COMPREHENSIVE THERAPY OF ENDO-PERIODONTAL LESIONS: MOVING STEP BY STEP TOWARDS COMPLETE FUNCTIONAL REHABILITATION OF PATIENTS WITH COMBINED PATHOLOGY
Endo-periodontal lesions present a topical issue in modern dentistry and occupy a special place in clinical practice, as they require both endodontic and parodontal therapy. Objective. The aim of the article is to create conditions to preserve the natural teeth of patients with endo-periodontal...
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Poltava State Medical University
2024-10-01
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| Series: | Український стоматологічний альманах |
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| Online Access: | https://dental-almanac.org/index.php/journal/article/view/678 |
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| author | Yu.O. Kinash L.V. Kinash |
| author_facet | Yu.O. Kinash L.V. Kinash |
| author_sort | Yu.O. Kinash |
| collection | DOAJ |
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Endo-periodontal lesions present a topical issue in modern dentistry and occupy a special place in clinical practice, as they require both endodontic and parodontal therapy.
Objective. The aim of the article is to create conditions to preserve the natural teeth of patients with endo-periodontal syndrome and to improve the rehabilitation of these patients by using a combination of endodontic therapeutic approaches for the affected teeth, bone augmentation with osteoplastic materials, and the restoration of functional occlusion using CAD CAM technologies, with objective confirmation of the application of comprehensive therapy for endo-periodontal lesions.
Materials and Methods. Comprehensive therapy was conducted at the Dental Medical Center of Danylo Halytsky Lviv National Medical University for 65 patients aged 22 to 70 years (27 males, representing 41.54% (p<0.05), and 38 females, representing 58.46% (p<0.05)) with endo-periodontal pathology. The comprehensive therapy included endodontic treatment of the affected teeth (both conservative and surgical interventions), bone augmentation (depending on the extent of the lesion), and occlusal rehabilitation with the restoration of group function on the laterotrusion side performed by all working side teeth using CAD/CAM technology.
Results and Discussion. According to Table 1, the 65 patients were divided into age groups, each marked by a corresponding color. The green color marked two age groups (young and I-mature age), comprising 23 individuals (35.38% (p<0.05)) of both sexes. The yellow color marked the II-mature age, aged 41 to 50 years, comprising 10 individuals (15.38% (p<0.05)) of both sexes. The orange color marked the middle-aged patients, aged 51 to 60 years, comprising 19 individuals (29.23% (p<0.05)) of both sexes. The red color marked the elderly group, aged 61 to 70 years, comprising 13 individuals (20% (p<0.05)) of both sexes. The coefficient of concordance demonstrates the importance of the therapy we conducted with the possibility of predicting its outcomes, mathematically confirming and equating the data with index analysis. Thus, we derive a systematic assessment of the conducted comprehensive therapy.
The development of a comprehensive therapy algorithm for endo-periodontal lesions requires a complex approach and the combination of endodontic treatment methods, bone augmentation of the alveolar processes of the maxilla and mandible, and the restoration or preservation of the integrity of the dental arches with the restoration of functional occlusion. All this requires real and prognostic vision, supported by mathematical analysis and the calculation of a concordance coefficient for the methods of comprehensive therapy of endo-periodontal lesions.
