Healing Potential of Immature Permanent Teeth With Necrotic Pulps and Periapical Radiolucency

Elsayyad, Akram; El-Sayed, Manal A.; Elmotayam, Kamal

doi:10.21608/edj.2017.74371

Cited by 1 publication

(1 citation statement)

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“…These results are in conjunction with previous research. [ 26 27 ] However, at 6 months, there were 2 (9.1%) cases in Group I and 2 (9.1%) cases in Group II that were identified as clinical failure due to pain on percussion. These 4 teeth were correlated to radiographic failure in addition to pain on percussion, and alternative treatment (apexification) was done to treat these teeth.…”

Section: Discussionmentioning

confidence: 99%

Discoloration after revascularization using calcium phosphosilicate-based bioceramic versus mineral trioxide aggregate in necrotic immature permanent anterior teeth: A Randomized clinical trial

Bartaw,

Eid,

Gawad

et al. 2024

Journal of Conservative Dentistry and Endodontics

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Aim: The aim of the current study is to evaluate the effect of calcium phophosilicate-based bioceramic “Totalfill bioceramic putty” and white mineral trioxide aggregate (WMTA) as the coronal plug on discoloration after revascularization of necrotic immature permanent anterior teeth. Materials and Methods: This study was conducted on (48) necrotic young permanent central incisors in children ranging from 8 to 14 years old, that were randomly allocated to either Totalfill bioceramic (Group I = 24) or WMTA (Group II = 24) as the coronal plug. Two visits revascularization protocol was adopted in this study using 1.5% sodium hypochlorite, followed by 17% ethylenediaminetetraacetic acid, and ending with a saline flush as irrigation solution. The double antibiotic paste was used as intracanal medication. The blood clot was used as scaffold followed by the application of collagen membrane followed by coronal plud malterial. Finally, the access was sealed using resin composite restoration and composite restoration. Clinical assessment was conducted at 1, 3, 6, 9, and 12 months, while radiographic assessment was conducted at 6 and 12 months. Data were statistically analyzed using the Chi-squared test for intergroup comparisons and Cochran’s Q test for intragroup comparison. Results: Clinically, Group I exhibited a success rate of 100%, whereas Group II exhibited a success rate of 85.7%. Radiographically, both materials showed a 90.5% success rate. There was no statistically significant difference between both materials for all assessed clinical and radiographic parameters at different follow-up periods. Conclusions: Both Totalfill bioceramic putty and WMTA can be used successfully as coronal plug in esthetic areas.

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Section: Discussionmentioning

confidence: 99%