Pulp Therapy for the Young Permanent Dentition

Fuks, Anna B.; Nuni, Eyal

doi:10.1016/b978-0-323-60826-8.00034-1

Cited by 17 publications

(22 citation statements)

References 83 publications

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“…The most common reasons for the inflammation or necrosis of the pulp tissue in permanent teeth are caries and trauma (1). Although root canal treatment is necessary under these circumstances, the treatment process is complicated for permanent teeth if their apices are open for reasons such as incomplete root development by the necrosis of the pulp tissue or resorption of the root apex by a periapical infection (2, 3).…”

Section: Introductionmentioning

confidence: 99%

“…However, the absence of any apical constriction which an obturation material can be placed against makes the obturation process complicated and creates a risk for the extrusion of the root canal filling material beyond the apex into the periapical tissues. Therefore, it is essential to create an artificial apical plug to eliminate those difficulties and the risks associated with the root filling process in teeth with open apices (1–3).…”

Section: Introductionmentioning

confidence: 99%

“…In 1966, the apexification procedure that consists of periodical root canal medication using calcium hydroxide to stimulate the occurrence of an apical barrier was presented (5). Despite widespread clinical practice and successful results (1, 2), the technique has some disadvantages such as long treatment period, need for multiple appointments, reinfection during the treatment period and increased risk of cervical root fracture (2, 3, 6). Because of these disadvantages, different alternatives have been considered.…”

Section: Introductionmentioning

confidence: 99%

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Retrospective Evaluation of Healing of Periapical Lesions after Unintentional Extrusion of Mineral Trioxide Aggregate

Demiriz

Bodrumlu

2017

Journal of Applied Biomaterials & Functional Materials

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Retrospective Evaluation of Healing of Periapical Lesions after Unintentional Extrusion of Mineral Trioxide Aggregate

Demiriz

Bodrumlu

2017

Journal of Applied Biomaterials & Functional Materials

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“…21 Vital pulpa tedavisinde yaygın kullanılan materyal kalsiyum hidroksitin 7,8 dezavantajları nedeniyle 8,10-12 ideal bir materyal olmadığı bildirilmektedir. 8,10,12 Bu nedenle günümüzde kalsiyum silikat içerikli biyomateryallerin kullanımı daha popüler hale gelmiştir. [14][15][16] Diş hekimliği alanında kullanılan ilk kalsiyum silikat içerikli siman olan MTA 22 , mükemmel sızdırmazlık özelliğine sahip, sert doku oluşumunu uyaran, yüksek alkalen yapıda, antibakteriyel etkinlik ve düşük çözünürlük gösteren biyouyumlu bir materyaldir.…”

Section: Discussionunclassified

“…9 Ancak kalsiyum hidroksit kullanılan vital pulpa tedavilerinde oluşan distrofik kalsifikasyonların, pulpa kanlanmasını bozarak pulpa nekrozuna sebep olabileceğini gösteren çalışmalar da mevcuttur. 10,11 Ayrıca kalsiyum hidroksit, dentine bağlantısının zayıf olması, mikrosızıntıya karşı uzun süren dayanıklılık gösterememesi, nem varlığında çözünmesi ve dentin köprüsünde poröziteye (tünel defektleri) neden olmasından dolayı vital pulpa tedavilerinde başarısızlığa neden olmaktadır. 8,12 Bu nedenlerden dolayı günümüzde vital pulpa tedavilerinde Mineral Trioksit Aggregate (MTA), Biodentine, BioAggregate gibi hidratasyonu kalsiyum hidroksit formasyonu ile sonuçlanan 13 kalsiyum silikat içerikli biyoseramik materyaller daha popüler hale gelmiştir.…”

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Vital Pulpa Tedavisinde Kullanılan Kalsiyum Silikat İçerikli Biyomateryallerin Restoratif Materyallere Bağlanma Dayanımının Değerlendirilmesi

