lang="ru">Уральский государственный медицинский университет</institution>
     <city>Екатеринбург</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Ural State Medical University</institution>
     <city>Yekaterinburg</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <pub-date publication-format="print" date-type="pub" iso-8601-date="2023-11-30T13:23:46+03:00">
    <day>30</day>
    <month>11</month>
    <year>2023</year>
   </pub-date>
   <pub-date publication-format="electronic" date-type="pub" iso-8601-date="2023-11-30T13:23:46+03:00">
    <day>30</day>
    <month>11</month>
    <year>2023</year>
   </pub-date>
   <volume>19</volume>
   <issue>3</issue>
   <fpage>85</fpage>
   <lpage>90</lpage>
   <history>
    <date date-type="received" iso-8601-date="2023-11-17T00:00:00+03:00">
     <day>17</day>
     <month>11</month>
     <year>2023</year>
    </date>
   </history>
   <self-uri xlink:href="https://dental-press.ru/en/nauka/article/71703/view">https://dental-press.ru/en/nauka/article/71703/view</self-uri>
   <abstract xml:lang="ru">
    <p>Представлен обзор литературы, посвященной проблеме осложненного кариеса в постоянных зубах с несформированными корнями у детей, которая является одной из основных в детской стоматологии. Проанализированы собственные клинические случаи лечения осложненного кариеса у детей в зубах с несформированными корнями.&#13;
Цель — оценить эффективность методов лечения осложненного кариеса в постоянных несформированных зубах у детей. &#13;
Методология. Проведен обзор научных работ в медицинских ресурсах PubMED, MEDLINE, eLibrary.ru, Complete, Scopus, Springer. В статье приведены два клинических случая применения метода прямого покрытия пульпы в зубе 2.4 у девочки 8 лет и метода реваскуляризации в зубе 1.1 у девочки 7 лет. &#13;
Результаты. Данные клинических случаев свидетельствуют о том, что метод прямого покрытия пульпы эффективен даже при достаточном выраженном разрушении постоянного зуба и способствует полноценному формированию корня, а метод реваскуляризации способствует развитию корня даже в случаях, когда в формирующемся зубе повреждена ростковая зона корня и адекватное лечение начато через длительное время.&#13;
Выводы. Литературные источники и клинические случаи показывают высокую выживаемость зубов с несформированными корнями при осложненном течении кариеса и дальнейшее функционирование зубов в течение длительного времени. Наиболее часто при лечении зубов с несформированными корнями и некротизированной пульпой применяют метод, направленный на апексификацию, но тем не менее перспективной заменой для лечения зубов с апикальным периодонтитом является метод реваскуляризации.</p>
   </abstract>
   <trans-abstract xml:lang="en">
    <p>A literature review is presented on the problem of complicated tooth decay in permanent teeth with unformed roots in children, which is one of the main ones in pediatric dentistry.&#13;
Objectives — to evaluate the effectiveness of treatment methods for complicated caries in permanent immature teeth in children.&#13;
Methodology. A review of scientific papers in the medical resources PubMED, MEDLINE, eLibrary.ru, Complete, Scopus, Springer was conducted. The article presents two clinical cases using: the method of direct coating of pulp in the tooth 2.4 in a girl 8 years old; method of revascularization in the tooth 1.1 in a girl 7 years old.&#13;
Results. These clinical cases indicate that the method of direct coating of pulp is effective even with sufficient pronounced destruction of the permanent tooth and contributes to the full formation of the root, and the method of revascularization contributes to the development of the root even in cases where the sprout zone of the root is damaged in the forming tooth, adequate treatment was started after a long period of time.&#13;
Conclusions. Literary sources and clinical cases show the high survival rate of teeth with unformed roots with complicated caries and the further functioning of teeth for a long time. Most often, when treating teeth with unformed roots and necrotic pulp, a method aimed at apexification is used, but nevertheless, a promising replacement for the treatment of teeth with apical periodontitis is the revascularization method.</p>
