scholarly journals Revascularization in Immature Permanent Teeth with Necrotic Pulp and Apical Pathology: Case Series

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
López Carmen ◽  
Mendoza Asunción ◽  
Solano Beatriz ◽  
Yáñez-Vico Rosa
Keyword(s):  
Case Series ◽  
Permanent Teeth ◽  
Pulp Chamber ◽  
Immature Teeth ◽  
Therapeutic Protocol ◽  
Triple Antibiotic Paste ◽  
Restorative Materials ◽  
Pulp Revascularization ◽  
Clinical Cases

Introduction. To present and discuss the results of five clinical cases treated using the revascularization protocol, showing clinical and radiographic monitoring. Necrotic immature teeth with periapical pathology present a challenge to dentists because the techniques used in apexification leave the tooth susceptible to fracture, since the root does not continue to grow in length and the canal walls are thin. Revascularization has emerged as an alternative to resolve these deficiencies, enabling apical closure, continued development of the roots, and thickening of the dentinal walls. Case Series. Five clinically and radiographically diagnosed necrotic immature permanent teeth were treated using revascularization treatment. The therapeutic protocol involved accessing the pulp chamber; irrigating copiously with NaOCl; applying a triple antibiotic paste as intracanal dressing; then provisionally sealing it. After 3 weeks, the canal was cleaned and the apex irritated with a size 15 K-file to induce blood that would serve as a scaffold for pulp revascularization. MTA was used to seal the chamber before final obturation (composite or metallic crown). Conclusion. The discussion of the results leads to debate about different restorative materials and other published protocols.

scholarly journals Pulp Revascularization of Immature Permanent Teeth: A Review of the Literature and a Proposal of a New Clinical Protocol

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Mélanie Namour ◽  
Stephanie Theys
Keyword(s):  
Treatment Method ◽  
Permanent Teeth ◽  
Clinical Protocol ◽  
Therapeutic Success ◽  
Immature Teeth ◽  
Triple Antibiotic Paste ◽  
New Treatment ◽  
Near Future ◽  
Pulp Revascularization ◽  
Stimulation Of

Tissue engineering is a growing field. In the near future, it will probably be possible to generate a complete vital tooth from a single stem cell. Pulp revascularization is dependent on the ability of residual pulp and apical and periodontal stem cells to differentiate. These cells have the ability to generate a highly vascularized and a conjunctive rich living tissue. This one is able to colonize the available pulp space. Revascularization is a new treatment method for immature necrotic permanent teeth. Up to now, apexification procedures were applied for these teeth, using calcium dihydroxide or MTA to produce an artificial apical barrier. However, the pulp revascularization allows the stimulation of the apical development and the root maturation of immature teeth. Two pulp revascularization techniques are used in the literature, one using calcium dihydroxide and the second using a triple antibiotic paste. Based on these two different pulp revascularization protocols, which obtain the desired therapeutic success, the literature will be reviewed and analyzed according to the relevance of their choice of materials. Based on the literature, we propose a new relevant protocol and a new mixture of antibiotics.

scholarly journals The ability of platelet-rich plasma to regenerate a non-vital immature permanent teeth

2021 ◽  
Vol 24 (3) ◽  
Author(s):  
Salma Abdo ◽  
Amera Alkaisi
Keyword(s):  
Platelet Rich Plasma ◽  
Cold Test ◽  
Apical Periodontitis ◽  
Permanent Teeth ◽  
Pulp Chamber ◽  
Pulp Regeneration ◽  
Immature Teeth ◽  
Therapeutic Protocol ◽  
Regenerative Endodontic Treatment

Objectives: To test the ability of platelet-rich plasma clinically and radiologically for pulp regeneration of immature teeth with apical periodontitis. Material and Methods: An experimental study was conducted From (March/2018-July/2020)   12 upper central immature incisors with acute apical periodontitis and necrotic pulp from six patients receiving regenerative endodontic treatment using concentrated platelets rich plasma were performed by the same endodontist at Mediclinic Middle East Hospitals. Informed consent, including explanation of risks and alternative treatments or no treatment were prepared and filled by the patient parents. The therapeutic protocol was involved accessing the pulp chamber; irrigation copiously with sodium hypochlorite; applying calcium hydroxide as intracanal medicament and a provisionally sealing it after 4 weeks. The canal was cleaned, dried and injected with concentrated platelets rich plasma which serve as a scaffold for pulp regeneration. MTA was used to seal the chamber before final filling with composite.  Evaluations: All teeth were monitored clinically (mobility, palpation, percussion, and sensitivity cold test) and radiographically. Results: Twenty months follow-up all teeth showed resolution of periapical radiolucencies, continued root development with positive response to sensitivity cold test and no discoloration. Conclusion:  The results of this study confirmed the previous finding that pulp regeneration can be gained by using cPRP successfully   Keywords Immature teeth; Necrosis; cPRP; Regeneration.

