Regenerative endodontic treatment and traumatic dental injuries

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Bill Kahler, Jing Lu, Nessrin A. Taha
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引用次数: 0

Abstract

Pulp necrosis is the most common complication following dental trauma and is often associated with apical periodontitis. The management of these teeth is challenging in terms of large root canals, open apices, thin dentinal walls, and short roots. Over decades the conventional treatment for these teeth was calcium hydroxide apexification, a time-consuming procedure despite high success rates. Subsequently after the introduction of mineral trioxide aggregate and hydraulic calcium silicate materials single visit apical plug procedures became increasingly practiced with comparable success rates to the conventional apexification. The search continued afterward for a clinical procedure that may stimulate further root development and apical closure to avoid the long-term complication of root fracture after apexification. Regenerative procedures using stem cells derived from the apical papilla and blood clots as scaffolds were then introduced for the management of immature teeth, with variable protocols and success rates. This review will cover the evidence available and current position of regenerative endodontic procedures in traumatized immature teeth with apical periodontitis, in terms of clinical protocols, outcome, and potential prognostic factors.

牙髓再生治疗和牙外伤。
牙髓坏死是牙外伤后最常见的并发症,通常与根尖牙周炎有关。这些牙齿的根管大、根尖开放、牙本质壁薄且根短,因此治疗这些牙齿极具挑战性。几十年来,这些牙齿的传统治疗方法是氢氧化钙根尖封闭术,尽管成功率很高,但这是一种耗时的治疗方法。后来,三氧化氢矿物骨料和硅酸钙液压材料问世后,单次根尖充填术的应用越来越广泛,其成功率与传统的根尖充填术相当。之后,人们继续寻找一种可以刺激牙根进一步发育和根尖闭合的临床程序,以避免根尖封闭术后牙根折断的长期并发症。随后,人们开始使用从根尖乳头提取的干细胞和血凝块作为支架的再生程序来治疗未成熟牙齿,其方案和成功率各不相同。本综述将从临床方案、结果和潜在的预后因素等方面,介绍针对患有根尖牙周炎的创伤性未成熟牙的牙髓再生术的现有证据和当前状况。
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来源期刊
Dental Traumatology
Dental Traumatology 医学-牙科与口腔外科
CiteScore
6.40
自引率
32.00%
发文量
85
审稿时长
6-12 weeks
期刊介绍: Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.
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