Dynamics of indicators of the proteinase-inhibitory system of the body in destructive forms of chronic apical periodontitis during treatment

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Abstract

BACKGROUND: Destructive forms of chronic apical periodontitis (CAP) remain one of the most difficult problems not only in dentistry and endodontics but also in medicine. In addition to the progressive local process in the alveolar process of the jaw, they are a source of autoinfection and auto-intoxication, causing or exacerbating pathologies in other organs.

AIM: This study aimed to analyze the dynamics of the activity of nonspecific proteinases and their inhibitors in patients with destructive forms of CAP when performing a standard endodontic treatment.

MATERIALS AND METHODS: Some indicators of the proteinase-inhibitory system of the oral fluid and blood plasma were studied in 28 somatically healthy patients aged 25–55 years with destructive forms of CAP in multi-root teeth. The canals were treated according to the protocol of the European Society of Endodontics. After instrumental and medical treatments of the root canal, it was dried and temporarily sealed with calcium hydroxide-based preparation. The tooth was closed with temporary fillers for 10–14 days.

RESULTS: The comparative analysis of the indicators of the proteinase-inhibitory system showed that destructive forms of CAP and rehabilitation of the pathological focus, to a greater or lesser extent, affect its condition.

CONCLUSIONS: Changes in the parameters of the proteinase-inhibitory system in the development of CAP during endodontic treatment were observed both locally (oral fluid) and systemically (blood plasma).

About the authors

Svetlana A. Demyanenko

Medical Academy named after S.I. Georgievsky of V.I. Vernadsky Crimean Federal University

Email: dc.kvalitet@gmail.com
ORCID iD: 0000-0002-2743-498X

MD, Dr. Sci. (Med.), Professor

Russian Federation, Simferopol

Marina N. Morozova

Medical Academy named after S.I. Georgievsky of V.I. Vernadsky Crimean Federal University

Email: mmrz58@mail.ru
ORCID iD: 0000-0002-4627-925X

MD, Dr. Sci. (Med.), Professor

Russian Federation, Simferopol

Vladimir Z. Kharchenko

Medical Academy named after S.I. Georgievsky of V.I. Vernadsky Crimean Federal University

Email: mr.vzh43@mail.ru
ORCID iD: 0000-0001-5092-4672

MD, Dr. Sci. (Med.), Professor

Russian Federation, Simferopol

Yulia V. Tofan

Medical Academy named after S.I. Georgievsky of V.I. Vernadsky Crimean Federal University

Author for correspondence.
Email: julia.tofan@yandex.ru
ORCID iD: 0000-0002-1190-596X

MD, Cand. Sci. (Med.)

Russian Federation, Simferopol

Leonid L. Aliyev

Medical Academy named after S.I. Georgievsky of V.I. Vernadsky Crimean Federal University

Email: all.spitfire@mail.ru
ORCID iD: 0000-0001-9401-4398

MD, Cand. Sci. (Med.), Associate Professor

Russian Federation, Simferopol

Larisa Kh. Duryagina

Medical Academy named after S.I. Georgievsky of V.I. Vernadsky Crimean Federal University

Email: terstom-ua@mail.ru
ORCID iD: 0000-0003-2110-1321

MD, Dr. Sci. (Med.), Professor

Russian Federation, Simferopol

Lyudmila A. Degtyareva

Medical Academy named after S.I. Georgievsky of V.I. Vernadsky Crimean Federal University

Email: belludic@yandex.ru
ORCID iD: 0000-0001-9463-0465

MD, Cand. Sci. (Med.), Associate Professor

Russian Federation, Simferopol

Tamara A. Dubrovina-Parus

Medical Academy named after S.I. Georgievsky of V.I. Vernadsky Crimean Federal University

Email: casandra.2008@yandex.ru
ORCID iD: 0000-0001-9397-5517
Russian Federation, Simferopol

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Copyright (c) 2022 Demyanenko S.A., Morozova M.N., Kharchenko V.Z., Tofan Y.V., Aliyev L.L., Duryagina L.K., Degtyareva L.A., Dubrovina-Parus T.A.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
 


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