Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
권호 표지
DOI QR코드

DOI QR Code

Apexogenesis and revascularization treatment procedures for two traumatized immature permanent maxillary incisors: a case report

  • Forghani, Maryam (Dental Research Center and Department of Endodontics, School of Dentistry, Mashhad University of Medical Sciences) ;
  • Parisay, Iman (Dental Materials Research Center and Department of Pediatric Dentistry, School of Dentistry, Mashhad University of Medical Sciences) ;
  • Maghsoudlou, Amir (Department of Endodontics, Gorgan University of Medical Sciences School of Dentistry)
  • Received : 2013.05.09
  • Accepted : 2013.06.20
  • Published : 2013.08.30
Download PDF
⟨ Previous Next ⟩

Abstract

Traumatic injuries to an immature permanent tooth may result in cessation of dentin deposition and root maturation. Endodontic treatment is often complicated in premature tooth with an uncertain prognosis. This article describes successful treatment of two traumatized maxillary central incisors with complicated crown fracture three months after trauma. The radiographic examination showed immature roots in maxillary central incisors of a 9-year-old boy with a radiolucent lesion adjacent to the right central incisor. Apexogenesis was performed for the left central incisor and revascularization treatment was considered for the right one. In 18-month clinical and radiographic follow-up both teeth were asymptomatic, roots continued to develop, and periapical radiolucency of the right central incisor healed. Considering the root development of these contralateral teeth it can be concluded that revascularization is an appropriate treatment method in immature necrotic teeth.

Keywords

References

  1. Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972;1:235-239. https://doi.org/10.1016/S0300-9785(72)80042-5
  2. Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: a review of the literature. Aust Dent J 2000;45:2-9. https://doi.org/10.1111/j.1834-7819.2000.tb00234.x
  3. Canakci V, Akgul HM, Akgul N, Canakci CF. Prevalence and handedness correlates of traumatic injuries to the permanent incisors in 13-17-year-old adolescents in Erzurum, Turkey. Dent Traumatol 2003;19:248-254. https://doi.org/10.1034/j.1600-9657.2003.00199.x
  4. Tapias MA, Jimenez-Garcia R, Lamas F, Gil AA. Prevalence of traumatic crown fractures to permanent incisors in a childhood population: Móstoles, Spain. Dent Traumatol 2003;19:119-122. https://doi.org/10.1034/j.1600-9657.2003.00141.x
  5. Witherspoon DE. Vital pulp therapy with new materials: new directions and treatment perspectives-permanent teeth. J Endod 2008;34:S25-28. https://doi.org/10.1016/j.joen.2008.02.030
  6. Rafter M. Apexification: a review. Dent Traumatol 2005; 21:1-8. https://doi.org/10.1111/j.1600-9657.2004.00284.x
  7. Katebzadeh N, Dalton BC, Trope M. Strengthening immature teeth during and after apexification. J Endod 1998;24:256-259. https://doi.org/10.1016/S0099-2399(98)80108-8
  8. Waterhouse PJ, Whitworth JM, Camp JH, Fuks AB. Chapter 23, Pediatric endodontics: endodontic treatment for the primary and young permanent dentition. In: Hargreaves KM, Cohen S. Cohen's Pathways of the pulp. 10th ed. St Louis: Mosby Elsevier; 2011. p808-857.
  9. Yamauchi N, Yamauchi S, Nagaoka H, Duggan D, Zhong S, Lee SM, Teixeira FB, Yamauchi M. Tissue engineering strategies for immature teeth with apical periodontitis. J Endod 2011;37:390-397. https://doi.org/10.1016/j.joen.2010.11.010
  10. Hoshino E, Kurihara-Ando N, Sato I, Uematsu H, Sato M, Kota K, Iwaku M. In-vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin, metronidazole and minocycline. Int Endod J 1996;29:125-130. https://doi.org/10.1111/j.1365-2591.1996.tb01173.x
  11. Tronstad L, Mjor IA. Capping of the inflamed pulp. Oral Surg Oral Med Oral Pathol 1972;34:477-485. https://doi.org/10.1016/0030-4220(72)90327-1
  12. Swift EJ Jr, Trope M. Treatment options for the exposed vital pulp. Pract Periodontic Aesthet Dent 1999;11:735-739.
  13. Trope M. Chapter 36, Endodontic considerations in dental trauma. In: Ingle JI, Bakland LK, Baumgartner JC. Ingle's Endodontics. 6th ed. Hamilton: BC Decker Inc; 2008. p1330-1357.
  14. Witherspoon DE, Small JC, Harris GZ. Mineral trioxide aggregate pulpotomies: a case series outcomes assessment. J Am Dent Assoc 2006;137:610-618. https://doi.org/10.14219/jada.archive.2006.0256
  15. Barrieshi-Nusair KM, Qudeimat MA. A prospective clinical study of mineral trioxide aggregate for partial pulpotomy in cariously exposed permanent teeth. J Endod 2006;32:731-735. https://doi.org/10.1016/j.joen.2005.12.008
  16. Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol 1965;20:340-349. https://doi.org/10.1016/0030-4220(65)90166-0
  17. Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol 2002;18:134-137. https://doi.org/10.1034/j.1600-9657.2002.00097.x
  18. Holden DT, Schwartz SA, Kirkpatrick TC, Schindler WG. Clinical outcomes of artificial root-end barriers with mineral trioxide aggregate in teeth with immature apices. J Endod 2008;34:812-817. https://doi.org/10.1016/j.joen.2008.04.003
  19. Cvek M. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study. Endod Dent Traumatol 1992;8:45-55. https://doi.org/10.1111/j.1600-9657.1992.tb00228.x
  20. Ding RY, Cheung GS, Chen J, Yin XZ, Wang QQ, Zhang CF. Pulp revascularization of immature teeth with apical periodontitis: a clinical study. J Endod 2009;35:745-749. https://doi.org/10.1016/j.joen.2009.02.009
  21. Thibodeau B, Teixeira F, Yamauchi M, Caplan DJ, Trope M. Pulp revascularization of immature dog teeth with apical periodontitis. J Endod 2007;33:680-689. https://doi.org/10.1016/j.joen.2007.03.001
  22. Hargreaves KM, Geisler T, Henry M, Wang Y. Regeneration potential of the young permanent tooth: what does the future hold? J Endod 2008;34:S51-56. https://doi.org/10.1016/j.joen.2008.02.032
  23. Petrino JA, Boda KK, Shambarger S, Bowles WR, McClanahan SB. Challenges in regenerative endodontics: a case series. J Endod 2010;36:536-541. https://doi.org/10.1016/j.joen.2009.10.006
  24. Windley W 3rd, Teixeira F, Levin L, Sigurdsson A, Trope M. Disinfection of immature teeth with a triple antibiotic paste. J Endod 2005;31:439-443. https://doi.org/10.1097/01.don.0000148143.80283.ea
  25. Banchs F, Trope M. Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol? J Endod 2004;30:196-200. https://doi.org/10.1097/00004770-200404000-00003
  26. Thibodeau B, Trope M. Pulp revascularization of a necrotic infected immature permanent tooth: case report and review of the literature. Pediatr Dent 2007; 29:47-50.
  27. da Silva LA, Nelson-Filho P, da Silva RA, Flores DS, Heilborn C, Johnson JD, Cohenca N. Revascularization and periapical repair after endodontic treatment using apical negative pressure irrigation versus conventional irrigation plus triantibiotic intracanal dressing in dogs' teeth with apical periodontitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:779-787. https://doi.org/10.1016/j.tripleo.2009.12.046
  28. Wang X, Thibodeau B, Trope M, Lin LM, Huang GT. Histologic characterization of regenerated tissues in canal space after the revitalization/revascularization procedure of immature dog teeth with apical periodontitis. J Endod 2010;36:56-63. https://doi.org/10.1016/j.joen.2009.09.039

