{"title":"一个病例报告：一颗牙尖开放的非致命性脱落牙的牙髓和根管组织再生。","authors":"Nilesh Rathi, Akshat Agrawal, Nilima Thosar, Alka Hande, Ankita Mathur","doi":"10.5005/jp-journals-10005-2840","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim and background: </strong>The management of avulsed immature teeth poses a significant challenge to clinicians, as prolonged dry time before reimplantation may lead to replacement resorption or ankylosis.</p><p><strong>Case description: </strong>Recent studies have shown promising results with the use of an intracanal proprietary pharmaceutical preparation, followed by sealing of the orifice with mineral trioxide aggregate (MTA). Angiography suggested the presence of vascularized tissue after 1 year, indicating successful regeneration of pulpal tissue in the radicular area.</p><p><strong>Conclusion: </strong>Despite an unfavorable crown-root fracture leading to tooth extraction after 9 months, histological examination revealed regular root dentin formation, indicating a favorable outcome.</p><p><strong>Clinical significance: </strong>These findings offer hope for the management of avulsed immature teeth and underscore the importance of early intervention and appropriate treatment selection.</p><p><strong>How to cite this article: </strong>Rathi N, Agrawal A, Thosar N, <i>et al.</i> Regeneration of Pulp and Radicular Tissues in a Nonvital Avulsed Tooth with Open Apex: A Case Report. Int J Clin Pediatr Dent 2024;17(5):596-600.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440670/pdf/","citationCount":"0","resultStr":"{\"title\":\"Regeneration of Pulp and Radicular Tissues in a Nonvital Avulsed Tooth with Open Apex: A Case Report.\",\"authors\":\"Nilesh Rathi, Akshat Agrawal, Nilima Thosar, Alka Hande, Ankita Mathur\",\"doi\":\"10.5005/jp-journals-10005-2840\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim and background: </strong>The management of avulsed immature teeth poses a significant challenge to clinicians, as prolonged dry time before reimplantation may lead to replacement resorption or ankylosis.</p><p><strong>Case description: </strong>Recent studies have shown promising results with the use of an intracanal proprietary pharmaceutical preparation, followed by sealing of the orifice with mineral trioxide aggregate (MTA). Angiography suggested the presence of vascularized tissue after 1 year, indicating successful regeneration of pulpal tissue in the radicular area.</p><p><strong>Conclusion: </strong>Despite an unfavorable crown-root fracture leading to tooth extraction after 9 months, histological examination revealed regular root dentin formation, indicating a favorable outcome.</p><p><strong>Clinical significance: </strong>These findings offer hope for the management of avulsed immature teeth and underscore the importance of early intervention and appropriate treatment selection.</p><p><strong>How to cite this article: </strong>Rathi N, Agrawal A, Thosar N, <i>et al.</i> Regeneration of Pulp and Radicular Tissues in a Nonvital Avulsed Tooth with Open Apex: A Case Report. Int J Clin Pediatr Dent 2024;17(5):596-600.</p>\",\"PeriodicalId\":36045,\"journal\":{\"name\":\"International Journal of Clinical Pediatric Dentistry\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440670/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Clinical Pediatric Dentistry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5005/jp-journals-10005-2840\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Dentistry\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Clinical Pediatric Dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5005/jp-journals-10005-2840","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Dentistry","Score":null,"Total":0}
引用次数: 0
摘要
目的和背景：由于重新种植前的干燥时间过长可能会导致替牙吸收或强直，因此对未成熟牙的处理对临床医生来说是一个巨大的挑战：最近的研究表明，使用龋洞内专有药物制剂，然后用三氧化二矿骨料（MTA）封闭龋洞口的效果很好。1年后，血管造影显示血管组织的存在，表明根管区域的牙髓组织成功再生：结论：尽管9个月后牙冠-牙根断裂导致拔牙，但组织学检查显示牙根牙本质形成正常，表明结果良好：临床意义：这些发现为治疗脱落的未成熟牙齿带来了希望，并强调了早期干预和选择适当治疗方法的重要性：Rathi N, Agrawal A, Thosar N, et al.Int J Clin Pediatr Dent 2024;17(5):596-600.
Regeneration of Pulp and Radicular Tissues in a Nonvital Avulsed Tooth with Open Apex: A Case Report.
Aim and background: The management of avulsed immature teeth poses a significant challenge to clinicians, as prolonged dry time before reimplantation may lead to replacement resorption or ankylosis.
Case description: Recent studies have shown promising results with the use of an intracanal proprietary pharmaceutical preparation, followed by sealing of the orifice with mineral trioxide aggregate (MTA). Angiography suggested the presence of vascularized tissue after 1 year, indicating successful regeneration of pulpal tissue in the radicular area.
Conclusion: Despite an unfavorable crown-root fracture leading to tooth extraction after 9 months, histological examination revealed regular root dentin formation, indicating a favorable outcome.
Clinical significance: These findings offer hope for the management of avulsed immature teeth and underscore the importance of early intervention and appropriate treatment selection.
How to cite this article: Rathi N, Agrawal A, Thosar N, et al. Regeneration of Pulp and Radicular Tissues in a Nonvital Avulsed Tooth with Open Apex: A Case Report. Int J Clin Pediatr Dent 2024;17(5):596-600.
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