Treatment of chronic apical periodontitis in patients with prevalent parasympathic vegetative nervous system

Abstract

Abstract. Caries complications are a major cause of early loss of teeth. The effectiveness of conservative treatment of apical periodontitis is quite low. The solution is to improve treatment and implementation in the dental practice. The problem of increasing the effectiveness of treatment of chronic apical periodontitis is urgent and further study of the possibilities of its optimal application in patients with prevalent parasympathetic vegetative nervous system is necessary. Objective: to determine the effectiveness of chronic apical periodontitis treatment in patients with the prevalent parasympathetic autonomic nervous system. Clinical studies were conducted on a group of 60 patients with apical chronic periodontitis. Treatment of patients with chronic apical periodontitis was carried out according to treatment protocols approved by the Ministry of Public Health of Ukraine (2005). To normalize the condition of the autonomic nervous system of patients the developed scheme of medical preparations of treatment was used. The root canals were obturated and caries cavity was filled with permanent composite restoration. Efficacy of treatment was assessed on the basis of clinical and radiological data immediately after treatment, and 18 months later. According to this method 60 cases with chronic apical periodontitis were treated. In most cases – 56 (93.33%) – any exacerbation of process after treatment was not observed. X-ray examination indicated the tendency to restore the bone in periapical areas in 57 patients (95.0%). Comparison of destruction areas before treatment and after treatment showed its decrease in 53 (83.33%) patients. The results suggest high efficiency during treatment of patients with chronic apical periodontitis with prevalent parasympathetic autonomic nervous system. Key words: chronic apical periodontitis, patients with prevalent parasympathetic autonomic nervous system, results of treatment.