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Comparative outcome of revascularization in bilateral, non-vital, immature maxillary anterior teeth supplemented with or without platelet rich plasma: A case series.

Jadhav GR, Shah N, Logani A - J Conserv Dent (2013)

Bottom Line: Loss of pulp vitality in an immature permanent tooth arrests root development.Three patients having bilateral, non-vital, immature maxillary central incisors with apical periodontitis were recruited after institutional ethical clearance.The cases were followed-up clinically and radiographically at 6 and 12 months.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.

ABSTRACT
Loss of pulp vitality in an immature permanent tooth arrests root development. This leads to tooth with open apex and weak lateral dentinal walls. Management of such necrotic teeth with immature roots poses several treatment challenges. The documented study was performed to evaluate and compare apexogenesis induced by revascularization, with and without platelet rich plasma (PRP) in non-vital, immature anterior teeth. Three patients having bilateral, non-vital, immature maxillary central incisors with apical periodontitis were recruited after institutional ethical clearance. Subsequent to chemo-mechanical preparation, revascularization with and without PRP was randomly induced in either of the tooth. The cases were followed-up clinically and radiographically at 6 and 12 months. There was a marked difference in periapical healing, apical closure and dentinal wall thickening of teeth treated by revascularization with PRP.

No MeSH data available.


Related in: MedlinePlus

(a) Intaroral periapical radiograph of maxillary central incisors showing open apices with thin dentinal walls. Revascularization with and without platelet rich plasma performed in 21 and 11 respectively. (b) At 6-month, 21 and 11 showing progressive dentinal wall thickening. (c) At 1 year, marked maturation and root lengthening in 21
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Figure 1: (a) Intaroral periapical radiograph of maxillary central incisors showing open apices with thin dentinal walls. Revascularization with and without platelet rich plasma performed in 21 and 11 respectively. (b) At 6-month, 21 and 11 showing progressive dentinal wall thickening. (c) At 1 year, marked maturation and root lengthening in 21

Mentions: A healthy 10-year-old boy was referred for evaluation and management of his broken upper anterior teeth, subsequent to a fall 3-year prior. Root canal therapy was initiated, but not completed by a general dental practitioner. Intraoral examination revealed Ellis class III fracture and a well-defined, localized swelling in relation to both the upper central incisors. Radiographic examination showed immature open apices with thin dentinal walls in relation to both the teeth [Figure 1a]. Based on clinical and radiographic examination, a diagnosis of acute periapical abscess in relation to both the central incisor was established. Taking into consideration the stage of root development, the maturation of the dentinal walls and the wide-open apices, revascularization procedure with and without PRP was planned. The risks, complications and possible outcome of this treatment were explained and parental informed consent was obtained.


Comparative outcome of revascularization in bilateral, non-vital, immature maxillary anterior teeth supplemented with or without platelet rich plasma: A case series.

Jadhav GR, Shah N, Logani A - J Conserv Dent (2013)

(a) Intaroral periapical radiograph of maxillary central incisors showing open apices with thin dentinal walls. Revascularization with and without platelet rich plasma performed in 21 and 11 respectively. (b) At 6-month, 21 and 11 showing progressive dentinal wall thickening. (c) At 1 year, marked maturation and root lengthening in 21
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3842730&req=5

Figure 1: (a) Intaroral periapical radiograph of maxillary central incisors showing open apices with thin dentinal walls. Revascularization with and without platelet rich plasma performed in 21 and 11 respectively. (b) At 6-month, 21 and 11 showing progressive dentinal wall thickening. (c) At 1 year, marked maturation and root lengthening in 21
Mentions: A healthy 10-year-old boy was referred for evaluation and management of his broken upper anterior teeth, subsequent to a fall 3-year prior. Root canal therapy was initiated, but not completed by a general dental practitioner. Intraoral examination revealed Ellis class III fracture and a well-defined, localized swelling in relation to both the upper central incisors. Radiographic examination showed immature open apices with thin dentinal walls in relation to both the teeth [Figure 1a]. Based on clinical and radiographic examination, a diagnosis of acute periapical abscess in relation to both the central incisor was established. Taking into consideration the stage of root development, the maturation of the dentinal walls and the wide-open apices, revascularization procedure with and without PRP was planned. The risks, complications and possible outcome of this treatment were explained and parental informed consent was obtained.

Bottom Line: Loss of pulp vitality in an immature permanent tooth arrests root development.Three patients having bilateral, non-vital, immature maxillary central incisors with apical periodontitis were recruited after institutional ethical clearance.The cases were followed-up clinically and radiographically at 6 and 12 months.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.

ABSTRACT
Loss of pulp vitality in an immature permanent tooth arrests root development. This leads to tooth with open apex and weak lateral dentinal walls. Management of such necrotic teeth with immature roots poses several treatment challenges. The documented study was performed to evaluate and compare apexogenesis induced by revascularization, with and without platelet rich plasma (PRP) in non-vital, immature anterior teeth. Three patients having bilateral, non-vital, immature maxillary central incisors with apical periodontitis were recruited after institutional ethical clearance. Subsequent to chemo-mechanical preparation, revascularization with and without PRP was randomly induced in either of the tooth. The cases were followed-up clinically and radiographically at 6 and 12 months. There was a marked difference in periapical healing, apical closure and dentinal wall thickening of teeth treated by revascularization with PRP.

No MeSH data available.


Related in: MedlinePlus