A Combined Endodontic Management Approach in immature Permanent Molar tooth with Periapical Lesion: Case Report
Öz
Immature dental pulp, which has a highly cellular structure and a rich vascular nutrition system, is highly resistant to inflammation, In these teeth, determining the treatment option based on clinical and radiographic findings alone may result in the removal of diseased pulp tissue as well as vital pulp tissue. In order to increase the prognosis of these teeth, vital pulp treatments are highly recommended to preserve pulp vitality. By evaluating the condition of the root pulps of young permanent molars separately, it is possible to increase the prognosis of the tooth by combining regenerative endodontic treatment and pulpotomy treatment according to the condition of the pulps. In this case report, regenerative endodontic treatment and pulpotomy treatment were applied to different root canals of the first molar, which became necrotic before completing its maturation due to caries and had an apical lesion, and excellent healing was demonstrated.
Key words: Biodentine, immature permanent teeth, periapical lesions, pulpotomy, regenerative endodontic treatment.
Anahtar Kelimeler
: Biodentine immature permanent teeth periapical lesions pulpotomy regenerative endodontic treatment.
Etik Beyan
Bu makale herhangi bir sempozyum veya kongrede sunulan bir bildirinin içeriğinin iyileştirilmesi veya kısmen değiştirilmesi yoluyla üretilmemiştir. Bu çalışma yüksek lisans veya doktora tezine dayalı olarak hazırlanmamıştır. Bu çalışmanın hazırlanmasında bilimsel ve etik ilkelere uyulduğu ve kullanılan tüm çalışmaların kaynakçada belirtildiği beyan edilmiştir.
Kaynakça
- 1. Ozdemir D. Dental caries: the most common disease worldwide and preventive strategies. International Journal of Biology 2013;5(4):55.
- 2. Jafarzadeh H, Abbott P. Review of pulp sensibility tests. Part I: general information and thermal tests. International endodontic journal 2010;43(9):738-62.
- 3. Kirkevang L-L, Whitworth J, Bjørndal L. Textbook of Endodontology: John Wiley & Sons; 2018.
- 4. Terauchi Y, Bakland LK, Bogen G. Combined root canal therapies in multirooted teeth with pulpal disease. Journal of Endodontics 2021;47(1):44-51.
- 5. Waterhouse PJ, Whitworth JM, Camp J, Fuks AB. Pediatric endodontics: endodontic treatment for the primary and young permanent dentition. Pathways of the pulp. 10th ed. St Louis: Mosby Elsevier 2011:808-57.
- 6. Mejare I, Cvek M. Partial pulpotomy in young permanent teeth with deep carious lesions. Dental Traumatology 1993;9(6):238-42.
- 7. Chinadet W, Sutharaphan T, Chompu-inwai P. Biodentine™ partial pulpotomy of a young permanent molar with signs and symptoms indicative of irreversible pulpitis and periapical lesion: a case report of a five-year follow-up. Case Reports in Dentistry 2019;2019.
- 8. Parirokh M, Torabinejad M, Dummer P. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview–part I: vital pulp therapy. International endodontic journal 2018;51(2):177-205.
- 9. Neha K, Kansal R, Garg P, et al. Management of immature teeth by dentin-pulp regeneration: a recent approach. 2011.
- 10. Cooper PR, Duncan HF, Widbiller M, Galler KM. Treatment of Immature Teeth with Pulp Necrosis. Endodontic Materials in Clinical Practice 2021:47-79.
- 11. Shabahang S. Treatment options: apexogenesis and apexification. Pediatric dentistry 2013;35(2):125-28.
- 12. Murray PE, Garcia-Godoy F, Hargreaves KM. Regenerative endodontics: a review of current status and a call for action. Journal of endodontics 2007;33(4):377-90.
- 13. Aldakak MMN, Capar ID, Rekab MS, Abboud S. Single-visit pulp revascularization of a nonvital immature permanent tooth using Biodentine. Iranian endodontic journal 2016;11(3):246.
- 14. Cehreli ZC, Isbitiren B, Sara S, Erbas G. Regenerative endodontic treatment (revascularization) of immature necrotic molars medicated with calcium hydroxide: a case series. Journal of endodontics 2011;37(9):1327-30.
- 15. Chueh L-H, Ho Y-C, Kuo T-C, et al. Regenerative endodontic treatment for necrotic immature permanent teeth. Journal of endodontics 2009;35(2):160-64.
