Granulomatous periodontitis (apical periodontitis) results from an untreated root infection in a tooth that affects the surrounding tissue behind the root apex.

Microbial factorised pulp and periodontal ligament and a weak immune system contribute to the development of chronic apical periodontitis, which leads to local inflammation, resorption (destruction) of bone, and sometimes even the root wall.

Symptoms

The onset and exacerbation of chronic periodontitis begins with such symptoms:

sensitivity, pain when biting on the tooth;
hyperemia of the gingiva and mucous membrane around the infected tooth;
increasing swelling of the surrounding soft tissues;
the appearance of a fistulous passage in the projection of the root of the tooth;
mobility of the infected tooth;
worsening of the general condition, fever, increased lymph nodes;
bad breath.

Types of granuloma treatment

Treatment of periapical lesions involves destroying pathogenic microflora or significantly reducing the microbial load on the root canal and preventing re-infection by orthograde filling.

The percentage of successful results after treatment is relatively high — more than 70% — but the expected response to the treatment may not occur due to the anatomical features of the microcanals, which are inaccessible for cleaning and treatment according to modern protocol. There are also biological causes of failure, which cannot be affected even by medication. Dominating, such a factor, inhibits the treatment of the tooth.

Treatment and prevention of granuloma treatment

Monitoring the treatment results is carried out under the dentist’s control with the help of X-ray diagnostics or computer tomography 6-8 months after root canals are filled. The data are compared with the primary image at the time of the patient’s request with the problem.

Apical periodontitis is not subject to self-healing and often has an asymptomatic irreversible course, so only instrumental diagnosis and careful collection of anamnesis by a dentist will ensure that the patient receives timely, appropriate treatment. Otherwise, tooth extraction is recommended when the consequences of inflammation are assessed to a severe degree.

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This service is provided by doctor

Maryna Staviarska

Restorative Dentist, Endodontist, Periodontist, and Prosthodontist

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Halyna Matiyuk

Dentist of the Highest Qualification Category, Orthodontist, Restorative Dentist, and Prosthodontist

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Dental surgeon and implantologist

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Reviews

Ola Gustafsson

20.08.2026

My dentist in Kyiv. Excellent service and result. ❤️ This is a fantastic dentist, went here 2017 first time I think.

Lara Manuylenko

06.08.2026

This has been our family clinic for more than one year. We are grateful for the high quality of medical care provided by our doctor Matiyuk Halyna Vasylivna. We are grateful to all the clinic staff for the excellent service, friendliness and cozy atmosphere. We wish you development and prosperity ✨️

Natalia Dmytruk

16.07.2026

Very cozy atmosphere, friendly staff and incredibly caring doctors. The clinic has successfully implemented a full range of advanced dental technologies and modern treatment protocols. Modern equipment and high standards. Doctors work very confidently, accurately and qualitatively. Every step of the treatment is explained in detail, they are constantly interested in my well-being. Everything is absolutely painless! I have been coming here for 5 years now, and I recommend it to everyone I know! I sincerely thank the clinic team for their high professionalism!

Vladimir Poberezhnyuk

15.07.2026

I have been using the clinic for many years. I have never been disappointed. Very professional and attentive approach to each case, to each treatment. I have always been satisfied. Therefore, my recommendations, confirmed by experience!

May Knees

26.06.2026

highly professional. recommended!

Tetiana Bilous

18.06.2026

Our family has been served for many years in the aesthetic dentistry clinic on Patorzhynskogo and we are very satisfied. These are professionals in their work and caring doctors for each client. Thank you to your entire team!!!! I recommend this clinic!

Natasha Sennett

16.06.2026

I love my new teeth! Can’t stop staring at them 😁

Andrea Palossi

25.11.2025

“I have been a client for many years and I can say that the punctuality and professionalism of the doctors is very high and truly appreciable.”

Evgenia Neronova

06.06.2026

Wonderful clinic! Pleasant and attentive staff. Professional doctors. I highly recommend it to both adults and children.

Zhanna Sokolova

05.06.2026

Having been served for a long time at the Clinic of Aesthetic Dentistry on Patorzhynskogo, I can only thank you for the always high-quality assistance provided to solve problems of various levels: from banal to complex. I cannot but note the super-class doctor (!) - Duda Volodymyr Viktorovich with his constant assistant Natalia. The very case when everything coincided: always professional, respectful to the patient, attentive to the problem with the best result! Also my gratitude to the doctor - Staviarskaya Marina Vitaliivna. Always excellent work and delicate approach to the patient. I definitely want to note the pleasant and attentive service of the girls at the reception who provide support. We are served by a family and always receive a high level of services and atmosphere. Our sincere gratitude! WE RECOMMEND❤

Anastasia NVSK

01.06.2026

I highly recommend this clinic! Very professional and attentive doctors, excellent service and a pleasant atmosphere. After my visit, my relatives also came here, and now we all get treated only here. Thank you for your care and professionalism!

Evgenia Makalskaya

30.05.2026

The clinic is extremely high-quality, especially when it comes to its specialists. The doctors are top-notch; it's hard to imagine better treatment. The clinic's technology is European-standard. Overall, the atmosphere is very welcoming and professional at all levels. After your first visit, you already understand that you're being treated by highly qualified specialists.

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