Clinical and Radiographic Outcomes in Immature Permanent Necrotic Evaginated Teeth Treated with Regenerative Endodontic Procedures

Li, Ling; Pan, Yihuai; Mei, Liqin; Li, Jun

doi:10.1016/j.joen.2016.10.015

Cited by 39 publications

(24 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There was a 27.4% increase in root length at 12 months across all the cases in our study, compared with several clinical case series and retrospective studies in RET, which had reported radiographic changes in root length and reported the change of 4%-23.37% [6,24,25,27,29]. It can be concluded that VIPT can effectively achieve the goal of root develop physiologically, and the results close to performance of RET, superior to apexi cation techniques.…”

Section: Discussionsupporting

confidence: 63%

“…The average decrease in apical diameter in individual cases from the preoperative radiograph to follow-up at 3, 6, and 12 months and last recall was respectively 7.98%, 24.1%, 70.3%, and 91.0%. In RET research, Li et al [29] observed a change in apical diameter at 3, 6 and 12 months was respectively 20.40%, 51.16% and 72.90%. In the aspect of continued root lengthening, 38.5% of cases (5 of 13) met clinically meaningful within-case change [23] at 12 months.…”

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

Clinical and Radiographic Outcomes of Vital Inflamed Pulp Therapy in Immature Permanent Teeth with Irreversible Pulpitis: A Retrospective Case Series

Xiao¹,

Shi²,

Wang³

2020

Preprint

View full text Add to dashboard Cite

Background To assess the resolution of clinical symptoms and radiographic changes in root length and apical diameter in immature permanent teeth with irreversible pulpitis or apical periodontitis with vital inflamed pulp therapy (VIPT).Methods The faculty members at the Ninth People’s Hospital pediatric dentistry department were invited to submit consecutive VIPT cases treated by them, irrespective of outcome, between 2014 and 2016. Clinical success rate, radiographic changes in periapical radiolucency, and apical closure were analyzed, and radiographic changes in the apical diameter and root length were quantified.Results Thirteen of 14 submitted cases of irreversible pulpitis in immature teeth met the inclusion criteria. The follow-up period ranged from 17 to 37 (average, 26.5 ± 7) months. All 13 treated teeth (100%) survived and 12 (92.3%) met the clinical criteria for success throughout the follow-up period, with 92.3% of cases (12 of 13) showing a significant periapical radiolucency decrease and 84.6% (11 of 13) showing complete apical closure at the last visit. The change in apical diameter and root length were obvious. Conclusions Vital inflamed pulp therapy approaches might be of particular value in restoring root development and apical closure and can be an option in treating immature teeth with irreversible pulpitis, even apical periodontitis.

show abstract

Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 95%

Clinical and Radiographic Outcomes of Vital Inflamed Pulp Therapy in Immature Permanent Teeth with Irreversible Pulpitis: A Retrospective Case Series

Xiao¹,

Shi²,

Wang³

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…30 The most frequently observed radiographic finding was decreased in apical diameter, ranging from 15.54% to 68.8%, which is following with several studies that consider it the most consistent and significant radiographic finding. 4,18,19,21,25,27 More immature developmental teeth, such as Cvek's stages one, two, and three, 24 achieved the highest rates of decrease in apical diameter, confirming that pulp revascularization is an efficient procedure in traumatized teeth at the early stages of root development.…”

Section: Discussionmentioning

confidence: 91%

“…The second most frequently observed radiographic finding was increased root length, ranging from 0.74% to 45.88%, with an average of 14.28%. Considering the threshold of a 20% increase in radiographic outcomes as cutoff point, 18,21,22,25 only 4 cases met this criterion.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the possible damage that luxation injuries exert on Hertwig's epithelial root sheath 17 , the rates of increase in root length are similar to those of studies that involved several etiologies (ranging from 8.6% to 23.37%). [21][22][23][25][26][27] However, it is slightly higher compared to studies that only included dental traumas. 18,19 The third most frequently observed radiographic finding was increased root width.…”

Section: Radiographic Measurementmentioning

confidence: 99%

See 1 more Smart Citation

Treatment outcomes of pulp revascularization in traumatized immature teeth using calcium hydroxide and 2% chlorhexidine gel as intracanal medication

et al. 2020

View full text Add to dashboard Cite

Treatment outcomes of pulp revascularization in traumatized immature teeth using calcium hydroxide and 2% chlorhexidine gel as intracanal medication Objective: Pulp revascularization is an effective treatment for immature necrotic teeth. Calcium hydroxide has been used in pulp revascularization as an intracanal medication due to its antimicrobial action and the nonexhibition of crown discoloration and cytotoxicity for stem cells from the apical papilla. Our study aimed to investigate the clinical success and quantitative radiographic changes of root development in immature traumatized teeth using calcium hydroxide plus 2% chlorhexidine gel as intracanal medication. Methodology: In this retrospective study, 16 patients were treated with a standardized pulp revascularization protocol. Calcium hydroxide and 2% chlorhexidine gel were manipulated in a 1:1 (v/v) ratio and inserted into root canals with Lentulo spirals (Dentsply Maillefer, Baillaigues, Switzerland). Patients were followed up for a period from 9 to 36 months for the evaluation of clinical and radiological data. Radiographic measurements of root length, root width, apical diameter, and MTA placement from the apex were quantified using software ImageJ. Wilcoxon test and t-test were used, according to nonparametric or parametric data, respectively, for changes over time in root length, root width, and apical diameter. Results: Fifteen teeth survived during the follow-up period (93.75%) and met the criteria for clinical success. Although the changes seem to be very small in many cases, significant increases in the average root length (14.28%, p<0.0001), root width (8.12%, p=0.0196), and decrease in apical diameter (48.37%, p=0.0007) were observed. MTA placement from the apex and age at the time of treatment was not significantly associated with the quantitative radiographic outcomes. Conclusions: Pulp revascularization in traumatized immature teeth treated with calcium hydroxide plus 2% chlorhexidine gel as intracanal medication had high success and survival rates, showing periodontal healing and resolution of signs and symptoms. However, concerning the continued root development, the outcomes can still be considered unpredictable.

show abstract

Endodontic Treatment of Apical Periodontitis

Ørstavik¹

2019

Essential Endodontology

View full text Add to dashboard Cite

Clinical and Radiographic Outcomes in Immature Permanent Necrotic Evaginated Teeth Treated with Regenerative Endodontic Procedures

Cited by 39 publications

References 24 publications

Clinical and Radiographic Outcomes of Vital Inflamed Pulp Therapy in Immature Permanent Teeth with Irreversible Pulpitis: A Retrospective Case Series

Clinical and Radiographic Outcomes of Vital Inflamed Pulp Therapy in Immature Permanent Teeth with Irreversible Pulpitis: A Retrospective Case Series

Treatment outcomes of pulp revascularization in traumatized immature teeth using calcium hydroxide and 2% chlorhexidine gel as intracanal medication

Endodontic Treatment of Apical Periodontitis

Contact Info

Product

Resources

About