scholarly journals Plasma Rich in Growth Factors in the Treatment of Endodontic Periapical Lesions in Adult Patients: Case Reports

2021 ◽  
Vol 22 (17) ◽  
pp. 9458
Author(s):  
Katarzyna Machut ◽  
Agata Zoltowska ◽  
Elzbieta Pawlowska ◽  
Marcin Derwich
Keyword(s):  
Case Reports ◽  
Autologous Blood ◽  
Healing Process ◽  
Venous Blood ◽  
Permanent Teeth ◽  
Periapical Lesions ◽  
Root Canals ◽  
Leading Role ◽  
Canal Systems ◽  
Mechanical Shaping

Platelet-rich fibrin (PRF) is an autologous blood concentrate obtained without anticoagulants by centrifugation of patients’ peripheral venous blood. PRF is considered to enhance the formation of new bone. The aim of this manuscript was to present two case reports of permanent teeth with closed apexes with periapical lesions, treated endodontically with the use of PRF. The root canals were mechanically cleaned and shaped with NiTi files and irrigated with 5.25% sodium hypochlorite (NaOCl), 40% citric acid (CA), and triple distillated water. Before the canal systems were obturated, A-PRF was used as a scaffold and was placed below the cementodentinal junction with hand pluggers. Cone beam computerized tomography (CBCT) was used to assess the resolutions of periapical radiolucencies. After 6 months, the measurements of both periapical lesions were significantly reduced. Although the performed root canal treatments (RCTs) can definitely be recognized as successful, it must be emphasized that mechanical shaping and cleaning of the root canals with special disinfecting solutions significantly affect the clinical efficacy of RCT. It seems impossible to state that PRF played a leading role in the healing process of the presented periapical lesions. Further studies must be performed to assess whether RCT of mature teeth with an additional PRF application is superior to RCT performed alone.

scholarly journals Use of mineral trioxide aggregate in the treatment of traumatized teeth in children: Two case reports

2013 ◽  
Vol 70 (8) ◽  
pp. 781-784 ◽  
Author(s):  
Bojana Cetenovic ◽  
Dejan Markovic ◽  
Bojan Petrovic ◽  
Tamara Peric ◽  
Vukoman Jokanovic
Keyword(s):  
Treatment Option ◽  
Treatment Time ◽  
Case Reports ◽  
Mineral Trioxide Aggregate ◽  
Clinical Findings ◽  
Permanent Teeth ◽  
Periapical Lesions ◽  
Root Canals ◽  
Alternative Treatment Option ◽  
Dental Injuries

Introduction. Dental injuries in immature permanent teeth often result in endodontic complications. Apexification technique using calcium hydroxide is associated with certain flaws, such as long treatment time, the possibility of tooth fracture and incomplete calcification. The use of an apical plug employing mineral trioxide aggregate (MTA) is an alternative treatment option. Case report. We reported the successful treatment of 4 maxillary incisors (in a 7-year-old boy and a 10-year-old girl) with open apices and periapical lesions. Apical portions of the canals were filled with MTA plugs in both cases. Coronal parts of the root canals were filled with gutta-percha and sealer. Clinical findings were clear 6 months after the definite obturation with no pathological changes on the radiographs in both cases. Conclusion. The use of MTA for apical plugging appears to be a valid treatment option in traumatized immature teeth with endodontic complications.

Continued Root-End Growth and Apexification Using a Calcium Hydroxide and Iodoform Paste (Metapex®): Three Case Reports

2010 ◽  
Vol 11 (5) ◽  
pp. 63-70 ◽  
Author(s):  
Shobha Tandon ◽  
N. Sridhar
Keyword(s):  
South Korea ◽  
Root Growth ◽  
Calcium Hydroxide ◽  
Clinical Significance ◽  
Case Reports ◽  
Endodontic Treatment ◽  
Permanent Teeth ◽  
Root Canals ◽  
Disposable Plastic ◽  
Clinical Cases

Abstract Aim The aim of these case reports is to present a treatment to promote root-end growth and apexification in nonvital immature permanent teeth in children. Methods and Materials Three cases were presented where the calcium hydroxide and iodoform paste Metapex® was placed in the root canals of immature permanent teeth using disposable plastic tips. The teeth involved were evaluated radiographically at regular intervals for the first 12 months after placement of the paste. At the end of 12 months all the cases showed continued root growth and apical closure (apexification) with no evidence of periapical pathology. Conventional endodontic treatment was then performed. Results In all three of the clinical cases presented, a combination of calcium hydroxide and iodoform paste (Metapex®) was used and showed promising results in inducing root-end growth and closure after 12 months. Conclusion In these three clinical cases, the calcium hydroxide and iodoform paste Metapex® (Meta Biomed Co. Ltd., South Korea) was found to induce apical closure when assessed radiographically. Over a period of 12 months all the cases showed continued root growth. Clinical Significance The calcium hydroxide and iodoform paste Metapex® promoted continued root-end growth with apexification in the nonvital immature permanent teeth treated. Citation Sridhar N, Tandon S. Continued Root-Growth and Apexification Using a Calcium Hydroxide and Iodoform Paste (Metapex®): Three Case Reports. J Contemp Dent Pract [Internet]. 2010 October; 11(5):063-070. Available from: http://www.thejcdp.com/journal/view/volume11- issue5-sridhar

scholarly journals Clinical features and endodontic treatment of two-rooted mandibular canines: Report of four cases

