{"title":"Regenerative endodontic treatment for the management of immature permanent teeth with focal fibrous hyperplasia.","authors":"Monika Kumari, Ramesh Bharti, Pragya Pandey, Promila Verma","doi":"10.1136/bcr-2024-262660","DOIUrl":null,"url":null,"abstract":"<p><p>Frequent irritation in the oral cavity can result in a benign condition called focal fibrous hyperplasia. This condition is rarely associated with an open apex in the teeth. This case report details the treatment of a patient with an open apex in teeth 11 and 12, worsened by localised fibrous hyperplasia. Regenerative endodontic therapy (RET) was employed for this patient. Remarkably, after initiating RET, the fibrous hyperplasia gradually resolved without the need for surgical excision. Following this observation, two hypotheses were proposed: (1) focal fibrous hyperplasia may have an endodontic origin and (2) hyperplastic development coupled with endodontic involvement might diminish with endodontic therapy alone. Excision of the growth is not always necessary. This case report highlights the potential connection between regenerative endodontic therapy and the resolution of focal fibrous hyperplasia, providing new insights into managing such rare conditions.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 12","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/bcr-2024-262660","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
摘要
口腔经常受到刺激会导致一种良性疾病，称为局灶性纤维增生。这种情况很少与牙齿先端开放有关。本病例报告详细介绍了对一名因局部纤维增生而恶化的 11 号和 12 号牙齿开放性牙尖患者的治疗情况。该患者采用了再生牙髓疗法（RET）。值得注意的是，在启动 RET 后，纤维增生逐渐消退，无需进行手术切除。根据这一观察结果，我们提出了两个假设：(1) 局灶性纤维增生可能源于牙髓病；(2) 增生的发展加上牙髓病的累及，可能会在单纯的牙髓治疗后减轻。切除增生并不总是必要的。本病例报告强调了牙髓再生治疗与局灶性纤维增生症消退之间的潜在联系，为此类罕见病症的治疗提供了新的思路。
Regenerative endodontic treatment for the management of immature permanent teeth with focal fibrous hyperplasia.
Frequent irritation in the oral cavity can result in a benign condition called focal fibrous hyperplasia. This condition is rarely associated with an open apex in the teeth. This case report details the treatment of a patient with an open apex in teeth 11 and 12, worsened by localised fibrous hyperplasia. Regenerative endodontic therapy (RET) was employed for this patient. Remarkably, after initiating RET, the fibrous hyperplasia gradually resolved without the need for surgical excision. Following this observation, two hypotheses were proposed: (1) focal fibrous hyperplasia may have an endodontic origin and (2) hyperplastic development coupled with endodontic involvement might diminish with endodontic therapy alone. Excision of the growth is not always necessary. This case report highlights the potential connection between regenerative endodontic therapy and the resolution of focal fibrous hyperplasia, providing new insights into managing such rare conditions.
期刊介绍：
BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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