- 16. Tran XV, Ngo LTQ, Boukpessi T. Biodentine(TM) Full Pulpotomy in Mature Permanent Teeth with Irreversible Pulpitis and Apical Periodontitis. Healthcare (Basel) 2021;9(6).
- 17. Chinadet W, Sutharaphan T, Chompu-Inwai P. Biodentine™ Partial Pulpotomy of a Young Permanent Molar with Signs and Symptoms Indicative of Irreversible Pulpitis and Periapical Lesion: A Case Report of a Five-Year Follow-Up. Case Rep Dent 2019;2019:8153250.
- 18. Lee S, Park Y-T, Setzer FC. Combined Regenerative and Vital Pulp Therapies in an Immature Mandibular Molar: A Case Report. Journal of Endodontics 2020;46(8):1085-90.
- 19. Rajasekharan S, Martens L, Cauwels R, Anthonappa RP. Biodentine™ material characteristics and clinical applications: a 3 year literature review and update. European Archives of Paediatric Dentistry 2018;19(1):1-22.
- 20. Shayegan A, Jurysta C, Atash R, Petein M, Abbeele AV. Biodentine used as a pulp-capping agent in primary pig teeth. Pediatric dentistry 2012;34(7):202E-08E.
- 21. Glynis A, Foschi F, Kefalou I, Koletsi D, Tzanetakis GN. Regenerative endodontic procedures for the treatment of necrotic mature teeth with apical periodontitis: a systematic review and meta-analysis of randomized controlled trials. Journal of Endodontics 2021;47(6):873-82.
- 22. Neha K, Kansal R, Garg P, et al. Management of immature teeth by dentin-pulp regeneration: a recent approach. Med Oral Patol Oral Cir Bucal 2011;16(7):e997-1004.
- 23. Nosrat A, Homayounfar N, Oloomi K. Drawbacks and unfavorable outcomes of regenerative endodontic treatments of necrotic immature teeth: a literature review and report of a case. Journal of endodontics 2012;38(10):1428-34.
Öz
Son derece hücresel bir yapıya ve zengin bir damarsal beslenme sistemine sahip olan immatür dişlerin pulpaları, inflamasyona karşı oldukça dirençlidir. Bu dişlerde tedavi seçeneğinin sadece klinik ve radyografik bulgulara göre belirlenmesi, hastalıklı pulpa dokusunun yanı sıra vital pulpa dokusunun da çıkarılmasıyla sonuçlanabilir. Vital pulpa tedavileri, bu dişlerin prognozunu iyileştirmek ve pulpa canlılığını korumak için şiddetle tavsiye edilir. Genç daimi azı dişlerinin kök pulpalarının durumunu ayrı ayrı değerlendirerek ve pulpaların durumuna göre rejeneratif endodontik tedavi ile pulpotomi tedavisini kombine ederek dişin prognozunu artırmak mümkündür. Bu olgu sunumunda çürüğe bağlı olarak olgunlaşması tamamlanmadan nekrotik hale gelen ve apikal lezyonu olan birinci azı dişinin farklı kök kanallarına rejeneratif endodontik tedavi ve pulpotomi tedavisi uygulanmış ve mükemmel iyileşme gösterilmiştir.
Anahtar Kelimeler: Biodentine, immatür daimi dişler, periapikal lezyon, pulpotomi,rejeneratif endodontik tedavi.
Anahtar Kelimeler
Biodentine immatür daimi dişler periapikal lezyon pulpotomi rejeneratif endodontik tedavi.
Etik Beyan
This article was not produced by improving or partially changing the content of a paper presented at a symposium or congress. This study was not prepared on the basis of a master's or doctoral thesis. It is declared that scientific and ethical principles were followed during the preparation of this study and that all studies used are stated in the bibliography.
Kaynakça
- 1. Ozdemir D. Dental caries: the most common disease worldwide and preventive strategies. International Journal of Biology 2013;5(4):55.
- 2. Jafarzadeh H, Abbott P. Review of pulp sensibility tests. Part I: general information and thermal tests. International endodontic journal 2010;43(9):738-62.
- 3. Kirkevang L-L, Whitworth J, Bjørndal L. Textbook of Endodontology: John Wiley & Sons; 2018.
- 4. Terauchi Y, Bakland LK, Bogen G. Combined root canal therapies in multirooted teeth with pulpal disease. Journal of Endodontics 2021;47(1):44-51.
