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Apical periodontitis treatment

The toothache obscures conscience and makes you think only how to get rid of it. The toothache may be indicative of the apical periodontitis. It is highly not recommended to ignore the toothache, alleviating it with painkillers. The emergency measures should be taken; otherwise, it may result in complications and loss of tooth. The apical periodontitis is treated; however, the effectiveness of treatment depends on the timely visit to a dentist. Oxford Medical clinic will help solving this problem.

ACUTE AND CHRONIC APICAL PERIODONTITIS  – DIFFERENCE

The apical periodontitis is the process of inflammation of the tissues, surrounding a tooth, which is accompanied by the excess of ligaments, holding a tooth in the socket, destruction of bone tissue and cortical plasticity.

There can be:

  • infection induced (complication of untreated caries);
  • drug induced (as the result of improper dental treatment);
  • trauma induced (as the result of traumas).

Should the acute apical periodontitis occur, the patients note the localized pain, having the permanent nature. Initially, the pain is dull and can occur when biting. Upon the disease progression and its transition to the stage of purulent inflammation, the pain becomes more intensive, throbbing, shooting with rare pain-free intervals. Your general feeling may become unwell; you may feel general weakness, insomnia and high body temperature.

During the chronic type of the apical periodontitis, there is no reaction to the cold and hot food; the chronic form is often asymptomatic. The pain may occur if tapping a tooth or biting. The pain is not intense, moderate. It is accompanied by the gangrenous odor, color change of a tooth, sensation of heaviness; the fistula opening, which will be occasionally oozing pus, may appear on the gum. The chronic apical periodontitis often leads to the tooth extraction, as the patient seeks medical aid very late due to mild symptoms.  

The apical periodontitis is primarily diagnosed based on the patients’ complaints, which point to the sensation of pain in the concrete tooth when biting or permanent (dull, throbbing) pain. To detect the chronic form, you should necessarily undergo the X-ray or CT scan, which will precisely determinate the form and progression of the apical periodontitis. Based on the diagnosis data, you may forecast the future of a sore tooth.

HOW IS THE TREATMENT OF APICAL PERIODONTITIS PERFORMED?

At the initial stage, the treatment consists in the necessity to have the serous or purulent exudate oozed. In case of the acute form of the apical periodontitis, the dental cavity is opened for natural oozing of exudate; the curative measures are performed after the process stops.

The treatment is based on the conservative approach - ultrasonic, mechanical and medication treatment of root canals, taking restorative medication, filling the root canal with curative drugs. After the inflammation in the periodontium is removed, the permanent tightly sealed filling of the system of root canals is performed.

As a rule, the treatment of apical periodontitis is confined to 2-3 visits to a dentist. However, some cases require a long-term treatment with strict fulfilment of recommendations. If all the above-listed measures do not have proper positive effect, then such tooth has to be removed. In such case, after reducing the inflammation, the question of further placement of implants or dentures is decided.

QUALITY OF SERVICE IN OXFORD MEDICAL CLINIC

Oxford Medical clinic is fitted with all necessary and modern equipment. The dental diseases diagnosis and treatment are performed in compliance with European standards. A 10-year experience, presence of affiliates all over Ukraine, positive reviews of our patients speak of the bona fide and professional approach of our doctors. Our doctors will kindly help to solve health-related issues.

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Topka Petr Pavlovich Dentist-orthopedisth
of the highest category
PhD in Medicine
Topka Petr PavlovichDentist-orthopedisth
of the highest category
PhD in Medicine
Video CV

Pavlovskaya street, 26/41;

information about doctor

  • 1984 - Graduated from Kiev Medical Institute named after A. A. Bogomelts, Dental Department, and diploma of doctor - general dentist with honors.
  • 1988 - till the present Associate Professor, the Department of Orthopedic Dentistry, Candidate of Medical Sciences. Participant of the 9th Congress of Dentists Association. Member of the Ukrainian Dental Association.
  • 2008 – till the present a dentist-orthopedist at “The Oxford Medical”.
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information about doctor

