Stomatologist № 3 (26) — 2017, pp. 13-20                                                                                                                               Scientific publication

Clinical and Radiographic Characteristics of Endoperiodontitis in Patients with Chronic Generalized Periodontitis

L.N. Dedovaa, Yu.L. Denisovaa, N.I. Rossenikb
aMD, PhD, DMSci, Professor, Belarusian State Medical University, Minsk, Belarus
bBelarusian State Medical University, Minsk, Belarus

https://doi.org/10.32993/stomatologist.2017.3(26).1

ABSTRACT
The article presents modern data on the priority clinical and radiographic signs of endoperiodontitis in patients with chronic generalized periodontitis.
The aim of the research was to determine the complex of clinical and radiographic methods for diagnosing the patients with chronic generalized periodontitis in conjunction with a localized complex endoperiodontitis.
Objects and methods. The research included the clinical and radiographic examination of 100 almost healthy patients aged 35-44 years. The study group consisted of 50 patients with chronic generalized periodontitis of moderate severity in conjunction with a localized complex endoperiodontitis (100 teeth). The control group was represented by 50 patients without periodontal pathology. The diagnosis endoperiodontitis was made according to the classification of professor L.N. Dedova (2012).
Result and discussion. Clinical studies revealed chronic localized endoperiodontitis which led to 13.6 times decrease of pulp vitality and increase in the probing depth of the periodontal pocket by 4.84 ± 1,34 mm. CBCT was characterized by greater than IOR and OPG sensitivity (98%), 96% specificity, with a total accuracy of 97% and 24.5 times higher prognostic significance.
Conclusion. The main methods of diagnosing localized complex endoperiodontitis are the electric pulp test and probing the periodontal pockets that has 4.2 times higher prognostic significance compared to gingival index, bleeding on probing, suppuration from periodontal pockets, migration of teeth, positive percussion, tooth mobility, furcation involvement and formation of acute periodontal abscesses. The additional method of diagnosing the localized complex endoperiodontitis is cone-beam computed tomography that has the diagnostic efficacy 96‒98% compared to intraoral radiography (42‒44%) and orthopantomography (52‒66%).

Keywords: endoperiodontitis, endodontic-periodontal lesions, periodontal diseases, diagnosis

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Адрес для корреспонденции: Е-mail: Dedova.bsmu@mail.ru

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