   </trans-abstract>
   <kwd-group xml:lang="ru">
    <kwd>осложненный кариес</kwd>
    <kwd>несформированные постоянные зубы</kwd>
    <kwd>некротизированная пульпа</kwd>
    <kwd>апексификация</kwd>
    <kwd>реваскуляризация</kwd>
    <kwd>МТА</kwd>
    <kwd>гидроксид кальция</kwd>
   </kwd-group>
   <kwd-group xml:lang="en">
    <kwd>complicated caries</kwd>
    <kwd>immature permanent teeth</kwd>
    <kwd>necrotic pulp</kwd>
    <kwd>apexification</kwd>
    <kwd>revascularization</kwd>
    <kwd>MTA</kwd>
    <kwd>calcium hydroxide</kwd>
   </kwd-group>
  </article-meta>
 </front>
 <body>
  <p></p>
 </body>
 <back>
  <ref-list>
   <ref id="B1">
    <label>1.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Ахмет Арас, Мехмет Синан Дога. Распространенность и тяжесть кариеса в незрелых постоянных первых молярах в городе Шанлыурфа, Турция. Коренные зубы в городе Шанлыурфа, Турция. Журнал стоматологии Индонезии. 2020;27(1):13-16 [Ahmet Aras, Mehmet Sinan Doga. Prevalence and severity of caries in immature permanent first molars in Sanliurfa, Turkey. Molars in Sanliurfa, Türkiye. Indonesian Journal of Dentistry. 2020;27(1):13-16. (In Russ.)]. Doi: 10.14693/jdi.v27i1.1114.</mixed-citation>
     <mixed-citation xml:lang="en">Ahmet Aras, Mehmet Sinan Doga. Rasprostranennost' i tyazhest' kariesa v nezrelyh postoyannyh pervyh molyarah v gorode Shanlyurfa, Turciya. Korennye zuby v gorode Shanlyurfa, Turciya. Zhurnal stomatologii Indonezii. 2020;27(1):13-16 [Ahmet Aras, Mehmet Sinan Doga. Prevalence and severity of caries in immature permanent first molars in Sanliurfa, Turkey. Molars in Sanliurfa, Türkiye. Indonesian Journal of Dentistry. 2020;27(1):13-16. (In Russ.)]. Doi: 10.14693/jdi.v27i1.1114.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B2">
    <label>2.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Гутман Д.Л., Думша Т.С., Ловдэл П.Э. Решение проблем эндодонтии. Москва : МЕДпрессинформ. 2008:592. [D.L. Gutman, T.S. Dumsha, P.E. Lovdel. Solving endodontic problems. Moscow : MEDpressinform. 2008:592. (In Russ.)]. https://olea.com.ua/content/reshenie-problem-v-endodontii-profilaktika-diagnostika-i-lechenie-dzhl-gutman-ts-dumsha-pe</mixed-citation>
     <mixed-citation xml:lang="en">Gutman D.L., Dumsha T.S., Lovdel P.E. Reshenie problem endodontii. Moskva : MEDpressinform. 2008:592. [D.L. Gutman, T.S. Dumsha, P.E. Lovdel. Solving endodontic problems. Moscow : MEDpressinform. 2008:592. (In Russ.)]. https://olea.com.ua/content/reshenie-problem-v-endodontii-profilaktika-diagnostika-i-lechenie-dzhl-gutman-ts-dumsha-pe</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B3">
    <label>3.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Deepak S., Nivedhita M.S. Clinical practice, recommendations and protocols for revascularization procedures - a review // J. Pharm. Sci. and Res. - 2017;9(11):2089-2092.  https://www.researchgate.net/publication/321889764_Clinical_practice_and_guidelines_and_protocols_for_revascularization_procedure_-_A_review</mixed-citation>
     <mixed-citation xml:lang="en">Deepak S., Nivedhita M.S. Clinical practice, recommendations and protocols for revascularization procedures - a review // J. Pharm. Sci. and Res. - 2017;9(11):2089-2092.  https://www.researchgate.net/publication/321889764_Clinical_practice_and_guidelines_and_protocols_for_revascularization_procedure_-_A_review</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B4">
    <label>4.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Жохова Н.С. Ошибки и обеспечение эндодонтического лечения и пути их ограничения. Дис. ... д-ра мед. наук. Москва. 2002:235. [N.S. Zhokhova. Errors and provision of endodontic treatment and ways to limit them. Dis. … dr. med. Science. Moscow. 2002:235. (In Russ.)]. https://medical-diss.com/medicina/oshibki-i-oslozhneniya-endodonticheskogo-lecheniya-i-puti-ih-ustraneniya</mixed-citation>