- 5. Waterhouse PJ, Whitworth JM, Camp J, Fuks AB. Pediatric endodontics: endodontic treatment for the primary and young permanent dentition. Pathways of the pulp. 10th ed. St Louis: Mosby Elsevier 2011:808-57.
- 6. Mejare I, Cvek M. Partial pulpotomy in young permanent teeth with deep carious lesions. Dental Traumatology 1993;9(6):238-42.
- 7. Chinadet W, Sutharaphan T, Chompu-inwai P. Biodentine™ partial pulpotomy of a young permanent molar with signs and symptoms indicative of irreversible pulpitis and periapical lesion: a case report of a five-year follow-up. Case Reports in Dentistry 2019;2019.
- 8. Parirokh M, Torabinejad M, Dummer P. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview–part I: vital pulp therapy. International endodontic journal 2018;51(2):177-205.
- 9. Neha K, Kansal R, Garg P, et al. Management of immature teeth by dentin-pulp regeneration: a recent approach. 2011.
- 10. Cooper PR, Duncan HF, Widbiller M, Galler KM. Treatment of Immature Teeth with Pulp Necrosis. Endodontic Materials in Clinical Practice 2021:47-79.
- 11. Shabahang S. Treatment options: apexogenesis and apexification. Pediatric dentistry 2013;35(2):125-28.
- 12. Murray PE, Garcia-Godoy F, Hargreaves KM. Regenerative endodontics: a review of current status and a call for action. Journal of endodontics 2007;33(4):377-90.
- 13. Aldakak MMN, Capar ID, Rekab MS, Abboud S. Single-visit pulp revascularization of a nonvital immature permanent tooth using Biodentine. Iranian endodontic journal 2016;11(3):246.
- 14. Cehreli ZC, Isbitiren B, Sara S, Erbas G. Regenerative endodontic treatment (revascularization) of immature necrotic molars medicated with calcium hydroxide: a case series. Journal of endodontics 2011;37(9):1327-30.
- 15. Chueh L-H, Ho Y-C, Kuo T-C, et al. Regenerative endodontic treatment for necrotic immature permanent teeth. Journal of endodontics 2009;35(2):160-64.
- 16. Tran XV, Ngo LTQ, Boukpessi T. Biodentine(TM) Full Pulpotomy in Mature Permanent Teeth with Irreversible Pulpitis and Apical Periodontitis. Healthcare (Basel) 2021;9(6).
- 17. Chinadet W, Sutharaphan T, Chompu-Inwai P. Biodentine™ Partial Pulpotomy of a Young Permanent Molar with Signs and Symptoms Indicative of Irreversible Pulpitis and Periapical Lesion: A Case Report of a Five-Year Follow-Up. Case Rep Dent 2019;2019:8153250.
- 18. Lee S, Park Y-T, Setzer FC. Combined Regenerative and Vital Pulp Therapies in an Immature Mandibular Molar: A Case Report. Journal of Endodontics 2020;46(8):1085-90.
- 19. Rajasekharan S, Martens L, Cauwels R, Anthonappa RP. Biodentine™ material characteristics and clinical applications: a 3 year literature review and update. European Archives of Paediatric Dentistry 2018;19(1):1-22.
- 20. Shayegan A, Jurysta C, Atash R, Petein M, Abbeele AV. Biodentine used as a pulp-capping agent in primary pig teeth. Pediatric dentistry 2012;34(7):202E-08E.
- 21. Glynis A, Foschi F, Kefalou I, Koletsi D, Tzanetakis GN. Regenerative endodontic procedures for the treatment of necrotic mature teeth with apical periodontitis: a systematic review and meta-analysis of randomized controlled trials. Journal of Endodontics 2021;47(6):873-82.
- 22. Neha K, Kansal R, Garg P, et al. Management of immature teeth by dentin-pulp regeneration: a recent approach. Med Oral Patol Oral Cir Bucal 2011;16(7):e997-1004.
- 23. Nosrat A, Homayounfar N, Oloomi K. Drawbacks and unfavorable outcomes of regenerative endodontic treatments of necrotic immature teeth: a literature review and report of a case. Journal of endodontics 2012;38(10):1428-34.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Çocuk Diş Hekimliği |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 26 Nisan 2024 |
| Gönderilme Tarihi | 20 Temmuz 2023 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 11 Sayı: 1 |
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