One step pulp revascularization treatment of an immature permanent tooth with chronic apical abscess: a case report
| Autor: | S. Y. Shin, Rory E Mortman, J. S. Albert |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Periapical Abscess Sodium Hypochlorite medicine.medical_treatment Dental Fistula Neovascularization Physiologic Dentistry Revascularization Tooth Apex stomatognathic system Dental pulp stem cells Dental Pulp Necrosis medicine Humans Regeneration Child General Dentistry Dental Pulp Permanent tooth Root Canal Irrigants business.industry Stem Cells Chlorhexidine Surgery Pulp capping stomatognathic diseases Periradicular Coronal plane Chronic Disease Pulp (tooth) Female Dental Pulp Cavity business Root Canal Preparation medicine.drug |
| Zdroj: | International Endodontic Journal. 42:1118-1126 |
| ISSN: | 1365-2591 0143-2885 |
| DOI: | 10.1111/j.1365-2591.2009.01633.x |
| Popis: | Aim To describe a case in which a mandibular right second premolar with a necrotic pulp, sinus tract, periradicular radiolucency and an immature apex underwent revascularization via a single treatment approach. Summary Revascularization procedures have the potential to heal a partially necrotic pulp, which can be beneficial for the continued root development of immature teeth. However, it is not clear which revascularization protocols are the most effective. This case report details the outcome of a successful revascularization procedure on tooth 45 (FDI) in a 12-year-old patient, eliminating the associated periapical pathosis within 19 months. The tooth was treated using coronal root irrigation with 6% NaOCl and 2% chlorhexidine without instrumentation in a single visit. The successful outcome of this case report suggests that this conservative revascularization treatment approach can preserve the vitality of the dental pulp stem cells and create a suitable environment for pulp regeneration, resulting in the completion of root maturation. Key learning points • The noninstrumentation procedure using 6% NaOCl and 2% chlorhexidine coronal irrigation may help preserve the remaining vital dental pulp stem cells believed to be critical for pulp revascularization. • A single visit pulp revascularization protocol can be a favourable treatment option for an immature permanent tooth with a partially necrotic pulp. |
| Databáze: | OpenAIRE |
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