     <mixed-citation xml:lang="en">Zhohova N.S. Oshibki i obespechenie endodonticheskogo lecheniya i puti ih ogranicheniya. Dis. ... d-ra med. nauk. Moskva. 2002:235. [N.S. Zhokhova. Errors and provision of endodontic treatment and ways to limit them. Dis. … dr. med. Science. Moscow. 2002:235. (In Russ.)]. https://medical-diss.com/medicina/oshibki-i-oslozhneniya-endodonticheskogo-lecheniya-i-puti-ih-ustraneniya</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B5">
    <label>5.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Kim S.G., Malek M., Sigurdsson A., Lin L.M., Kahler B. Regenerative endodontics: a comprehensive review // Int Endod J. - 2018;51(12):1367-1388. Doi: 10.1111/iej.12954.</mixed-citation>
     <mixed-citation xml:lang="en">Kim S.G., Malek M., Sigurdsson A., Lin L.M., Kahler B. Regenerative endodontics: a comprehensive review // Int Endod J. - 2018;51(12):1367-1388. Doi: 10.1111/iej.12954.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B6">
    <label>6.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Li Y.,  Sui B., Dahl S., Bergeron B., Shipman P., Niu L., Chen J., Tay F.R. Pulpotomy for exposure of carious pulp in permanent teeth: a systematic review and meta-analysis // Jay Dent. - 2019;84:1-8. Doi: 10.1016/j.jdent.2019.03.010.</mixed-citation>
     <mixed-citation xml:lang="en">Li Y.,  Sui B., Dahl S., Bergeron B., Shipman P., Niu L., Chen J., Tay F.R. Pulpotomy for exposure of carious pulp in permanent teeth: a systematic review and meta-analysis // Jay Dent. - 2019;84:1-8. Doi: 10.1016/j.jdent.2019.03.010.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B7">
    <label>7.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Maltz M., Jardim J.J., Mestrinho H.D., Yamaguchi P.M., Podesta C., Moura M.S., de Paula L.M. Partial removal of carious dentin: a multicenter randomized controlled trial and 18-month follow-up results // Caries Res. - 2013;47(2):103-109.  Doi: 10.1159/000344013.</mixed-citation>
     <mixed-citation xml:lang="en">Maltz M., Jardim J.J., Mestrinho H.D., Yamaguchi P.M., Podesta C., Moura M.S., de Paula L.M. Partial removal of carious dentin: a multicenter randomized controlled trial and 18-month follow-up results // Caries Res. - 2013;47(2):103-109.  Doi: 10.1159/000344013.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B8">
    <label>8.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Murray P.E. Review of recommendations for the selection of methods of regenerative endodontics, apexogenesis, apexification, pulpotomy and other endodontic methods for the treatment of immature permanent teeth // Int Endod J. - 2023;56(2):188-199. Doi: 10.1111/iej.13809.</mixed-citation>
     <mixed-citation xml:lang="en">Murray P.E. Review of recommendations for the selection of methods of regenerative endodontics, apexogenesis, apexification, pulpotomy and other endodontic methods for the treatment of immature permanent teeth // Int Endod J. - 2023;56(2):188-199. Doi: 10.1111/iej.13809.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B9">
    <label>9.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Ramesani M., Sanai-Rad P., Hadjihassani N. Revascularization and vital pulp therapy of immature molars with necrotic pulp and irreversible pulpitis: a case report with a two-year follow-up // Clin Case Rep. - 2019;8(1):206-210. Doi: 10.1002/ccr3.2614.</mixed-citation>
     <mixed-citation xml:lang="en">Ramesani M., Sanai-Rad P., Hadjihassani N. Revascularization and vital pulp therapy of immature molars with necrotic pulp and irreversible pulpitis: a case report with a two-year follow-up // Clin Case Rep. - 2019;8(1):206-210. Doi: 10.1002/ccr3.2614.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B10">
    <label>10.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Рахманова М.С., Короленкова М.В. Современный подход к лечению постоянных зубов с несформированными корнями при некрозе пульпы. Стоматология детского возраста и профилактика. 2018;3. [M.S. Rakhmanova, M.V. Korolenkova. Modern approach to the treatment of immature permanent teeth with pulp necrosis. Pediatric dentistry and prevention. 2018;3. (In Russ.)]. DOI:10.25636/PMP.3.2018.3.7</mixed-citation>
