Treatment Approaches In Immature Teeth With Necrotic Pulp
Year 2011,
Volume: 5 Issue: 1, 770 - 781, 01.04.2011
Levent Demiriz
Serap Çetiner
Abstract
Endodontic treatment of immature teeth with necrotic pulp remains a challenge due to open apices and thin dentinal root walls. Although calcium hydroxide apexification remains the most widely used technique, apexification with MTA and Revascularization techniques have been recommended as alternative treatment options owing to disadvantages associated with traditional calcium hydroxide apexification such as long treatment time, reinfeciton and increased risk of cervical root fracture. However, prospective clinical studies comparing long term clinical succes of these alternative techniques with calcium hydoxide apexification are required
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Nekrotik Pulpalı İmmatür Dişlerde Tedavi Yaklaşımları
Year 2011,
Volume: 5 Issue: 1, 770 - 781, 01.04.2011
Levent Demiriz
Serap Çetiner
Abstract
Nektorik pulpalı immatür dişlerde apekslerin açık ve kök dentin duvarlarının ince olması, bu dişlerin endodontik tedavilerini oldukça zorlaştırmaktadır. Kalsiyum hidroksit apeksifikasyonu bu dişlerin tedavilerinde en çok tercih edilen teknik olmasına rağmen uzun tedavi süresi, dişin bu sürede enfekte olma veya kırılabilme riski gibi dezavantajları nedeniyle MTA ile apeksifikasyon ve Revaskülarizasyon teknikleri alternatif tedavi yaklaşımları olarak sunulmuştur. Ancak, alternatif olarak sunulan bu tekniklerin uzun dönem klinik başarılarının KH apeksifikasyonu ile karşılaştırıldığı prospektif çalışmaların yapılması gerekmektedir
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- Trope M. Treatment of the immature tooth with a non-vital pulp and apical periodontitis. Dent Clin North Am. 54: 313-24, 2010.
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- Fuks AB, Heling I. Erken daimi dişlenme dönemin- de pulpa tedavisi. Çeviri Ed.: Tortop T, Tulunoğlu Ö. Çocuk Diş Hekimliği Bebeklikten Ergenliğe. 4. Baski. Ankara: Atlas Kitapçılık, 2009, 577-92.
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- Fuks AB. Pulp therapy for the primary and young permanent dentitions. Dent Clin North Am. 44: 571-96, 2000.
- Reyes DA, Munoz ML, Martin AT. Study of calcium hydroxide apexification in 26 young permanent in- cisors. Dent Traumatol. 21: 141-5, 2005.
- Erdem AP, Sepet E. Mineral trioxide aggregate for obturation of maxillary central incisors with necrotic pulp and open apices. Dent Traumatol. 24: 38- 41, 2008.
- Holden DT, Schwartz SA, Kirkpatrick TC, Schindler WG. Clinical outcomes of artificial root-end barri- ers with mineral trioxide aggregate in teeth with immature apices. J Endod. 38: 812-17, 2008.
- Sarris S, Tahmassebi JF, Duggal MS, Cross IA. A clinical evaluation of mineral trioxide aggregate for root-end closure of non-vital immature perma- nent incisors in children: a pilot study. Dent Trau- matol. 24: 79-85, 2008.
- Soares J, Santos S, Cesar C, Silva P, Sa M, Sil- viera F. Calcium hydroxide induced apexification with apical root development: a clinical case re- port. Int Endod J. 41: 710-19, 2008.
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