Biçer¹,

Bayrak²

2019

Selcuk Dental Journal

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Evaluation of bond strength of restorative materials to calcium silicate-based biomaterials in vital pulp treatment Background: The purpose of this study was to provide a comparative evaluation of the shear bond strengths of calcium silicate based biomaterials used in vital pulp treatment to resin modified glass ionomer cement and composite resin. Methods: 78 acrylic blocks with a hole measuring 4 mm diameter and 2 mm height were prepared. Calcium silicate based biomaterials (ProRoot MTA, BioAggregate, Biodentine) were prepared in line with the manufacturers' instructions, inserted into hole and waited the recommended time for the setting. The biomaterials specimens were divided into resin modified glass ionomer cement and composite resin. After adhesive procedures, restorative materials were applied over the biomaterials with the help of cylindrical mold (2 mm in diameter and 2 mm in height). All specimens were stored at 37°C for 24 h and shear bond strength was then measured by universal testing machine. Data were analyzed using one-way ANOVA and Tukey tests. Results: The shear bond strength value of the composite resin was found to be higher than that of the resin modified glass ionomer in all biomaterials (ProRoot MTA, BioAggregate and Biodentine). When biomaterials were compared, it was found that both resin-modified glass ionomer cement and composite resin bond strength of Biodentine were significantly higher than ProRoot MTA and BioAggregate (p<0.05). Conclusion: In conclusion, composite resin could be preferred as a restorative material upon the calcium silicate-based biomaterials used in vital pulp treatment. In addition, biodentine may be a good alternative to MTA and BioAggregate because it exhibits both better binding strength values, shorter curing times, easier manipulation and lower cost.

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Evaluation of the modified 3Mix‐Simvastatin combination in non‐instrumental endodontic therapy of necrotic primary molars: A two‐arm randomized controlled trial

Almarji,

Laflouf,

Tolibah

2024

Clinical & Exp Dental Res

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ObjectiveThis study aimed to assess the clinical and radiographic outcomes of non‐instrumentation endodontic treatment (NIET) using a modified antibiotic mix of cefixime, ciprofloxacin and metronidazole with simvastatin (an anti‐inflammatory, bone regeneration drug) on necrotic primary molars compared to conventional pulpectomy to help preservation of necrotic primary teeth until its natural exfoliation.Materials and MethodsForty mandibular primary second molars with necrotic pulp tissue from 38 healthy patients aged between 4 and 8 years were randomly assigned to two groups with a 1:1 allocation ratio. Group A teeth underwent conventional root canal treatment. The procedure involved a two‐visit approach, employing k‐files and h‐files during the initial visit, followed by the application of calcium hydroxide paste as canal dressing between visits, while Group B teeth were treated with 3Mixtatin. All teeth were clinically evaluated after 1, 3, 6, and 12 months, and radiographically at 3, 6, and 12 months. Two external examiners assessed the results. Data analysis was conducted using a chi‐square test at a 0.05 significance level.ResultsAt the end of the follow‐up interval, 90% of teeth in each group exhibited no clinical signs or symptoms. Additionally, inter‐radicular radiolucency healing occurred in 75% of cases in the NIET group and 89.5% in the conventional pulpectomy group. However, no statistically significant difference was found between the two groups.ConclusionNIET using 3Mixtatin seems to be a good alternative choice to conventional pulpectomy, offering a less complex treatment approach that may help avoid the complications associated with traditional pulpectomy and could be suitable for teeth with shorter roots.

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Pulp Therapy for the Young Permanent Dentition

Cited by 17 publications

References 83 publications

Retrospective Evaluation of Healing of Periapical Lesions after Unintentional Extrusion of Mineral Trioxide Aggregate

Retrospective Evaluation of Healing of Periapical Lesions after Unintentional Extrusion of Mineral Trioxide Aggregate

Vital Pulpa Tedavisinde Kullanılan Kalsiyum Silikat İçerikli Biyomateryallerin Restoratif Materyallere Bağlanma Dayanımının Değerlendirilmesi

Evaluation of the modified 3Mix‐Simvastatin combination in non‐instrumental endodontic therapy of necrotic primary molars: A two‐arm randomized controlled trial

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