CLINICAL AND PATHOGENETIC SUBSTANTIATION OF THE USE OF SILVER NANOPARTICLES IN THE TREATMENT OF CHRONIC APICAL PERIODONTITIS
Currently, one of the urgent problems in modern dental practice is the choice of methods of pathogenetic therapy for patients with chronic apical periodontitis. Despite the significant achievements of domestic endodontics in the treatment of this pathology, apical periodontitis remains the main cause of tooth loss in the adult population of the Russian Federation, which subsequently leads to deformation of the dentition, pathology of the temporomandibular joint, a decrease in the masticatory function of the oral cavity, and this, as a result, leads to a deterioration in the quality of life of patients. Existing treatment protocols are associated with the qualitative performance of mechanical and antiseptic treatment of the root canal system and their full obturation. The main object of influence is an infected root canal. However, after the completion of endodontic treatment, even with a technically flawless root canal filling, the pathological focus persists for up to 6-12 months, and in some cases continues to progress, creating a risk of relapses and complications. At the same time, the generally accepted protocol of endodontic treatment does not provide for an active impact on pathological tissues behind the root apex.