Pulp Revascularization of Immature Teeth With Apical Periodontitis: A Clinical Study
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| Title: | Pulp Revascularization of Immature Teeth With Apical Periodontitis: A Clinical Study |
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| Authors: | Ding, RY, Wang, QQ, Zhang, CF, Yin, XZ, Cheung, GSp, Chen, J |
| Source: | Journal of Endodontics. 35:745-749 |
| Publisher Information: | Elsevier BV, 2009. |
| Publication Year: | 2009 |
| Subject Terms: | Male, Aluminum Compounds - therapeutic use, Bicuspid - pathology, Tooth Apex - physiopathology, Minocycline, Minocycline - administration & dosage, Root Canal Therapy - methods, Odontogenesis - physiology, 03 medical and health sciences, 0302 clinical medicine, Physiologic - physiology, Silicates - therapeutic use, Anti-Infective Agents, Ciprofloxacin, Metronidazole, Calcium Compounds - therapeutic use, Anti-Bacterial Agents - administration & dosage, Dental Pulp Necrosis, Humans, Bicuspid, Aluminum Compounds, Child, Blood Coagulation, Neovascularization, Anti-Infective Agents - administration & dosage, Incisor - pathology, Dental Pulp, Blood Coagulation - physiology, Dental Pulp Necrosis - therapy, Guided Tissue Regeneration, Oxides - therapeutic use, Periapical Periodontitis - therapy, Root Canal Preparation - methods, Calcium Compounds, Root Canal Filling Materials - therapeutic use, Anti-Bacterial Agents, Guided Tissue Regeneration - methods, Incisor, Drug Combinations, Treatment Outcome, Ciprofloxacin - administration & dosage, Neovascularization, Physiologic - physiology, Female, Metronidazole - administration & dosage, Dental Pulp Cavity, Dental Pulp Cavity - blood supply, Dental Pulp - blood supply - physiopathology, Follow-Up Studies |
| Description: | The purpose of this study was to examine the effect of a pulpal revascularization procedure for immature necrotic teeth with apical periodontitis.Twelve patients, each with an immature permanent tooth with chronic or acute apical periodontitis, were recruited. A triantibiotic mix (ciprofloxacin, metronidazole, and minocycline) was used to disinfect the pulp for 1 week. Then a blood clot was created in the canal, over which grey mineral trioxide aggregate was placed. Patients were recalled periodically.Six patients dropped from the study (as a result of pain or failure to induce bleeding after canal disinfection) and instead received a standard apexification procedure. Another 3 patients did not attend any recall appointments. The remaining teeth (n = 3) were found to exhibit complete root development, with a positive response to pulp testing.Revascularization could be effective for managing immature permanent teeth with apical periodontitis with appropriate case selection. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 0099-2399 |
| DOI: | 10.1016/j.joen.2009.02.009 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/19410097 http://hub.hku.hk/handle/10722/58035 https://core.ac.uk/display/155470609 http://europepmc.org/abstract/MED/19410097 https://www.sciencedirect.com/science/article/pii/S009923990900137X https://www.ncbi.nlm.nih.gov/pubmed/19410097 https://pubmed.ncbi.nlm.nih.gov/19410097/ http://hdl.handle.net/10722/58035 |
| Rights: | Elsevier TDM |
| Accession Number: | edsair.doi.dedup.....0e632a1608f9e937c07fd863f0c68477 |
| Database: | OpenAIRE |
| Abstract: | The purpose of this study was to examine the effect of a pulpal revascularization procedure for immature necrotic teeth with apical periodontitis.Twelve patients, each with an immature permanent tooth with chronic or acute apical periodontitis, were recruited. A triantibiotic mix (ciprofloxacin, metronidazole, and minocycline) was used to disinfect the pulp for 1 week. Then a blood clot was created in the canal, over which grey mineral trioxide aggregate was placed. Patients were recalled periodically.Six patients dropped from the study (as a result of pain or failure to induce bleeding after canal disinfection) and instead received a standard apexification procedure. Another 3 patients did not attend any recall appointments. The remaining teeth (n = 3) were found to exhibit complete root development, with a positive response to pulp testing.Revascularization could be effective for managing immature permanent teeth with apical periodontitis with appropriate case selection. |
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| ISSN: | 00992399 |
| DOI: | 10.1016/j.joen.2009.02.009 |
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