CLINICAL AND LABORATORY SUBSTANTIATION OF EFFICIENCY ENDODONTIC TREATMENT

Endodontic treatment is an important aspect of therapeutic dentistry in view of a high incidence of complications of caries. Introduction of modern dental technologies into dental practice allowed to improve the quality of endodontic treatment and to achieve long-term positive results. It should be borne in mind that only detailed mastery of the method, observation of the sequence of endodontic manipulations and the ability of the doctor to use innovational technologies in combination with the analysis of clinical situation, allow to provide the effectiveness of treatment. Steps of endodontic treatment are discussed in detail, the need for complex approach is emphasized, clinico-laboratory substantiation of the causes of complication and the need for retreatment of root canals are shown. Analysis of literature data permitted to summarize and substantiate factors that predetermine success of endodontic treatment. Thus, the role in prevention of complications after the conducted therapy is assigned to a thorough observation of the order of endodontic operations at each step, to a high-quality antibacterial processing and hermetic filling of the root channel. These factors exclude penetration of microorganisms from the mouth cavity beyond the apex thus excluding the conditions for development of destructive processes in periapical tissues.