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| format | Article |
| id | doaj-art-19e27af3d2084690afedf77bc8a21972 |
| institution | Kabale University |
| issn | 2409-0255 2410-1427 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Poltava State Medical University |
| record_format | Article |
| series | Український стоматологічний альманах |
| spelling | doaj-art-19e27af3d2084690afedf77bc8a219722025-08-20T03:58:07ZengPoltava State Medical UniversityУкраїнський стоматологічний альманах2409-02552410-14272024-10-01310.31718/2409-0255.3.2024.04678COMPREHENSIVE THERAPY OF ENDO-PERIODONTAL LESIONS: MOVING STEP BY STEP TOWARDS COMPLETE FUNCTIONAL REHABILITATION OF PATIENTS WITH COMBINED PATHOLOGYYu.O. Kinash0L.V. Kinash1Danylo Halytsky Lviv National Medical University, Lviv, UkraineDanylo Halytsky Lviv National Medical University, Lviv, Ukraine Endo-periodontal lesions present a topical issue in modern dentistry and occupy a special place in clinical practice, as they require both endodontic and parodontal therapy. Objective. The aim of the article is to create conditions to preserve the natural teeth of patients with endo-periodontal syndrome and to improve the rehabilitation of these patients by using a combination of endodontic therapeutic approaches for the affected teeth, bone augmentation with osteoplastic materials, and the restoration of functional occlusion using CAD CAM technologies, with objective confirmation of the application of comprehensive therapy for endo-periodontal lesions. Materials and Methods. Comprehensive therapy was conducted at the Dental Medical Center of Danylo Halytsky Lviv National Medical University for 65 patients aged 22 to 70 years (27 males, representing 41.54% (p<0.05), and 38 females, representing 58.46% (p<0.05)) with endo-periodontal pathology. The comprehensive therapy included endodontic treatment of the affected teeth (both conservative and surgical interventions), bone augmentation (depending on the extent of the lesion), and occlusal rehabilitation with the restoration of group function on the laterotrusion side performed by all working side teeth using CAD/CAM technology. Results and Discussion. According to Table 1, the 65 patients were divided into age groups, each marked by a corresponding color. The green color marked two age groups (young and I-mature age), comprising 23 individuals (35.38% (p<0.05)) of both sexes. The yellow color marked the II-mature age, aged 41 to 50 years, comprising 10 individuals (15.38% (p<0.05)) of both sexes. The orange color marked the middle-aged patients, aged 51 to 60 years, comprising 19 individuals (29.23% (p<0.05)) of both sexes. The red color marked the elderly group, aged 61 to 70 years, comprising 13 individuals (20% (p<0.05)) of both sexes. The coefficient of concordance demonstrates the importance of the therapy we conducted with the possibility of predicting its outcomes, mathematically confirming and equating the data with index analysis. Thus, we derive a systematic assessment of the conducted comprehensive therapy. The development of a comprehensive therapy algorithm for endo-periodontal lesions requires a complex approach and the combination of endodontic treatment methods, bone augmentation of the alveolar processes of the maxilla and mandible, and the restoration or preservation of the integrity of the dental arches with the restoration of functional occlusion. All this requires real and prognostic vision, supported by mathematical analysis and the calculation of a concordance coefficient for the methods of comprehensive therapy of endo-periodontal lesions. https://dental-almanac.org/index.php/journal/article/view/678endo-periodontal lesionsconcordance coefficientbone augmentationcomprehensive therapy |
| spellingShingle | Yu.O. Kinash L.V. Kinash COMPREHENSIVE THERAPY OF ENDO-PERIODONTAL LESIONS: MOVING STEP BY STEP TOWARDS COMPLETE FUNCTIONAL REHABILITATION OF PATIENTS WITH COMBINED PATHOLOGY Український стоматологічний альманах endo-periodontal lesions concordance coefficient bone augmentation comprehensive therapy |
| title | COMPREHENSIVE THERAPY OF ENDO-PERIODONTAL LESIONS: MOVING STEP BY STEP TOWARDS COMPLETE FUNCTIONAL REHABILITATION OF PATIENTS WITH COMBINED PATHOLOGY |
| title_full | COMPREHENSIVE THERAPY OF ENDO-PERIODONTAL LESIONS: MOVING STEP BY STEP TOWARDS COMPLETE FUNCTIONAL REHABILITATION OF PATIENTS WITH COMBINED PATHOLOGY |
| title_fullStr | COMPREHENSIVE THERAPY OF ENDO-PERIODONTAL LESIONS: MOVING STEP BY STEP TOWARDS COMPLETE FUNCTIONAL REHABILITATION OF PATIENTS WITH COMBINED PATHOLOGY |
| title_full_unstemmed | COMPREHENSIVE THERAPY OF ENDO-PERIODONTAL LESIONS: MOVING STEP BY STEP TOWARDS COMPLETE FUNCTIONAL REHABILITATION OF PATIENTS WITH COMBINED PATHOLOGY |
| title_short | COMPREHENSIVE THERAPY OF ENDO-PERIODONTAL LESIONS: MOVING STEP BY STEP TOWARDS COMPLETE FUNCTIONAL REHABILITATION OF PATIENTS WITH COMBINED PATHOLOGY |
| title_sort | comprehensive therapy of endo periodontal lesions moving step by step towards complete functional rehabilitation of patients with combined pathology |
| topic | endo-periodontal lesions concordance coefficient bone augmentation comprehensive therapy |
| url | https://dental-almanac.org/index.php/journal/article/view/678 |
| work_keys_str_mv | AT yuokinash comprehensivetherapyofendoperiodontallesionsmovingstepbysteptowardscompletefunctionalrehabilitationofpatientswithcombinedpathology AT lvkinash comprehensivetherapyofendoperiodontallesionsmovingstepbysteptowardscompletefunctionalrehabilitationofpatientswithcombinedpathology |