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Case Reports

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Management of an infected immature tooth with a talon cusp using regenerative endodontic treatment: A case report

  • Saeed Asgary1,*,
  • Ardavan Parhizkar1
  • Mohammad Samiei1

1Iranian Center for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences, 1983963113 Tehran, Iran

DOI: 10.22514/jocpd.2022.025 Vol.46,Issue 6,November 2022 pp.45-49

Published: 01 November 2022

*Corresponding Author(s): Saeed Asgary E-mail: saasgary@yahoo.com

Abstract

Objective: Regenerative endodontic treatment (RET) has been considered a successful approach to manage infected immature teeth; however, cases associated with dental anomalies, i.e., talon cusp, need to be further investigated. Case Report: A 7-year-old girl with local swelling associated with the permanent maxillary right central incisor was referred; cone-beam computed tomography revealed a talon cusp, an immature root and two well-defined endodontic lesions. The treatment consisted of regenerative endodontic treatment (RET); the canal was chemically cleaned and a modified triple antibiotic paste was used as intracanal medication. In the next appointment, RET was performed through the creation of blood clot scaffold in the canal covered/sealed with calcium-enriched mixture (CEM) cement. Results: In the 7-day recall session, clinical examination showed that the swelling had completely resolved. At 24-month recall, the treated tooth was asymptomatic and functional. CBCT images demonstrated evidence of maturation in the apical third of the root, healing of two large endodontic lesions and complete dentinal bridge formation beneath CEM cement. Conclusion: RET for an infected immature tooth with a dental anomaly, i.e., talon cusp, may be a desirable treatment option and result in the resolution of endodontic lesions as well as regeneration of new vital tissues; allowing continuous root maturation.


Keywords

Regenerative endodontics; Calcium-silicate-based cements; Dental anomaly; Immature teeth; Modified triple antibiotic paste


Cite and Share

Saeed Asgary,Ardavan Parhizkar,Mohammad Samiei. Management of an infected immature tooth with a talon cusp using regenerative endodontic treatment: A case report. Journal of Clinical Pediatric Dentistry. 2022. 46(6);45-49.

References

1. Law AS. Considerations for Regeneration Procedures. Journal of Endodontics. 2013; 39: S44–S56.

2. Shamszadeh S, Asgary S, Nosrat A. Regenerative endodontics: a scientometric and bibliometric analysis. Journal of Endodontics. 2019; 45: 272–280.

3. Trope M. Regenerative potential of dental pulp. Journal of Endodontics. 2008; 34: S13–S17.

4. Nosrat A, Ryul Kim J, Verma P, S Chand P. Tissue engineering considerations in dental pulp regeneration. Iranian Endodontic Journal. 2014; 9: 30–39.

5. Mellor JK, Ripa LW. Talon cusp: a clinically significant anomaly. Oral Surgery, Oral Medicine, Oral Pathology. 1970; 29: 225–228.

6. Decaup PH, Garot E, Rouas P. Prevalence of talon cusp: Systematic literature review, meta-analysis and new scoring system. Archives of oral biology. 2021; 125: 105112.

7. Hattab FN, Yassin OM, al-Nimri KS. Talon cusp in permanent dentition associated with other dental anomalies: review of literature and reports of seven cases. ASDC Journal of Dentistry for Children. 1996; 63: 368–376.

8. Mohammadi Z. Strategies to manage permanent non-vital teeth with open apices: a clinical update. International Dental Journal. 2011; 61: 25–30.

9. Chen MYH, Chen KH, Chen CA, Tayebaty F, Rosenberg PA, Lin LM. Responses of immature permanent teeth with infected necrotic pulp tissue and apical periodontitis/abscess to revascularization procedures. International Endodontic Journal. 2012; 45: 294–305.

10. Koç S, Del Fabbro M. Does the etiology of pulp necrosis affect regenerative endodontic treatment outcomes? a systematic review and meta-analyses. The Journal of Evidence Based Dental Practice. 2020; 20: 101400.

11. Elnawam H, Abdelmougod M, Mobarak A, Hussein M, Aboual-makarem H, Girgis M, et al. Regenerative endodontics and minimally invasive dentistry: intertwining paths crossing over into clinical translation. Frontiers in Bioengineering and Biotechnology. 2022; 10: 837639.

12. Kandemir Demirci G, Güneri P, Çalışkan M. Regenerative endodontic therapy with platelet rich fibrin: case series. The Journal of Clinical Pediatric Dentistry. 2020; 44: 15–19.

13. Yassen GH, Eckert GJ, Platt JA. Effect of intracanal medicaments used in endodontic regeneration procedures on microhardness and chemical structure of dentin. Restorative Dentistry & Endodontics. 2015; 40: 104–112.

14. Rams TE, Feik D, Mortensen JE, Degener JE, van Winkelhoff AJ. Antibiotic susceptibility of periodontal enterococcus faecalis. Journal of Periodontology. 2013; 84: 1026–1033.

15. Shimizu E, Jong G, Partridge N, Rosenberg PA, Lin LM. Histologic observation of a human immature permanent tooth with irreversible pulpitis after revascularization/regeneration procedure. Journal of Endodontics. 2012; 38: 1293–1297.

16. Nosrat A, Asgary S. Apexogenesis of a symptomatic molar with calcium enriched mixture. International Endodontic Journal. 2010; 43: 940–944.

17. Nosrat A, Seifi A, Asgary S. Pulpotomy in caries-exposed immature permanent molars using calcium-enriched mixture cement or mineral trioxide aggregate: a randomized clinical trial. International Journal of Paediatric Dentistry. 2013; 23: 56–63.

18. Asgary S, Fazlyab M, Nosrat A. Regenerative endodontic treatment versus apical plug in immature teeth: three-year follow-up. The Journal of Clinical Pediatric Dentistry. 2016; 40: 356–360.

19. Abbasipour F, Akheshteh V, Rastqar A, Khalilkhani H, Asgary S, Janahmadi M. Comparing the effects of mineral trioxide aggregate and calcium enriched mixture on neuronal cells using an electrophysiological approach. Iranian Endodontic Journal. 2012; 7: 79–87.

20. Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J. Effect of two storage solutions on surface topography of two root-end fillings. Australian Endodontic Journal. 2009; 35: 147–152.


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