Case Report
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REGENERATIVE ENDODONTIC TREATMENT OF IMMATURE PERMANENT INCISORS FOLLOWING DENTAL TRAUMA: A REPORT OF 2 CASES

Year 2014, Volume: 24 Issue: 2, 274 - 277, 11.02.2015
https://doi.org/10.17567/dfd.47887

Abstract

Immature permanent teeth damaged by caries or trauma can present a challenge to dentistry. Recently a biologically based treatment called regenerative endodontic treatment was introduced. The purpose of this report was to present a case of pulp revascularization in immature, traumatized and necrotic teeth. An 6-year-old male presented with intruzed and subluxation to the permanent maxillary left and right central incisors, respectively. Revascularization therapy was performed over multiple visits. At 24 months follow-up, healing of the periapical area and apexogenesis were found to be complete in right incisor. however, left incisor presented periapical lesion and root resorption. Although with an increasing breadth of clinical evidence and practitioner acceptance, regenerative techniques may become a standard technique in treating subluxed immature necrotic permanent teeth, this treatment procedure is not useful for intruzed permanent teeth. On the other hand, further and long-term clinical researches are required

References

  • Trope M. Avulsion of permanent teeth: theory to practice. Dent Traumatol 2011;27:281-94.
  • Andreasen JO, Andreasen FM, Skeie A, Hjorting- Hansen E, Schwartz O. Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries -- a review article. Dent Traumatol 2002;18:116-28.
  • Andreasen JO, Bakland LK, Andreasen FM. Traumatic intrusion of permanent teeth. Part 3. A clinical study of the effect of treatment variables such as treatment delay, method of repositioning, type of splint, length of splinting and antibiotics on 140 teeth. Dent Traumatol 2006;22:99-111.
  • Wilkinson DL, McCarthy M. Use of comparative data for integrated cancer services. BMC Health Serv Res 2007;7:204.
  • Chueh LH, Ho YC, Kuo TC, Lai WH, Chen YH, Chiang CP. Regenerative endodontic treatment for necrotic immature permanent teeth. J Endod 2009;35:160-4.
  • Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972;1:235-9.
  • Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: a review of the literature. Aust Dent J 2000;45:2-9.
  • acobovitz M, Ramos AM, Lima RK, Pappen FG, Fuks AB. Endodontic and orthodontic management of traumatically intruded teeth with horizontal root fracture: a case report. Case Rep Dent 2011;2011:250-67.
  • Yamauchi N, Yamauchi S, Nagaoka H, Duggan D, Zhong S, Lee SM et al. Tissue engineering strategies for immature teeth with apical periodontitis. J Endod 2011;37:390-7.
  • Gelman R, Park H. Pulp revascularization in an immature necrotic tooth: a case report. Pediatr Dent 2012;34:496-9.
  • Garcia-Godoy F, Murray PE. Recommendations for using regenerative endodontic procedures in permanent immature traumatized teeth. Dent Traumatol 2012;28:33-41.
  • Guzeler I, Uysal S, Cehreli ZC. Treatment of severe inflammatory root resorption in a young permanent incisor with mineral trioxide aggregate. J Can Dent Assoc 2011;77:b108.
  • Banchs F, Trope M. Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol? J Endod 2004;30:196-200.
  • 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;35:745-9.
  • Takushige T, Cruz EV, Asgor Moral A, Hoshino E. Endodontic treatment of primary teeth using a combination of antibacterial drugs. Int Endod J 2004;37:132-8. 16. Seale NS, Glickman GN. Contemporary perspectives on vital pulp therapy: views from the endodontists and pediatric dentists. J Endod 2008; 34:57-61.
  • Üstün Y, Dinçer AN, Aslan T, Sağsen B. Bir Komplike Restorasyonu: Vaka Raporu. Atatürk Üniv Diş Hek Fak Derg 2013;23:235-8 Kırığının Koruyucu

DENTAL TRAVMAYA UĞRAMIŞ GENÇ DAİMİ KESER DİŞLERE REJENERATİF ENDODONTİK TEDAVİ UYGULAMASI: İKİ OLGU RAPORU

Year 2014, Volume: 24 Issue: 2, 274 - 277, 11.02.2015
https://doi.org/10.17567/dfd.47887

