Park, Hyon-Beom
(Department of Conservative Dentistry, Chonnam National University School of Dentistry)
,
Lee, Bin-Na
(Department of Conservative Dentistry, Chonnam National University School of Dentistry)
,
Hwang, Yun-Chan
(Department of Conservative Dentistry, Chonnam National University School of Dentistry)
,
Hwang, In-Nam
(Department of Conservative Dentistry, Chonnam National University School of Dentistry)
,
Oh, Won-Mann
(Department of Conservative Dentistry, Chonnam National University School of Dentistry)
,
Chang, Hoon-Sang
(Department of Conservative Dentistry, Chonnam National University School of Dentistry)
A recent treatment option for non-vital immature teeth in young patients is revascularization with triple antibiotic paste (TAP). However, tooth discoloration was reported with the use of conventional minocycline-containing TAP. In this case report, amoxicillin-containing TAP was used for revascular...
A recent treatment option for non-vital immature teeth in young patients is revascularization with triple antibiotic paste (TAP). However, tooth discoloration was reported with the use of conventional minocycline-containing TAP. In this case report, amoxicillin-containing TAP was used for revascularization of non-vital immature teeth to prevent tooth discoloration. At the 1 yr follow up, the teeth were asymptomatic on clinical examination and showed slight discoloration of the crown due to mineral trioxide aggregate (MTA) filling rather than amoxicillin-containing TAP. Radiographic examination revealed complete resolution of the periapical radiolucency, and closed apex with obvious periodontal ligament space. However, the root growth was limited, and the treatment outcome was more like apexification rather than revascularization. These results may be due to unstable blood clot formation which could not resist the condensation force of MTA filling, whether or not a collagen matrix was in place. These cases showed that although revascularization was not successful, apexification could be expected, resulting in the resolution of the periapical radiolucency and the closure of the apex. Therefore, it is worthwhile attempting revascularization of non-vital immature teeth in young patients.
A recent treatment option for non-vital immature teeth in young patients is revascularization with triple antibiotic paste (TAP). However, tooth discoloration was reported with the use of conventional minocycline-containing TAP. In this case report, amoxicillin-containing TAP was used for revascularization of non-vital immature teeth to prevent tooth discoloration. At the 1 yr follow up, the teeth were asymptomatic on clinical examination and showed slight discoloration of the crown due to mineral trioxide aggregate (MTA) filling rather than amoxicillin-containing TAP. Radiographic examination revealed complete resolution of the periapical radiolucency, and closed apex with obvious periodontal ligament space. However, the root growth was limited, and the treatment outcome was more like apexification rather than revascularization. These results may be due to unstable blood clot formation which could not resist the condensation force of MTA filling, whether or not a collagen matrix was in place. These cases showed that although revascularization was not successful, apexification could be expected, resulting in the resolution of the periapical radiolucency and the closure of the apex. Therefore, it is worthwhile attempting revascularization of non-vital immature teeth in young patients.
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제안 방법
Radiographic examination revealed large periapical radiolucency around the open apex of the mandibular right second premolar (Figure 2a). Based on these findings, the tooth was diagnosed with pulp necrosis and periapical abscess, and revascularization using an amoxicillin-containing TAP was planned.
The purpose of this paper was to report two cases in which revascularization of infected, non-vital, immature tooth was attempted using an amoxicillin-containing TAP that resulted in apexification rather than revascularization.
대상 데이터
A 10 year old female patient presented with spontaneous pain in the mandibular right second premolar. On clinical examination, the tooth showed no response to electric pulp testing.
A 20 year old female patient visited the Department of Conservative Dentistry in Chonnam National University Dental Hospital for treatment of the mandibular right second premolar. The patient complained of pain during mastication and swelling of the gingiva adjacent to the tooth.
참고문헌 (27)
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