Jivoinovici R, Suciu Ileana, Gheorghiu I, Suciu Ioana
Faculty of Dental Medicine, "Carol Davila" University of Medicine of Pharmacy, Bucharest, Romania.
J Med Life. 2017 Jan-Mar;10(1):70-75.
Damage of pulp tissue usually begins in the coronal pulp. Its mistreatment or its lack of on time detection determines the progressive inclusion of the whole endodontic space in its evolution, opening the way of its expansion in the surrounding tissues of the tooth, and on the marginal apical tissue. The goal of this study was to highlight that the primary endodontic lesions with secondary periodontal implication healed and bone repair was obtained due to a proper disinfection and an adequate sealing of the endodontic system. In primary endodontic lesion with secondary periodontal involvement, endodontic treatment is required in the first stage followed by specific periodontal treatment. The prognosis is good if an appropriate endodontic approach is chosen, depending on the stage of the periodontal disease and the treatment response. The identification of the etiological factors is the most important to establish the appropriate treatment. In all clinical cases selected in this article, the healing tendency was noticed after an adequate disinfection and sealing of the endodontic system.
牙髓组织的损伤通常始于冠髓。对其处理不当或未及时发现会导致在其发展过程中整个根管系统逐渐受累，为其在牙齿周围组织以及根尖边缘组织中的扩展开辟道路。本研究的目的是强调，由于对根管系统进行了适当的消毒和充分的封闭，伴有继发性牙周影响的原发性牙髓病变得以愈合并实现了骨修复。在伴有继发性牙周受累的原发性牙髓病变中，首先需要进行牙髓治疗，随后进行特定的牙周治疗。如果根据牙周疾病的阶段和治疗反应选择合适的牙髓治疗方法，预后良好。确定病因因素对于制定适当的治疗方案最为重要。在本文所选的所有临床病例中，在对根管系统进行充分消毒和封闭后均观察到了愈合趋势。