Abstract

Travmatik yaralanmaya uğramış olan gelişimini tamamlamamış daimi dişlerde kök kanal tedavisi uygulaması diş hekimleri için büyük zorluklar taşımaktadır. Son yıllarda bu tür dişlerin tedavi için geliştirilmiş biyolojik temele dayalı rejeneratif endodontik tedavi yöntemi sunulmuştur. Bu çalışmanın amacı genç (apeksi açık), dental travmaya uğramış ve nekroz olan daimi dişlerde revaskülarizasyon tedavisini uygulanması ve tedavi sonuçlarının rapor edilmesi amacıyla yapılmıştır. Çalışmamızda 6 yaşındaki bir erkek çocuğunun sol üst orta keser dişinin intrüze, sağ üst orta keser dişinin ise sublükse olduğu belirlenmiş olup bu dişlere rejeneratif endodontik tedavi uygulanmıştır. Yirmi-dört aylık takip periyodu sonucunda sağ üst orta keser dişte periapikal iyileşme ve apeksogenesis görülmüş olmasına karşın, sol üst orta keser dişte ise periapikal lezyonlar ve kök rezopsiyonu gözlenmiştir. Rejeneratif endodontik tedavi süblükse, nekrotik ve açık apeksli dişlerde başarılı sonuçlar ortaya koymuş ve bu tür olgularda standart bir prodedür olarak uygulanabileceği kanıtlanmış olmasına karşın, intrüze olan daimi dişleri için  ise bu tedavi yönteminin uygun olmadığı belirlenmiştir. Diğer taraftan, bu konu ile ilgili daha fazla ve uzun dönem takipler içeren çalışmalara ihtiyaç duyulmaktadır.

References

  • Trope M. Avulsion of permanent teeth: theory to practice. Dent Traumatol 2011;27:281-94.
  • Andreasen JO, Andreasen FM, Skeie A, Hjorting- Hansen E, Schwartz O. Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries -- a review article. Dent Traumatol 2002;18:116-28.
  • Andreasen JO, Bakland LK, Andreasen FM. Traumatic intrusion of permanent teeth. Part 3. A clinical study of the effect of treatment variables such as treatment delay, method of repositioning, type of splint, length of splinting and antibiotics on 140 teeth. Dent Traumatol 2006;22:99-111.
  • Wilkinson DL, McCarthy M. Use of comparative data for integrated cancer services. BMC Health Serv Res 2007;7:204.
  • Chueh LH, Ho YC, Kuo TC, Lai WH, Chen YH, Chiang CP. Regenerative endodontic treatment for necrotic immature permanent teeth. J Endod 2009;35:160-4.
  • Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972;1:235-9.
  • Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: a review of the literature. Aust Dent J 2000;45:2-9.
  • acobovitz M, Ramos AM, Lima RK, Pappen FG, Fuks AB. Endodontic and orthodontic management of traumatically intruded teeth with horizontal root fracture: a case report. Case Rep Dent 2011;2011:250-67.
  • Yamauchi N, Yamauchi S, Nagaoka H, Duggan D, Zhong S, Lee SM et al. Tissue engineering strategies for immature teeth with apical periodontitis. J Endod 2011;37:390-7.
  • Gelman R, Park H. Pulp revascularization in an immature necrotic tooth: a case report. Pediatr Dent 2012;34:496-9.
  • Garcia-Godoy F, Murray PE. Recommendations for using regenerative endodontic procedures in permanent immature traumatized teeth. Dent Traumatol 2012;28:33-41.
  • Guzeler I, Uysal S, Cehreli ZC. Treatment of severe inflammatory root resorption in a young permanent incisor with mineral trioxide aggregate. J Can Dent Assoc 2011;77:b108.
  • Banchs F, Trope M. Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol? J Endod 2004;30:196-200.
  • 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;35:745-9.
  • Takushige T, Cruz EV, Asgor Moral A, Hoshino E. Endodontic treatment of primary teeth using a combination of antibacterial drugs. Int Endod J 2004;37:132-8. 16. Seale NS, Glickman GN. Contemporary perspectives on vital pulp therapy: views from the endodontists and pediatric dentists. J Endod 2008; 34:57-61.
  • Üstün Y, Dinçer AN, Aslan T, Sağsen B. Bir Komplike Restorasyonu: Vaka Raporu. Atatürk Üniv Diş Hek Fak Derg 2013;23:235-8 Kırığının Koruyucu
There are 16 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Articles
Authors