Cited by

  1. Adult stem cell-based apexogenesis vol.4, pp.2, 2014, https://doi.org/10.5662/wjm.v4.i2.99
  2. JNK and ERK MAPK signalling pathways vol.47, pp.3, 2014, https://doi.org/10.1111/cpr.12099
  3. Is revascularization of immature permanent teeth an effective and reproducible technique? vol.31, pp.6, 2015, https://doi.org/10.1111/edt.12214
  4. A scoping review of root canal revascularization: relevant aspects for clinical success and tissue formation vol.50, pp.9, 2016, https://doi.org/10.1111/iej.12711
  5. Platelet rich fibrin - a novel acumen into regenerative endodontic therapy vol.39, pp.1, 2014, https://doi.org/10.5395/rde.2014.39.1.1
  6. The use of platelet rich plasma in the treatment of immature tooth with periapical lesion: a case report vol.39, pp.3, 2014, https://doi.org/10.5395/rde.2014.39.3.230
  7. A review of the regenerative endodontic treatment procedure vol.40, pp.3, 2015, https://doi.org/10.5395/rde.2015.40.3.179
  8. Alternative to Avoid Tooth Discoloration after Regenerative Endodontic Procedure: A Systematic Review vol.29, pp.5, 2018, https://doi.org/10.1590/0103-6440201802132
  9. Pulp Revascularization: A Literature Review vol.10, pp.None, 2013, https://doi.org/10.2174/1874210601711010048
  10. Rejeneratif Pulpa Tedavilerine Genel Bir Bakış vol.19, pp.3, 2013, https://doi.org/10.7126/cumudj.298907
  11. Regenerative Endodontics vol.34, pp.3, 2013, https://doi.org/10.1177/0898756417722022
  12. Bone, Periodontal and Dental Pulp Regeneration in Dentistry: A Systematic Scoping Review vol.30, pp.2, 2013, https://doi.org/10.1590/0103-6440201902053
  13. A comparison of MTA and Biodentine as medicaments for pulpotomy in traumatized anterior immature permanent teeth: A randomized clinical trial vol.36, pp.4, 2013, https://doi.org/10.1111/edt.12553
  14. Different Approaches to the Regeneration of Dental Tissues in Regenerative Endodontics vol.11, pp.4, 2021, https://doi.org/10.3390/app11041699
  15. Advances in Research on Stem Cell-Based Pulp Regeneration vol.18, pp.6, 2013, https://doi.org/10.1007/s13770-021-00389-2