대한치과보존학회:학술대회논문집 (Proceedings of the KACD Conference)
- 대한치과보존학회 2003년도 제120회 추계학술대회 제 5차 한ㆍ일 치과보존학회 공동학술대회
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- Pages.586-586
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- 2003
Revascularization of immature permanent teeth with apical periodontitis
- Iwaya, Shin-Ichi (Department of Dentistry, Tohoku Employees, Pension Welfare Hospital) ;
- Ikawa, Motohide (Division of Periodontology and Endodontology, Department of Oral Biology, Tohoku University Graduate School of Dentistry) ;
- Kubota, Minoru (Department of Operative Dentistry and Endodontics, Iwate Medical University)
- 발행 : 2003.11.01
초록
In the infected immature tooth with periapical involvement, the pulp is considered to hardly exist in the canal and periapical area. Such a tooth receives apexification procedure, because revascularization of the pulp chamber is in principle not expected. Apexification is beneficial to induce further development of an apex to close the foramina, but does not promote the thickness of the entire canal wall dentin. It may be possible for the pulp to be only partially necrotic and infected when an extremely large communication from the pulp space to the periapical tissues exists with a very young tooth. If this were the case, vital pulp in the apical part of the canal could proliferate new pulp into the coronal pulp space by the successful removal and disinfection of the necrotic infected coronal pulp.(omitted)
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