DOI:

10.37988/1811-153X_2025_4_32

A new method for the treatment and prevention of pulp pathology in patients with chronic periodontitis of different age groups

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Authors

  • D.A. Moiseev 1, 2, PhD in Medical Sciences, associate professor of the Therapeutic dentistry Department, head of the Simulation technologies in dentistry Lab; assistant at the Periodontology Department
    ORCID: 0000-0001-7811-7741
  • E.E. Faustova 1, PhD in Medical sciences, associate professor of the Maxillofacial surgery and dentistry Department
    ORCID: 0000-0002-1038-1615
  • V. Ansari 1, 5th year student
    ORCID: 0009-0008-6763-029X
  • T.A. Stolyarova 3, 4th year student at the Dental Faculty
    ORCID: 0009-0003-1846-1200
  • 1 Pirogov Russian National Research Medical University, 119571, Moscow, Russia
  • 2 Tver State Medical University, 170100, Tver, Russia
  • 3 Medical University “REAVIZ”, 117418, Moscow, Russia

Abstract

In clinical practice, a dentist faced with a combined lesion of periodontal tissue and dental pulp (endo-periodontal lesion, EPL) faces a difficult task, which is to predict the patient’s condition and plan adequate comprehensive treatment. The most important problem is the neglect of the dental pulp by clinicians in patients with chronic periodontitis. It is important to remember about the possible translocation of the pathogenic microbiota through additional channels and numerous dentinal tubules of the dentin of the tooth root, both in the centripetal and centrifugal directions. The use of nanopreparations capable of penetrating into the smallest dentinal tubules can increase the effectiveness of modern prevention and treatment of EPL.
Materials and methods.
The clinical trial included 78 patients aged 18 to 74 years, who were diagnosed with chronic periodontitis (K05.31). A new technique was justified and implemented, implying the introduction of copper-calcium hydroxide into periodontal pockets, followed by the introduction of a strip of aluminum foil there (main group). In addition, the impregnation of the surfaces of the roots of teeth with “Dentin-sealing liquid” is justified. During diagnostic studies, the condition of periodontal tissues, dental hard tissues, and pulp was assessed at all stages.
Results.
In the main group the depth of probing decreased by an average of 1.6 times, gum bleeding — by 6.3 times, gum inflammation — by 8.1 times, dynamic tooth mobility — by 1.6 times, plaque — by 1.9 times, electrodontometry increased by an average of 2.7 times, vertical percussion decreased 2.3 times, and the hypersensitivity of the hard tissues of the teeth — 2.6 times. The differences in the comparison group were significant for 3 of the 8 indicators (p≤0.05); in the main group the statistical significance was at the level of p≤0.05 for 7 of the 8 indicators.
Conclusions.
The developed new methods are highly effective in comparison with traditional periodontological and endodontic therapy and contribute to improving the effectiveness of treatment and prevention of dental pulp lesions in patients with chronic periodontitis and preserving teeth of patients of different age groups in the long term.

Key words:

nanotechnology, periodontitis, personalized treatment, prevention, endo-periodontal lesions

For Citation

[1]
Moiseev D.A., Faustova E.E., Ansari V., Stolyarova T.A. A new method for the treatment and prevention of pulp pathology in patients with chronic periodontitis of different age groups. Clinical Dentistry (Russia).  2025; 28 (4): 32—39. DOI: 10.37988/1811-153X_2025_4_32

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Received

March 13, 2025

Accepted

October 10, 2025

Published on

December 18, 2025