ОСОБЕННОСТИ ЭНДОДОНТИЧЕСКОГО ЛЕЧЕНИЯ C УЧЕТОМ ВЫЯВЛЕННОЙ CANDIDA ALBICANS В СИСТЕМЕ КОРНЕВЫХ КАНАЛОВ

Abstract

The subject of the study was to study the properties of basic means for irrigation and physical methods of influencing the microflora of the root canal system against identified Candida Albicans. The purpose of the work was to review and analyze the features of endodontic dental treatment, taking into account the identified Candida Albicans in the root canal system. A search was conducted in domestic publications and foreign sources for studies containing information on various methods of influencing root canal biofilms during endodontic treatment. A comparison was made of the activity of various irrigants and physical methods of root canal treatment in relation to the identified microflora containing bacteria such as yeast-like fungi of the genus Candida and others. Sodium hypochlorite solution (NaOCl) is a mandatory antiseptic agent included in the recommended endodontic treatment protocol used in modern dentistry. To achieve a successful result, we consider it necessary to perform high-quality mechanical treatment of root canals, competent selection of irrigants, as well as the use of additional physiotherapeutic methods (ultrasound or laser technologies). A bacterioscopic examination of the contents of the root canals was carried out for the presence of yeast-like fungi of the genus Candida. A temporary exposure of a suspension of the drug “Fluconazole” on a paper point was introduced into the root canals at the first stage of endodontic treatment, and the drug “Fluconazole” was prescribed orally at a dose of 150 mg on the first day. Then, in the absence of exudate or odor in the root canals, as well as confirmation by bacterioscopic examination of the absence of yeast-like fungi of the genus Candida, the root canals were filled with permanent material. But despite following all clinical recommendations, in some cases it is not possible to achieve the required effect due to the resistance of biofilms containing Candida albicans, Prevotella melaninogenica, Enterococcus faecalis, Bacteroides fragelis in the root canal system to the effects. Despite the wide variety of endodontic treatment methods and drugs for influencing representatives of the root canal microflora, it is not always possible to achieve complete elimination of biofilm during irrigation and medicinal or physical influence on them. It is especially important to look for ways to modify treatment and make it easier to use and accessible in order to avoid subsequent complications.