Poleshchuk Olga Yurievna (Candidate of Medical Sciences, аssociate Professor
V.I. Vernadsky Crimean Federal University, S.I. Georgievsky Medical Academy Institute, Simferopol, Russia
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Umerov Ilyas Feratovich (V.I. Vernadsky Crimean Federal University, S.I. Georgievsky Medical Academy Institute, Simferopol, Russia)
Velichko Daniil Dmitrievich (V.I. Vernadsky Crimean Federal University, S.I. Georgievsky Medical Academy Institute, Simferopol, Russia)
Erofeeva Angelina Vitalievna (V.I. Vernadsky Crimean Federal University, S.I. Georgievsky Medical Academy Institute, Simferopol, Russia)
Peylivanov Mikhail Hamletovich (V.I. Vernadsky Crimean Federal University, S.I. Georgievsky Medical Academy Institute, Simferopol, Russia)
Reshidov Zair Adilevich (V.I. Vernadsky Crimean Federal University, S.I. Georgievsky Medical Academy Institute, Simferopol, Russia)
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Emerging clinical and histological data challenge the established dogma that root canal treatment is the only therapeutic option for preserving vital mature permanent teeth with a diagnosis of irreversible pulpitis or carious pulp lesion. Vital pulp treatment procedures, such as pulpotomy, are not only technically simpler and more economical, but also provide patients with many other advantages compared to conventional root canal treatment. This descriptive review provides updated information on the current understanding of pulp pathophysiology and protective mechanisms, proposed new diagnostic terms for pulp inflammation, and how the biological characteristics of hydrophilic silicate-calcium cements have made it possible to achieve stable successful results in pulpotomy in mature teeth. The document also details the evidence base of clinical studies and systematic reviews conducted over the past decade, and provides practical recommendations for the treatment of pulpotomy in mature permanent teeth.
Keywords:pulpotomy, apexogenesis, intrapulpose pressure, odontoblast-like cells, biodentin, bioceramics, periapical pathologies
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Citation link:
Poleshchuk O. Y., Umerov I. F., Velichko D. D., Erofeeva A. V., Peylivanov M. H., Reshidov Z. A. THE LATEST CONCEPTS IN ROOT CANAL TREATMENT // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2023. -№04/2. -С. 207-213 DOI 10.37882/2223–2966.2023.04–2.26 |
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