Regenerative Endodontic Therapy with Platelet Rich Fibrin: Case Series

2020 ◽  
Vol 44 (1) ◽  
pp. 15-19 ◽  
Author(s):  
G Kandemir Demirci ◽  
P Güneri ◽  
MK Çalışkan
Keyword(s):  
Case Series ◽  
Cone Beam ◽  
Permanent Teeth ◽  
Platelet Rich Fibrin ◽  
Periapical Lesions ◽  
Root Canals ◽  
Immature Teeth ◽  
Triple Antibiotic Paste ◽  
Cone Beam Computerized Tomography

Regenerative endodontic therapy (RET) provides a novel treatment modality for the immature teeth with pulp necrosis. The aim of this case series was to evaluate RET of immature permanent teeth using platelet rich fibrin (PRF) at 36-month follow-up periods. In the present case series, three immature maxillary incisors diagnosed with pulp necrosis and apical periodontitis were treated with RET. The root canals were irrigated with 1.5% sodium hypochlorite (NaOCl) and medicated with triple antibiotic paste(TAP). At the second visit, TAP was removed and root canals were conditioned with 17% EDTA. PRF was used as a scaffold. MTA was placed over PRF and the teeth were restored with composite resin. Periapical radiographs and cone beam computerized tomography(CBCT) were used to evaluate the healing. At the end of the 36-month follow-up periods, there was no response to pulp sensibility tests with cold and electric pulp tester, but all teeth showed decreased periapical lesions or evidence of healing.

scholarly journals The “Pre-Finishing” Approach in Direct Anterior Restorations. A Case Series

2021 ◽  
Vol 9 (7) ◽  
pp. 79
Author(s):  
Gaetano Paolone ◽  
Salvatore Scolavino ◽  
Enrico Gherlone ◽  
Gianrico Spagnuolo ◽  
Giuseppe Cantatore
Keyword(s):  
Optical Properties ◽  
Case Series ◽  
Deep Knowledge ◽  
Anterior Teeth ◽  
Composite Layers ◽  
Step Procedure ◽  
Restorative Materials ◽  
Optical Behavior ◽  
Clinical Cases

In esthetic restorations of anterior teeth the clinician has to manage several aspects in order to have a predictable outcome. A deep knowledge of the anatomy as well as the adhesive procedures and the optical properties of resin-based composites are mandatory to achieve esthetic results. Contemporary restorative materials present either several shades and different translucency properties and therefore they are able to mimic teeth’s optical behavior thus providing a natural aspect to anterior restorations. The wrong thickness of different composite layers may provide unpleasant results such as low value (grayish) restorations that often requires reintervention. A precise step-by-step procedure is therefore mandatory to provide the proper shade at the correct place. There is therefore the need of some corrections and adjustments during the layer procedure in order to avoid errors in shade positioning that could affect final result. The authors present a case series (six clinical cases) treated with the proposed technique with up to five years follow-up.

scholarly journals Single Sitting Revitalization of Nonvital Young Permanent Teeth

2020 ◽  
Vol 8 (03) ◽  
pp. 127-130
Author(s):  
Avninder Kaur ◽  
Anchal Soni ◽  
Harees Shabir
Keyword(s):  
Glass Ionomer Cement ◽  
Thick Layer ◽  
Permanent Teeth ◽  
Radiographic Examination ◽  
Radiographic Evaluation ◽  
Periapical Lesion ◽  
Immature Teeth ◽  
Pulp Revascularization ◽  
Ionomer Cement

AbstractA 9-year-old child reported with chief complaint of broken teeth (11 and 21) and discolored tooth (21). Diagnosis of pulp necrosis with apical periodontitis with regard to 11 and 21 was made based on clinical and radiographic examination. The canals were irrigated with sodium hypochlorite and then dried with paper points. Disinfection of canals was done using photoactivated disinfection (PAD). Platelet-rich fibrin (PRF) was placed as scaffold in canals till the cementoenamel junction (CEJ). A 2-mm thick layer of white MTA was placed, followed by dual seal using glass–ionomer cement (GIC) and composite resin. Follow-up examination was done for 1 year. Clinical examination showed no pain, tenderness on percussion, and no mobility and improvement in color of teeth. Radiographic evaluation revealed continued thickening of the dentinal walls, root lengthening, regression of the periapical lesion, and partial apical closure. This report of pulp revascularization shows that disinfection with photodynamic therapy combined with PRF resulted in satisfactory root development in necrotic immature teeth.

scholarly journals What is the best long-term treatment modality for immature permanent teeth with pulp necrosis and apical periodontitis?