     <mixed-citation xml:lang="en">Rahmanova M.S., Korolenkova M.V. Sovremennyy podhod k lecheniyu postoyannyh zubov s nesformirovannymi kornyami pri nekroze pul'py. Stomatologiya detskogo vozrasta i profilaktika. 2018;3. [M.S. Rakhmanova, M.V. Korolenkova. Modern approach to the treatment of immature permanent teeth with pulp necrosis. Pediatric dentistry and prevention. 2018;3. (In Russ.)]. DOI:10.25636/PMP.3.2018.3.7</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B11">
    <label>11.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Рикуччи Д., Сикейра Ж. Эндодонтология: Клинико-биологические аспекты. Часть 1. Москва : Азбука. 2015;428. [D. Ricucci, J. Siqueira. Endodontology: Clinical and biological aspects. Part 1. Moscow : Azbuka. 2015:428. (In Russ.)]. https://fileskachat.com/getfile/77423_a48b6242b8a4e10e0183a17212625a6d</mixed-citation>
     <mixed-citation xml:lang="en">Rikuchchi D., Sikeyra Zh. Endodontologiya: Kliniko-biologicheskie aspekty. Chast' 1. Moskva : Azbuka. 2015;428. [D. Ricucci, J. Siqueira. Endodontology: Clinical and biological aspects. Part 1. Moscow : Azbuka. 2015:428. (In Russ.)]. https://fileskachat.com/getfile/77423_a48b6242b8a4e10e0183a17212625a6d</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B12">
    <label>12.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Sabbagh S., Sarraf Shirazi A., Eghbal M.J. Vital pulp therapy of symptomatic immature permanent molars with long-term success // Iran Endod J Fall. - 2016;11(4):347-349. Doi: 10.22037/iej.2016.19.</mixed-citation>
     <mixed-citation xml:lang="en">Sabbagh S., Sarraf Shirazi A., Eghbal M.J. Vital pulp therapy of symptomatic immature permanent molars with long-term success // Iran Endod J Fall. - 2016;11(4):347-349. Doi: 10.22037/iej.2016.19.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B13">
    <label>13.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Thomson A., Kaler B. Regenerative endodontics - biologically based treatment of immature permanent teeth: case report and literature review // Aust Dent J. - 2010;55(4):446-452. Doi: 10.1111/j.1834-7819.2010.01268.x.</mixed-citation>
     <mixed-citation xml:lang="en">Thomson A., Kaler B. Regenerative endodontics - biologically based treatment of immature permanent teeth: case report and literature review // Aust Dent J. - 2010;55(4):446-452. Doi: 10.1111/j.1834-7819.2010.01268.x.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B14">
    <label>14.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">Ширяк Т.Ю., Салеев Р.А., Уразова Р.З. Клинико-организационные аспекты оказания стоматологической помощи детям с осложненным кариесом временных зубов. Российский педиатрический журнал. 2012;2:36-39. [T.Yu. Shiryak, R.A. Saleev, R.Z. Urazova. Clinical and organizational aspects of providing dental care to children with complicated caries of primary teeth. Russian pediatric journal. 2012;2:36-39. (In Russ.)]. https://cyberleninka.ru/article/n/kliniko-organizatsionnye-aspekty-okazaniya-stomatologicheskoy-pomoschi-detyam-s-oslozhnennym-kariesom-vremennyh-zubov/viewer</mixed-citation>
     <mixed-citation xml:lang="en">Shiryak T.Yu., Saleev R.A., Urazova R.Z. Kliniko-organizacionnye aspekty okazaniya stomatologicheskoy pomoschi detyam s oslozhnennym kariesom vremennyh zubov. Rossiyskiy pediatricheskiy zhurnal. 2012;2:36-39. [T.Yu. Shiryak, R.A. Saleev, R.Z. Urazova. Clinical and organizational aspects of providing dental care to children with complicated caries of primary teeth. Russian pediatric journal. 2012;2:36-39. (In Russ.)]. https://cyberleninka.ru/article/n/kliniko-organizatsionnye-aspekty-okazaniya-stomatologicheskoy-pomoschi-detyam-s-oslozhnennym-kariesom-vremennyh-zubov/viewer</mixed-citation>
    </citation-alternatives>
   </ref>
  </ref-list>
 </back>
</article>
