Evaluation of the effectiveness of comprehensive treatment of combined pulpalperiodontal lesions in patients with concomitant somatic pathology

Aim: The study aimed to improve the treatment outcomes of combined pulpal-periodontal lesions in patients with various multisystem disorders. Material and Methods: The study included 150 patients with associated lesions of the intracanal-periradicular complex and various multisystem disorders. The age of the patients ranged from 20 to over 50 years. The patients were grouped based on the method used for endo-periapical therapeutic and preventive intervention. The first (main) group of somatic patients (n=50) received Hyaludent №4 and a calcium hydroxide preparation for prolonged endo-periapical effect over a month, coupled with macrophage reprogramming procedures using autoplasm. Results and Discussion : In the somatic patients of the main group, by the end of the year from the start of the endoperiapical treatment and after 24 months, the visual-instrumental examination indicator of the intracanal and periradicular status was zero. In the first control group of patients, the total indicator of the visual-instrumental examination of the endo-periapical state after the first month was 17.1% less than that of the second group, and after 6 months, it was 10.2% less. In the second control group of patients, the minimum value of the visual-instrumental examination of the intracanal-periradicular status was noted one year from the beginning of the pulpal-periodontal treatment. Conclusion: The maximum effectiveness of endo-periapical treatment was achieved in the main group of patients with intrasystem pathology, where the efficacy of endo-periapical treatment was nearly 90.0%.