2021 ◽  
Author(s):  
A. Wikström ◽  
M. Brundin ◽  
M. F. Lopes ◽  
M. El Sayed ◽  
G. Tsilingaridis
Keyword(s):  
Systematic Review ◽  
Treatment Modality ◽  
Current Knowledge ◽  
Case Series ◽  
Apical Periodontitis ◽  
Permanent Teeth ◽  
Cochrane Library ◽  
Wall Thickening ◽  
Immature Teeth ◽  
Long Term Treatment

Abstract Purpose To evaluate and assess the current knowledge about apexification and regenerative techniques as a meaningful treatment modality and to map the scientific evidence for the efficacy of both methods for the management of traumatised immature teeth with pulp necrosis and apical periodontitis. Methods This systematic review searched five databases: PubMed, Web of Science, Cochrane Library, Ovid (Medline), and Embase. Published articles written in English were considered for inclusion. The following keywords were used: Regenerative endodontic treatment OR regenerat* OR revital* OR endodontic regeneration OR regenerative endodontics OR pulp revascularization OR revasculari* OR ‘traumatized immature teeth’. Only peer-reviewed studies with a study size of at least 20 cases followed up for 24 months were included. Eligibility assessment was performed independently in a blinded manner by three reviewers and disagreements were resolved by consensus. Subgroup analyses were performed on three clinical outcomes: survival, success, and continued root development. Results Seven full texts out of 1359 citations were included and conventional content analysis was performed. Most of the identified citations were case reports and case series. Conclusions In the present systematic review, the qualitative analysis revealed that both regenerative and apexification techniques had equal rates of success and survival and proved to be effective in the treatment of immature necrotic permanent teeth. Endodontic regenerative techniques appear to be superior to apexification techniques in terms of stimulation of root maturation, i.e. root wall thickening and root lengthening. Knowledge gaps were identified regarding the treatment and follow-up protocols for both techniques.

scholarly journals Clinical and Radiographic Outcomes of Vital Inflamed Pulp Therapy in Immature Permanent Teeth with Irreversible Pulpitis: A Retrospective Case Series

2020 ◽  
Author(s):  
Wen Xiao ◽  
Wentao Shi ◽  
Jun Wang
Keyword(s):  
Root Length ◽  
Case Series ◽  
Pediatric Dentistry ◽  
Apical Periodontitis ◽  
Permanent Teeth ◽  
Pulp Therapy ◽  
Immature Teeth ◽  
Irreversible Pulpitis ◽  
Radiographic Changes

Abstract Background To assess the resolution of clinical symptoms and radiographic changes in root length and apical diameter in immature permanent teeth with irreversible pulpitis or apical periodontitis with vital inflamed pulp therapy (VIPT).Methods The faculty members at the Ninth People’s Hospital pediatric dentistry department were invited to submit consecutive VIPT cases treated by them, irrespective of outcome, between 2014 and 2016. Clinical success rate, radiographic changes in periapical radiolucency, and apical closure were analyzed, and radiographic changes in the apical diameter and root length were quantified.Results Thirteen of 14 submitted cases of irreversible pulpitis in immature teeth met the inclusion criteria. The follow-up period ranged from 17 to 37 (average, 26.5 ± 7) months. All 13 treated teeth (100%) survived and 12 (92.3%) met the clinical criteria for success throughout the follow-up period, with 92.3% of cases (12 of 13) showing a significant periapical radiolucency decrease and 84.6% (11 of 13) showing complete apical closure at the last visit. The change in apical diameter and root length were obvious. Conclusions Vital inflamed pulp therapy approaches might be of particular value in restoring root development and apical closure and can be an option in treating immature teeth with irreversible pulpitis, even apical periodontitis.

Penetration of the Pulp Chamber by Bleaching Agents in Teeth Restored with Various Restorative Materials

2000 ◽  
Vol 26 (2) ◽  
pp. 92-94 ◽  
Author(s):  
O GOKAY ◽  
F YILMAZ ◽  
S AKIN ◽  
M TUNCBILEK ◽  
R ERTAN
Keyword(s):  
Pulp Chamber ◽  
Restorative Materials
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