Repository of Research and Investigative Information

Repository of Research and Investigative Information

Rafsanjan University of Medical Sciences

Regenerative Endodontic Treatment (Revascularization) for Necrotic Immature Permanent Molars: A Review and Report of Two Cases with a New Biomaterial

(2011) Regenerative Endodontic Treatment (Revascularization) for Necrotic Immature Permanent Molars: A Review and Report of Two Cases with a New Biomaterial. Journal of Endodontics. pp. 562-567. ISSN 0099-2399

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Abstract

Introduction: Revascularization is a valuable treatment in immature necrotic teeth that allows the continuation of root development. In this article we describe successful revascularization treatment of 2 necrotic immature first mandibular molars. Methods: The clinical and radiographic examinations showed extensive coronal caries, immature roots, and periapical radiolucencies in mandibular first molars of a 9-year-old boy and an 8-year-old girl. The exam findings suggested revascularization treatment in both cases, which was started with irrigation of the canals by using NaOCl 5.25 for 20 minutes, followed by 3 weeks of triple antibiotic (metronidazole, ciprofloxacin, and minocycline) paste dressing. Next, the antibiotic paste was removed, bleeding was induced in the canals, and calcium enriched mixture (CEM) cement was placed over blood clots. Results: In radiographic and clinical follow-ups both cases were asymptomatic and functional, periapical radiolucencies were healed, and roots continued to develop. Conclusions: Revascularization is a realistic treatment in immature necrotic molars. In addition, placing CEM cement as a new endodontic biomaterial over the blood clot formed inside the canals provided good seal and favorable outcomes. (l Endod 2011;37:562-567)

Item Type: Article
Keywords: Apexification calcium enriched mixture CEM cement open apex regenerative treatment revascularization triple antibiotic paste mineral trioxide aggregate calcium-enriched mixture root-canal dentin pulp revascularization apical periodontitis retrospective analysis teeth tooth end cement Dentistry, Oral Surgery & Medicine
Page Range: pp. 562-567
Journal or Publication Title: Journal of Endodontics
Journal Index: ISI
Volume: 37
Number: 4
Identification Number: https://doi.org/10.1016/j.joen.2011.01.011
ISSN: 0099-2399
Depositing User: مهندس مهدی شریفی
URI: http://eprints.rums.ac.ir/id/eprint/4828

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