UDK: 616.71-74
Yu.A. Makedonova1, S.V. Poroisky3, L.M. Gavrikova1, E.V. Venskel2
ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации, 1кафедра стоматологии института непрерывного медицинского и фармацевтического образования, 2кафедра оперативной хирургии и топографической
The task of a dentist in the treatment of deep caries (pulp hyperemia) is not only to restore the integrity of the tooth, but also to stimulate the production of replacement dentin with the help of a medical pad, to ensure reliable isolation of the pulp from the toxic effects of materials. Having a wide range of different therapeutic pads, but not having methods to objectively assess the condition of the pulp, doctors have to «blindly» give preference to a particular manufacturer. In this work, based on a clinical and laboratory study, an analysis of the effectiveness of calcium-containing pads «Life» and «Dycal» – was performed. The clinical stage was performed on patients in the treatment of deep caries. Changes in the pulp microcirculation were evaluated using laser Doppler flowmetry. During histological examination, samples of tooth cuts were studied for analysis of micro-flows of the dye at the «seal-tooth» border and the depth of penetration of the dye. The clinical results are consistent with laboratory results, which can be used to draw conclusions about the benefits of the «Life» treatment pad in the treatment of deep caries.
deep caries, micro-flows, microcirculation, pulp, laser Doppler flowmetry.
Македонова Юлия Александровна – д. м. н., доцент, зав. кафедрой стоматологии ИНМФО, Волгоградский государственный медицинский университет, e-mail: yuamakedonova@volgmed.ru