Osteoplastic material from demineralized of allocate in the treatment of primary and acute pulpitis in children
https://doi.org/10.33925/1683-3031-2020-20-2-105-108
Abstract
Relevance. Initial and acute forms of pulpitis are fairly common diseases and require urgent treatment. Existing methods of endodontic treatment do not have sufficient efficiency and the introduction of new methods and drugs is required to improve the effectiveness of the treatment.
Purpose. Improving the effectiveness of treatment of initial and acute pulpitis of permanent teeth in children using allogeneic demineralized plastic material (CPM).
Materials and methods. The surface structure of a demineralized bone graft (DCT) and an allogeneic composite plastic material (CPM) were studied by scanning electron microscopy (SEM Philips SEM 515) with an EDAX microanalysis prefix . In the clinic, CPM was used in 10 patients aged 9 to 15 years in the treatment of pulpitis of permanent teeth with unformed roots.
Results. The morphological structure of alloplastic material is fine-pored , with pore sizes of 10-20 microns, uneven, with protrusions and depressions, sometimes with a pore size of up to 250 microns. Clinical laboratory and radiological methods of research in children in the long term up to 3 years have confirmed the effectiveness of CPM in the biological method of treatment of pulpitis in children. In 9 patients, a positive result was obtained with the preservation of pulp viability and the formation of dental roots.
Conclusions. Allogeneic bone-plastic material, which has osteoplastic and antimicrobial properties in the treatment of pulpitis in children, allows to preserve the viability of the pulp and the possibility of full-fledged formation of tooth roots.
About the Authors
I. A. KirillovaRussian Federation
Kirillova Irina А., DSc, Professor, Deputy scientific Director
Novosibirsk
P. A. Zhelezny
Russian Federation
Zhelezny Pavel А., DSc, Professor, head of the Department of pediatric dentistry
Novosibirsk
A. P. Zheleznaya
Russian Federation
Zheleznaya Anna Р., PhD, Associate Professor of the Department of pediatric dentistry
Novosibirsk
T. I. Chebakova
Russian Federation
Chebakova Tamara I., PhD, Associate Professor of the Department of pediatric dentistry
Novosibirsk
Yu. P. Sharkeev
Russian Federation
Sharkeev Yuri Р., DSc, Professor of the laboratory of nanostructured biocomposites physics
Tomsk
References
1. P. A. Zhelezny, T. V. Efimova. Inflammatory diseases of the maxillofacial region in children. A textbook. The NGMU, Novosibirsk 2007; 175. (In Russ.). https://www.elibrary.ru/item.asp?id=19542106.
2. P. A. Zhelezny. T. V. Borodina, O. I. Anufrieva, A. K. Bazin. Therapeutic dentistry of children's age. A textbook. The NGMU, Novosibirsk. 2007; 306 (In Russ.). https://www.elibrary.ru/item.asp?id=19541904.
3. P. A. Zhelezny, E. Yu. Rusakova, K. S. Schelkunov, E. Yu. Apraksina. The State of factors of local immunity of the oral cavity in the process of complex orthodontic treatment. Pacific medical journal. 2013;1:26-28. (In Russ.). https://www.elibrary.ru/item.asp?id=20191562.
4. I. A. Kirilova. Osteoinductive properties of new bone-plastic materials. Technologies of living systems. 2008;5;2-3:16-24. (In Russ.). https://www.elibrary.ru/item.asp?id=11151338.
5. I. A. Kirilova, V. T. Podorozhnaya. Method of preparation of bioactive bone-plastic material. Patent for the invention RUS 2344826 24.04.2007. (In Russ.). https://www.elibrary.ru/item.asp?id=37543121.
6. I. A. Kirilova, V. T. Podorozhnaya, L. N. Tupikova, S. E. Akimova. Method of treatment of chronic fibrous pulpitis of permanent teeth with unformed roots. Patent for the invention RUS 2566202 17.10.2014. (In Russ.). https://www.elibrary.ru/item.asp?id=37457832.
7. T. G. Petrova, P. A. Zhelezny, K. O. Samoilov, A. P. Zheleznaya, S. E. Akimova. Application of antibacterial pastes in endodontic treatment of destructive forms of chronic periodontitis. Endodontics Today. 2012;1:36-39. (In Russ.). https://www.elibrary.ru/item.asp?id=17657157.
Review
For citations:
Kirillova I.A., Zhelezny P.A., Zheleznaya A.P., Chebakova T.I., Sharkeev Yu.P. Osteoplastic material from demineralized of allocate in the treatment of primary and acute pulpitis in children. Pediatric dentistry and dental prophylaxis. 2020;20(2):105-108. (In Russ.) https://doi.org/10.33925/1683-3031-2020-20-2-105-108