Kenan Cantekin

Güldağ Herdem This is me

Publication Date February 11, 2015
Published in Issue Year 2014 Volume: 24 Issue: 2

Cite

APA Cantekin, K., & Herdem, G. (2015). DENTAL TRAVMAYA UĞRAMIŞ GENÇ DAİMİ KESER DİŞLERE REJENERATİF ENDODONTİK TEDAVİ UYGULAMASI: İKİ OLGU RAPORU. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 24(2), 274-277. https://doi.org/10.17567/dfd.47887
AMA Cantekin K, Herdem G. DENTAL TRAVMAYA UĞRAMIŞ GENÇ DAİMİ KESER DİŞLERE REJENERATİF ENDODONTİK TEDAVİ UYGULAMASI: İKİ OLGU RAPORU. Ata Diş Hek Fak Derg. February 2015;24(2):274-277. doi:10.17567/dfd.47887
Chicago Cantekin, Kenan, and Güldağ Herdem. “DENTAL TRAVMAYA UĞRAMIŞ GENÇ DAİMİ KESER DİŞLERE REJENERATİF ENDODONTİK TEDAVİ UYGULAMASI: İKİ OLGU RAPORU”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24, no. 2 (February 2015): 274-77. https://doi.org/10.17567/dfd.47887.
EndNote Cantekin K, Herdem G (February 1, 2015) DENTAL TRAVMAYA UĞRAMIŞ GENÇ DAİMİ KESER DİŞLERE REJENERATİF ENDODONTİK TEDAVİ UYGULAMASI: İKİ OLGU RAPORU. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24 2 274–277.
IEEE K. Cantekin and G. Herdem, “DENTAL TRAVMAYA UĞRAMIŞ GENÇ DAİMİ KESER DİŞLERE REJENERATİF ENDODONTİK TEDAVİ UYGULAMASI: İKİ OLGU RAPORU”, Ata Diş Hek Fak Derg, vol. 24, no. 2, pp. 274–277, 2015, doi: 10.17567/dfd.47887.
ISNAD Cantekin, Kenan - Herdem, Güldağ. “DENTAL TRAVMAYA UĞRAMIŞ GENÇ DAİMİ KESER DİŞLERE REJENERATİF ENDODONTİK TEDAVİ UYGULAMASI: İKİ OLGU RAPORU”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24/2 (February 2015), 274-277. https://doi.org/10.17567/dfd.47887.
JAMA Cantekin K, Herdem G. DENTAL TRAVMAYA UĞRAMIŞ GENÇ DAİMİ KESER DİŞLERE REJENERATİF ENDODONTİK TEDAVİ UYGULAMASI: İKİ OLGU RAPORU. Ata Diş Hek Fak Derg. 2015;24:274–277.
MLA Cantekin, Kenan and Güldağ Herdem. “DENTAL TRAVMAYA UĞRAMIŞ GENÇ DAİMİ KESER DİŞLERE REJENERATİF ENDODONTİK TEDAVİ UYGULAMASI: İKİ OLGU RAPORU”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol. 24, no. 2, 2015, pp. 274-7, doi:10.17567/dfd.47887.
Vancouver Cantekin K, Herdem G. DENTAL TRAVMAYA UĞRAMIŞ GENÇ DAİMİ KESER DİŞLERE REJENERATİF ENDODONTİK TEDAVİ UYGULAMASI: İKİ OLGU RAPORU. Ata Diş Hek Fak Derg. 2015;24(2):274-7.

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