치내치를 동반한 감염된 미성숙 영구치의 재생형 근관치료

Abstract

Endodontic management of an immature permanent tooth with dens invaginatus poses a challenge to efficient treatment planning for the clinicians. Because it is difficult to shape, disinfect, and seal the canal space effectively, teeth with complex root canal structures often require particularly extensive and thorough treatment approaches. The purpose of this case report was to share clinical insight from the results of short-term followups after regenerative endodontic treatment with a dens invaginatus.Two immature maxillary lateral incisors with Oehlers type I and III dens invaginatus and infected necrotic pulp were treated using regenerative endodontic procedures. For the type III dens invaginatus case, an unusual approach toward redesigning the complex internal structure was taken, in order to have sufficient infection control and sealing. Cone-beam computed tomography (CBCT) and a surgical operating microscope were used to aid visualization and treatment.As a result, regenerative endodontic treatment appears to be effective for managing immature permanent teeth with complex dens invaginatus, and can lead not only to clinical and radiographic resolution, but also increased thickness of the dentinal walls.

The Effect of Differentiation of Human Dental Pulp Stem Cells to Glial Cells on the Sensory Nerves of the Dental Pulp

“…This process makes the affected tooth vulnerable to external insults and loading, potentially leading to root fracture or tooth loss [ 2 ]. Apexification, apexogenesis, and pulp regeneration (revascularization) are three commonly performed clinical procedures [ 3 ]; however, regenerative endodontic treatment is superior in terms of pulp revitalization, root elongation, and wall thickening [ 4 ]. Two regenerative strategies are used: cellular regenerative and cell-free regenerative endodontic treatment based on exogenous stem cell transplantation and homing, respectively [ 5 ].…”