Restorative Dentistry and Endodontics

  • 제43권3호
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  • Pages.31.1-31.7
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  • 2018
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  • 2234-7658(pISSN)
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  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
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Revitalization of necrotic mature permanent incisors with apical periodontitis: a case report

  • Nagas, Emre (Department of Endodontics, Faculty of Dentistry, Hacettepe University) ;
  • Uyanik, M. Ozgur (Department of Endodontics, Faculty of Dentistry, Hacettepe University) ;
  • Cehreli, Zafer C. (Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University)
  • 투고 : 2018.03.16
  • 심사 : 2018.06.04
  • 발행 : 2018.08.31
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초록

Despite considerable focus on the regenerative endodontic treatment of immature teeth with necrotic infected pulps and apical periodontitis, little data exist with regard to its possible implementation in necrotic permanent teeth with complete apical and radicular development. The present report describes the procedures and outcome of a regenerative endodontic treatment approach in 2 previously-traumatized incisors with closed apex with apical periodontitis. A 2-visit treatment procedure was employed. At initial visit, the root canals were copiously irrigated, followed by placement of a triple antibiotic paste containing ciprofloxacin, metronidazole, and clindamycin into the root canals. After 4 weeks, the antibiotic paste was removed, and apical bleeding was initiated with size 10 hand files beyond the apices. The root canals were coronally sealed with mineral trioxide aggregate, and the access cavities were restored with bonded resin composite. At post-operative 60 months, both teeth were remained asymptomatic, with the recall radiographs showing complete resolution of apical radiolucency and reestablishment of periradicular tissues. In both teeth, the dimensions of root space remained unchanged as verified by image analysis. The revitalization protocol utilizing root canal disinfection and induced apical bleeding in necrotic, closed-apex incisors may offer a clinically acceptable alternative to conventional root canal treatment.

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피인용 문헌

  1. Quantitative Assessment of Intracanal Regenerated Tissues after Regenerative Endodontic Procedures in Mature Teeth Using Magnetic Resonance Imaging: A Randomized Controlled Clinical Trial vol.46, pp.5, 2018, https://doi.org/10.1016/j.joen.2020.01.026
  2. Different Approaches to the Regeneration of Dental Tissues in Regenerative Endodontics vol.11, pp.4, 2021, https://doi.org/10.3390/app11041699
  3. Regenerative Endodontic Procedures for the Treatment of Necrotic Mature Teeth with Apical Periodontitis: A Systematic Review and Meta-analysis of Randomized Controlled Trials vol.47, pp.6, 2018, https://doi.org/10.1016/j.joen.2021.03.015