  • 2000 – completed DubnoMedicalTrainingCollege, speciality – medical assistant.
  • 2005 – StomatologyAcademy of Ukraine. Qualification – Doctor of Stomatology.
  • 2007 – completed internship on general dentistry based on Stomatology Academy of Ukraine. Specialty – Doctor of Stomatology.
  • 2005 – participation in international lecture hall “Modern technology of treatment and preventative measures in practical stomatology” based on Scientific and Practical Center “Stomatology” (30 study hours). Participation in lecture “The way of real reflection of reality. Stratification methods Lorenzo Vanini”. Club «ENAMEL PLUS». Participation in lecture from course “Usage of material Filtek Supreme XT in clinical ctomatology”.
  • 2006 – participation in VII All Ukrainian Seminar “The way into the world of mastership”. Study on course of thematic improvement “Usage of light curing technologies in teeth restoration”.
  • 2008 – participation in lecture “Recure of root-canals. General consequences of imperfect treating of root-canals”. Master class, participation in the work of the work of scientific practical seminar “Whitening of teeth. Modern tendentions and approaches”.
  • 2009 – participant of the enlarged meeting of Poltava regional group of Ukrainian Association of Doctors of Periodentistry.
  • 2010 – participant in conference on restoration methods “Perfectibility in restoration methods. Restoration of teeth after endodontal treatment” of Dr. Andre Reis. Brazil.
  • 2011 – participant in the conference “Paradontium. Deceases and treatment”. Participant in the seminar “Usage of whitening toothpastes. Influence of abrasiveness to paradontium and tooth enamel”.
  • From 2012 – till present time is a dentist of the surgery department of «Oxford Medical» clinic.
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Azami Angelika ShakhovnaDentist

Pavlovskaya street, 26/41;

information about doctor

reviews




Shafi 13-01-2020 Thank you Oxford Med very friendly and professional and I did really feel welcomed. Especially big thank you to Dentist Andrey Mishustin he made my smile more confident in less than ,2hrs. He performed veneers composite. Now I can smile the way I want. Thank you from London

department: Dentistry

Терещенко Виктория Владимировна 02-10-2019 Хочу поблагодарить Петра Павловича Топко за прекрасную работу , за внимательное отношение и просто за Доброе сердце! Желаю Оксфорд Медикал побольше таких специалистов

department: Dentistry

Валерий Иванович 09-07-2019 "Мост". Как обрадовало меня это простое слово. Он действительно великолепен. Увидев его на ладони Екатерины Петровны, я понял - это стоматологический шедевр. Двенадцать коронок соединены в дугообразную фигуру, выглядит мощно и красиво. Он точно пришелся мне по мерке и включился в функционирование.Спасибо вам, доктора.

department: Dentistry

Наталия 09-07-2019 Огромное спасибо доктору стоматологу Азами Анжелике! Доктор-профессионал! Сделала комплексную чистку зубов. Все было не больно и качественно. Проконсультировала меня по поводу дискомфорта в деснах. А главное указала причину, а не просто назначила витамины, как предыдущий врач. Всем рекомендую! Буду обращаться, только к ней. Огромное спасибо еще раз! Удачи во всем!

department: Dentistry

Marta Franchuk 21-05-2019 Дякую Греську Андрію Степановичу за його чудово пророблену роботу та професіоналізм! Хоча я страшенно боялась видаляти 8-ки, коли побачила Андрія Степановича, одразу зрозуміла, що все пройде гладко та безболісно. Лікар зміг знайти підхід до мене, заспокоїти та зробив все настільки непомітно, що я швидше відпочивала на стоматологічному кріслі, ніж була на операції. Я вже порадила його всім своїм знайомим, бо знаю, що до кожного він знайде індивідуальний підхід і зробить все на найвищому рівні. Тому якщо Вам потрібен лікар, який зробить все на 100% непомітно та безболісно, буде піклуватися про Вас від початку операції і до зняття швів - Вам точно до Андрія Греська. Неймовірно щаслива, що в Україні є такі професійні лікарі як він. Дуже хочеться, щоб побільше людей змогли пережити подібні операції настільки ж безболісно та спокійно, як я!

department: Dentistry

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