Dentist № 4 (59) – 2025, pp. 38-41                                                                                                                        SCIENTIFIC PUBLICATION

Method of treatment of pulpitis and apical periodontitis of permanent teeth with incomplete root formation

T.N. Terekhovaa, A.V. Butvilovskyb, T.A. Pykoс

aMD, PhD, DMSci, Professor Belarusian State Medical University, Minsk, Belarus
bMD, PhD, DMSci, Associate professor, Belarusian State Medical University, Minsk, Belarus
cBelarusian State Medical University, Minsk, Belarus

https://doi.org/10.32993/dentist.2025.4(59).2

ABSTRACT
In the Republic of Belarus, the rate of patients aged 6–18 years appealing medical care for complications of caries in permanent teeth with incomplete root formation is 6.5 %. Dentists’ approaches to treating these conditions vary, and a high percentage of surgical treatments, such as tooth extractions, is observed.
The aim of the study. To develop and scientifically substantiate a method for treating pulpitis and apical periodontitis in permanent teeth with incomplete root formation.
Objects and methods. We have developed a treatment method for pulpitis and apical periodontitis in permanent teeth with incomplete root formation. This method combines new approaches for medical treatment of root canals, their preliminary temporary obturation with water-based calcium hydroxide pastes, insertion, distribution and compaction of calcium-silicate materials into the apical portion of the root canals. The proposed method has been tested, and its effectiveness has been evaluated using clinical and radiographic criteria.
Results and discussion. An analysis of the proposed method confirms its high clinical efficacy (87.5–100.0 % according to the criteria used).
Conclusion. The cost-effectiveness of the proposed method is associated with minimizing the risk of tooth extraction and, consequently, the likelihood of expensive implantological and/or prosthodontic treatment.

Keywords: endodontic treatment, pulpitis, apical periodontitis, permanent immature teeth

References

  1. Butvilovskij A.V., Terehova T.N., Pyko T.A. Medikamentoznaja obrabotka sistemy kornevyh kanalov zubov: zadachi, obshhie pravila, osnovnye irriganty [Medicinal treatment of the root canal system of teeth: tasks, general rules, basic irrigants]. Sovremennaja stomatologija. – Modern dentistry. 2022, no. 3, pp. 8–15.
  2. Butvilovskij A.V., Volodkevich D.L. Tehnika apikal’noj probki s ispol’zovaniem mineral trioksid agregata v praktike vracha-stomatologa [Apical plug technique using mineral trioxide aggregate in dental practice]. Stomatologija. Jestetika. Innovacii. – Dentistry. Aesthetics. Innovations. 2019, no. 2, pp. 190–
  3. Terehova T.N., Butvilovskij A.V., Matveev A.M., Pyko T.A. Analiz vrachebnoj taktiki pri lechenii pul’pita i apikal’nogo periodontita postojannyh zubov u detej [Analysis of medical tactics in the treatment of pulpitis and apical periodontitis of permanent teeth in children]. Stomatologicheskij zhurnal. – Dental journal. 2023, no. 2, pp. 92–
  4. Terehova T.N., Butvilovskij A.V., Matveev A.M., Pyko T.A. Ocenka obrashhaemosti za medicinskoj pomoshh’ju po povodu oslozhnennyh form kariesa postojannyh zubov s nezavershennym formirovaniem kornej [Appeals for medical care regarding complications of caries in permanent teeth with incomplete root formation]. Stomatologicheskij zhurnal. – Dental journal. 2023, no. 1, pp. 33–38.
  5. A review on root canal irrigation solutions in endodontics / Z. Mohammadi [et al.] // JDMT. 2021, vol. 10, pp. 1–12.
  6. Haapasalo M. [et al.] Irrigation in endodontics/ Dent. Clin. North Am. 2010, vol. 54, pp. 291–312.
  7. Hegde A., Sherry R. A., Hegde P. Bhat Insight on the use and abuse of sodium hypochlorite in endodontics: a review. Int. J. Dent. Oral Sci. 2021, vol. 8 (8), pp. 4028–4031.
  8. Mohammadi Z. [et al.] Smear layer removing ability of root canal irrigation solutions: a review. J. Contemp. Dent. Pract. 2019, vol. 20 (3), pp. 395–402.
  9. Zehnder M. Root canal irrigants. J. Endod. 2006, vol. 32, pp. 389–398

Correspondence to:  E-mail: alexbutv@rambler.ru