Assoc. Prof. Elka Nikolaeva Radeva

Intracanal medicaments – influencing the endodontic infection, clinical concepts
Assoc. Prof. Dr. Elka Radeva, DMD, PhD
Department of Conservative Dentistry, FDM, MU-Sofia

Abstract:
In long-standing root canal infection with presence of sinus tract formation, preoperative swelling, or large size of periapical lesion, multi-visit treatment is indicated. During the first visit, instrumentation of the root canals is performed, because the presence of bacterial biofilm and smear layer are an obstruction for the efficacy of intracanal medicaments. After proper root canals cleaning and shaping, disinfecting medication is placed between visits to achieve a reduction of microbial numbers. Intracanal medication influence pain and inflammation, help eliminate periapical exudate, protect roots from resorption, and play an important role in preventing re-contamination of the periapical tissue. Pain relief, absence of percussion sensitivity, healing of a sinus tract, absence of exudation are clinical signs for successful endodontic treatment and the tooth can be obturated and restored.

The lecture will focus on the present status of intracanal medicaments, main characteristics and clinical indications for their application. Discussions related to the condition of the tissues in the apical area and the possibilities for healing processes after the use of intracanal medications will also be included.

Currently she is Associate Professor in the Department of Conservative Dentistry, Faculty of Dental Medicine (FDM)-Sofia, Bulgaria, Chairman of the General Assembly of the FDM-Sofia, President of the Bulgarian Scientific Association of Dental Medicine (BSADM), Vice president of the Bulgarian Dental Association (BgDA), President of the Communication Commission of BgDA

Elka Radeva graduated from the Faculty of Dental medicine - Sofia in 1993. In 1997- specialty Operative Dentistry and Endodontology , and in 2005 – specialty General Dentistry. In 2017 - masters degree in Public Health and Health Management, Faculty of Public Health, MU-Sofia.
Assoc. Prof. E. Radeva is a lecturer and researcher with 29 years of experience teaching courses on undergraduate and postgraduate students.

Edited and co-authored 2 monographs in endodontics. Co-author in 4 books on pharmacology for medicine and dental medicine students. Author and co-author of 2 practical student books on endodontics in Bulgarian and English. Leading researcher of 11 scientific projects at MU-Sofia. Published over 95 articles in peer-reviewed journals. Reviewer of articles for Bulgarian and International Dental Journals, and research projects.

Her research interests include the endodontic microbiology, acute and chronic apical periodontitis, retreatment, instruments for shaping of the root canals, endodontic materials, operative dentistry.

Assoc. Prof. E. Radeva is a member of the Bulgarian Dental Association (BgDA), Bulgarian Scientific Association of Dental Medicine (BSADM), European Society of Endodontology (ESE).