Biologically based treatment of immature permanent teeth with pulpal necrosis: a case series.

Abstract:

:This case series reports the outcomes of 8 patients (ages 9-14 years) who presented with 9 immature permanent teeth with pulpal necrosis and apical periodontitis. During treatment, 5 of the teeth were found to have at least some residual vital tissue remaining in the root canal systems. After NaOCl irrigation and medication with ciprofloxacin, metronidazole, and minocycline, these teeth were sealed with mineral trioxide aggregate and restored. The other group of 4 teeth had no evidence of any residual vital pulp tissue. This second group of teeth was treated with NaOCl irrigation and medicated with ciprofloxacin, metronidazole, and minocycline followed by a revascularization procedure adopted from the trauma literature (bleeding evoked to form an intracanal blood clot). In both groups of patients, there was evidence of satisfactory postoperative clinical outcomes (1-5 years); the patients were asymptomatic, no sinus tracts were evident, apical periodontitis was resolved, and there was radiographic evidence of continuing thickness of dentinal walls, apical closure, or increased root length.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Jung IY,Lee SJ,Hargreaves KM

doi

10.1016/j.joen.2008.03.023

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

876-87

issue

7

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(08)00276-8

journal_volume

34

pub_type

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