Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Dental Pulp Revascularization of Necrotic Permanent Teeth with Immature Apices
1Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, KSA.
DOI: 10.17796/1053-4628-40.5.361 Vol.40,Issue 5,September 2016 pp.361-366
Published: 01 September 2016
*Corresponding Author(s): El Ashiry Eman A E-mail: eelashiry@kau.edu.sa
Objectives: The treatment of immature necrotic teeth with apical periodontitis presents challenges in endodontic and pediatric dentistry. Revascularization is a recent treatment for such cases as an alternative to conventional apexification. The purpose is to examine the effect of a pulpal revascularization procedure on immature necrotic teeth with apical periodontitis. Study design: Twenty patients were enrolled for pulp revascularization procedure by root canal disinfection using a triple antibiotic mixture for 1–2 weeks, followed by creating a blood clot, sealing the root canal orifice using white mineral trioxide aggregate and a coronal seal of composite resin. Patients were recalled periodically for up to 24 months. Results: During follow-up, all patients were asymptomatic. Three cases of chronic apical periodontitis showed clinical disappearance of the sinus tract 2 weeks after treatment. Radiography revealed progressive periapical radiolucency resolution within the first 12 months. Within 12–24 months, the treated teeth showed progressive increases in dentinal wall thickness, root length and continued root development. Conclusions: Clinical and radiographic evidence showed successful revascularization treatments of immature necrotic permanent teeth with apical periodontitis. More studies are necessary to understand the underlying mechanisms and to perform histopathology of the pulp space contents after revascularization procedures.
Immature, necrosis, permanent teeth, revascularization
El Ashiry Eman A,Farsi Najat M,Abuzeid Sawsan T,El Ashiry Mohamed M,Bahammam Hammam A. Dental Pulp Revascularization of Necrotic Permanent Teeth with Immature Apices. Journal of Clinical Pediatric Dentistry. 2016. 40(5);361-366.
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