Clinical and anatomical features of the structure of teeth in dental practice

Background: Endodontic treatment is a set of procedures aimed to eliminate the infectious from the root canal system, giving the canal the shape for the chosen obturation technique and post-endodontic restoration. Each stage of the endodontic procedure requires certain knowledge and skills from the doctor. The PhD project was conducted to study the main issues of the endodontic protocol: determination of the morphology of the endodontic system before endodontic treatment, determination of the working length with the help of modern x-ray examination tools.

Materials and methods: The research was carried out in accordance with the principles of evidence-based medicine. Clinical, radiological (CBCT), anatomical, microbiological, physical and statistical research methods were used. The object of clinical study were 300 patients who underwent endodontic treatment. The analysis of the working length of the canals was carried out on 140 extracted teeth. The study of the antibacterial and disinfecting properties of laser radiation was carried out on 20 extracted single-rooted teeth. For clinical trials studying the antibacterial properties of the erbium laser, 70 patients with a diagnosis of chronic periodontitis were selected.

Results: The symmetrical structure of the endodont on the right and left was established for the maxillary anterior teeth. The structure is not symmetrical for the mandibular anterior teeth and for maxillary and mandibular premolars and molars. The effectiveness the erbium laser for the disinfection of root canals in endodontic treatment was found in 100% of cases.

Conclusion: CBCT is a reliable tool for determining the working length of a tooth and studying the root canal system. The application and modification of the protocol for drug treatment of the root canal using an erbium laser is a promising procedure in endodontics.

Dr. Haydar Barakat