INTRODUCTION: The purpose of this study was to examine the effect of a pulpal revascularization procedure for immature necrotic teeth with apical periodontitis. METHODS: 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. RESULTS: 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. CONCLUSIONS: Revascularization could be effective for managing immature permanent teeth with apical periodontitis with appropriate case selection.
INTRODUCTION: The purpose of this study was to examine the effect of a pulpal revascularization procedure for immature necrotic teeth with apical periodontitis. METHODS: 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. RESULTS: 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. CONCLUSIONS: Revascularization could be effective for managing immature permanent teeth with apical periodontitis with appropriate case selection.
Authors: Tarek Mohamed A Saoud; Ashraf Zaazou; Ahmed Nabil; Sybel Moussa; Louis M Lin; Jennifer L Gibbs Journal: J Endod Date: 2014-10-16 Impact factor: 4.171
Authors: Jeremy J Mao; Sahng G Kim; Jian Zhou; Ling Ye; Shoko Cho; Takahiro Suzuki; Susan Y Fu; Rujing Yang; Xuedong Zhou Journal: Dent Clin North Am Date: 2012-07
Authors: Ghaeth H Yassen; Tien-Min G Chu; Maxime A Gallant; Matthew R Allen; Mychel M Vail; Peter E Murray; Jeffrey A Platt Journal: Clin Oral Investig Date: 2013-10-08 Impact factor: 3.573