Regenerative Endodontics: A Potential Solution for External Root Resorption (Case Series)

Yoshpe, Margarita; Einy, Shmuel; Ruparel, Nikita B.; Lin, Shaul; Kaufman, Arieh Y.

doi:10.1016/j.joen.2019.10.023

Cited by 50 publications

(50 citation statements)

References 31 publications

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“…Regeneration procedures have been recently proposed also in mature permanent teeth [ 20 ], but they should be further confirmed in case of avulsion and reimplantation. In addition, a regenerative endodontic approach has been very recently suggested as a treatment strategy to arrest progressive development of root resorption of young permanent teeth, with the aim to promote new periodontal ligament attachment to ankylosed teeth [ 4 ]. These preliminary results should be supported by further evidence to make endodontic regeneration a reliable alternative in the management of traumatized teeth, improving the prognosis over time and decreasing the occurrence of side effects and need of early surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

“…One of the main drawbacks of reimplantation after avulsion is represented by external root resorption [ 4 ], which can be further divided into surface, inflammatory, or replacement (ankylosis) root resorption [ 5 ]. The latter demonstrated an incidence of 51% [ 5 ] and it is strictly related to the extra-oral dry time and the extent of PDL damage, mostly causing tooth fusion to alveolar bone [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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External Root Resorption Management of an Avulsed and Reimplanted Central Incisor: A Case Report

et al. 2021

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Background: Avulsion and reimplantation of permanent teeth represent a major challenge in terms of treatment and long-term prognosis. The present study reported clinical management of external root resorption of an avulsed and reimplanted maxillary central incisor. Case report: A 9-year-old boy reported an uncomplicated crown fracture and avulsion of tooth 11 and complicated crown fracture of tooth 21 due to trauma. Reimplantation of element 11 was obtained within 30 min post-trauma and 3 days after both elements were diagnosed with necrotic pulp. In addition, tooth 11 showed early external root resorption. Both elements underwent endodontic treatment and root closure with apical plug using calcium-silicate-based cement. At 6-month follow-up root resorption appeared to be arrested. Twenty-four months after trauma the clinical results were stable, although signs and symptoms of ankylosis were observed. Conclusions: An immediate endodontic approach and use of calcium-silicate-based cement seemed to contrast the progression of root resorption of an avulsed and reimplanted central incisor after 24 months of follow-up.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

External Root Resorption Management of an Avulsed and Reimplanted Central Incisor: A Case Report

et al. 2021

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“…Several case reports have used regenerative endodontic procedures for treating teeth with EIR (Chaniotis 2015, Santiago et al 2015, Saoud et al 2016, Tzanetakis 2018, Yoshpe et al 2020; however, there is insufficient evidence to support this approach for routine clinical practice in such cases.…”

Section: Endodontic Management In Cases Of External Infection-related Resorption (Eir)mentioning

confidence: 99%

“…2016, Tzanetakis 2018, Yoshpe et al . 2020); however, there is insufficient evidence to support this approach for routine clinical practice in such cases.…”

Section: Endodontic Management In Cases Of External Infection‐related Resorption (Eir)mentioning

confidence: 99%

Endodontic management of traumatized permanent teeth: a comprehensive review

et al. 2021

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This comprehensive review will look at the dentinepulp complex and its interaction with the surrounding tissues following TDIs. The literature up to 2020 was reviewed based on several searches on PubMed and the Cochrane Library using relevant terms. In addition to the recently revised guidelines of the International Association of Dental Traumatology, this article aims to provide background information with a focus on endodontic aspects and to gather evidence on which a clinician can make decisions on the choice of the appropriate endodontic approach for traumatized permanent teeth.

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“…However, there is no evidence whether antiresorptive corticosteroid dressings in the root canal (possibly followed by calcium hydroxide) increase success rates compared with the use of calcium hydroxide alone. A case series used regenerative endodontic procedures for treating teeth with EIR (Yoshpe et al, 2020); however, there is insufficient evidence to support this approach for routine clinical practice in such cases. After successful arrest of EIR, depending on the degree of trauma‐induced PDL damage, periodontal healing may occur, or the process may develop into ankylosis.…”

Section: Endodontic Management In Cases Of External Infection‐related Resorption (Eir)mentioning

confidence: 99%

European Society of Endodontology position statement: endodontic management of traumatized permanent teeth

et al. 2021

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This position statement represents a consensus of an expert committee convened by the European Society of Endodontology (ESE) on the endodontic management of traumatized permanent teeth. A recent comprehensive review with detailed background information provides the basis for this position statement (Krastl et al. 2021, International Endodontic Journal, https://doi.org/10.1111/iej.13508). The statement is based on current scientiﬁc evidence as well as the expertise of the committee. Complementing the recently revised guidelines of the International Association of Dental Traumatology, this position statement aims to provide clinical guidance for the choice of the appropriate endodontic approach for traumatized permanent teeth. Given the dynamic nature of research in this area, this position statement will be updated at appropriate intervals.

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Regenerative Endodontics: A Potential Solution for External Root Resorption (Case Series)

Cited by 50 publications

References 31 publications

External Root Resorption Management of an Avulsed and Reimplanted Central Incisor: A Case Report

External Root Resorption Management of an Avulsed and Reimplanted Central Incisor: A Case Report

Endodontic management of traumatized permanent teeth: a comprehensive review

European Society of Endodontology position statement: endodontic management of traumatized permanent teeth

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