2014 ◽  
Vol 142 (9-10) ◽  
pp. 592-596 ◽  
Author(s):  
Igor Stojanac ◽  
Milica Premovic ◽  
Milan Drobac ◽  
Bojana Ramic ◽  
Ljubomir Petrovic
Keyword(s):  
Root Canal ◽  
Case Reports ◽  
Anatomical Variation ◽  
Anatomical Variations ◽  
Endodontic Treatment ◽  
Careful Examination ◽  
Root Canals ◽  
Working Length ◽  
Canal Systems ◽  
Root Canal Morphology

Introduction. Predictable endodontic treatment depends on the dentist?s knowledge about root canal morphology and its possible anatomic variations. The majority of mandibular canines have one root and root canal, but 15% may have two canals and a smaller number may have two distinct roots. The following clinical reports describe endodontic treatment of mandibular canines with two roots and two root canals. Outline of Cases. Four clinical case reports are presented to exemplify anatomical variation in the human mandibular canine. Detailed analysis of the preoperative radiographs and careful examination of the pulp chamber floor detected the presence of two root canal orifices in all canines. Working length was determined with an electronic apex locator and biomechanical preparation was carried out by using engine driven BioRaCe Ni-Ti rotary instruments in a crown-down manner, followed by copious irrigation with 1% sodium hypochlorite. Definitive obturation was performed using cold lateral condensation with gutta-percha cones and Top Seal paste. The treatment outcome was evaluated using postoperative radiographs. Conclusion. Endodontists should be aware of anatomical variations of the treated teeth, and should never presume that canal systems are simple.

Regenerative Endodontics

2017 ◽  
Vol 34 (3) ◽  
pp. 161-178 ◽  
Author(s):  
Kristina Feigin ◽  
Bonnie Shope
Keyword(s):  
Patient Selection ◽  
Root Development ◽  
Animal Studies ◽  
Case Reports ◽  
Permanent Teeth ◽  
Regenerative Endodontics ◽  
Successful Case ◽  
Infected Root ◽  
Canal Systems ◽  
Infected Root Canal

Regenerative endodontics has been defined as “biologically based procedure designed to replace damaged structures, including dentin and root structures, as well as cells of the pulp–dentin complex.” This is an exciting and rapidly evolving field of human endodontics for the treatment of immature permanent teeth with infected root canal systems. These procedures have shown to be able not only to resolve pain and apical periodontitis but continued root development, thus increasing the thickness and strength of the previously thin and fracture-prone roots. In the last decade, over 80 case reports, numerous animal studies, and series of regenerative endodontic cases have been published. However, even with multiple successful case reports, there are still some remaining questions regarding terminology, patient selection, and procedural details. Regenerative endodontics provides the hope of converting a nonvital tooth into vital one once again.

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 Differentiation of root canal morphology – a review of the literature

2016 ◽  
Vol 79 (3) ◽  
pp. 221-239
Author(s):  
Agata Przesmycka ◽  
Jacek Tomczyk
Keyword(s):  
Root Canal ◽  
Morphological Diversity ◽  
Classification Systems ◽  
Permanent Teeth ◽  
Future Research ◽  
Root Canals ◽  
Canal Systems ◽  
Root Canal Morphology ◽  
Anthropological Literature ◽  
Shed Light

Abstract The morphological diversity of the inner anatomy of root canals in human permanent teeth is an issue mainly described in endodontics research. In recent years, it is a relatively new point in anthropological studies because it varies by sex, geographic and ethnic circumstances. An unusual number of root canals or their specific systems can differentiate populations around the world. The multiplicity of available methods for detecting root canal systems helps to better understand their complexity; however, most cannot be applied to anthropology due to limitations that occur in the bioarcheological material. Thorough knowledge of the heterogeneity and internal anatomy of the root canals supplies numerous classification systems proposed and improved over the years by many authors. A limited number of studies in the anthropological literature and future research will shed light onto the internal tooth morphology in historical populations. The aim of this paper is to describe various classification systems of root canals applied in endodontics. However, due to the often poor state of preservation and damage of archaeological derived remains, it seems that the best method is the approach that is the simplest and least complicated.

Management of necrotic immature permanent maxillary incisors using a modified technique of revascularisation

2021 ◽  
Vol 14 (3) ◽  
pp. e240203
Author(s):  
Arun Mayya ◽  
Shruti Bhandary ◽  
Advith Kolakemar ◽  
Ann Mary George
Keyword(s):  
Platelet Rich Plasma ◽  
Blood Clot ◽  
Treatment Options ◽  
Permanent Teeth ◽  
Treatment Modalities ◽  
Successful Outcome ◽  
Modified Technique ◽  
Platelet Rich Fibrin ◽  
Periapical Lesions ◽  
Over Time

The management of necrotic immature permanent teeth has always been a challenge to endodontists. Various treatment modalities have been tried and tested for achieving a successful outcome. Revascularisation is one among these treatment options, which is gaining widespread attention among endodontists. The growing body of evidence demonstrating the success of revascularisation has led to different variations of this treatment option. Clinicians have over time used different scaffolds such as blood clot, collagen, platelet-rich fibrin (PRF) and platelet-rich plasma for revascularisation. This case report outlines the management of immature maxillary central incisors with pulp necrosis and large periapical lesions in a 19-year-old female patient with a modified technique of revascularisation by combining PRF and blood clot. At the end of 12 months, the patient was completely asymptomatic along with regression of the periapical lesions.

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