medigraphic.com
ISSN 2174-0798 (Print)
Organo oficial de la Asociación Latinoamericana de Odontopediatría (ALOP)

2019, Number 2

<< Back Next >>

Rev Odotopediatr Latinoam 2019; 9 (2)

Technique of revascularization in odontopediatria step by step. A case report

Blázquez MP, Riolobos GMF

Language: Spanish
References: 28
Page: 140-150
PDF size: 887.96 Kb.


ABSTRACT

Introduction: Revascularization is a current procedure for necrotic teeth with an immature apex; It is a more conservative clinical management option with respect to traditional apicoformation treatments, where, through the induction of the stem cells of the periapical dental papilla, a bleeding is created inside the root canal, which becomes a stable clot that allows the physiological radicular maturation, at the same time as the thickening of the duct walls. The objective of this treatment is to allow a complete closure of the apex. Clinical case: The case of a 7-year-old boy with apical abscess on tooth 21 is presented, a revascularization treatment is performed following the technique described by Hoshino (1996). Following the theory described by Iwaya in 2001, and Banchs and Trope in 2004, using bi-antibiotic paste in the revascularization, and mineral trioxide aggregate as a barrier between the clot and the final restoration. Conclusions: In the last published studies, calcium hydroxide and tri-antibiotic paste have been used as filling materials between phases, to use a bi-antibiotic mixture. Its effectiveness against calcium hydroxide alone has not been proven, which is used again as the only intermediate material between the steps of the revascularization treatment. With this technique we try to achieve a complete root development and thicker walls, thus avoiding the problem of root fracture


REFERENCES

  1. García-Ballesta C, Pérez-Lajarín L, Castejón-Navas I. Prevención y etiología de los traumatismos dentales. Una revisión. RCOE 2003; 8(2): 131-141.

  2. Frank, AL. Therapy for the divergent pulpless tooth by continued apical formation. JADA 1966; 72(1): 87-93.

  3. Ostby BN. The role of the blood clot in endodontic therapy. An experimental histologic study. Acta Odontol Scand 1961; 19: 324-53.

  4. Nygaard-Ostby B, Hjortdal O. Tissue formation in the root canal following pulp removal. Scand J Dent Res 1971; 79(5): 333-49.

  5. Hoshino E, Kurihara‐Ando N, Sato I, Uematsu H, Sato M, Kota K, Iwaku M. In‐vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin, metronidazole and minocycline. Int Endod J 1996; 29(2): 125-130.

  6. Nosrat, A., Seifi, A., & Asgary, S. Regenerative endodontic treatment (revascularization) for necrotic immature permanent molars: a review and report of two cases with a new biomaterial. Journal of endodontics, 2011 37(4), 562-567.

  7. Banchs F, Trope M. Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol?. J Endod 2004; 30(4): 196-200.

  8. Hargreaves K, Geisler T, Henry M, Wang Y. Regeneration potential of the young permanent tooth: what does the future hold?. J Endod 2008; 34 (7Suppl): 51-56.

  9. Hargreaves K, Law A. Regenerative endodontics. En: Hargreaves K, Cohen S, editors. Pathways of the Pulp. 10th ed. St Louis: Mosby Elsevier; 2011. p 602-19.

  10. Cotti E, Mereu M, Lusso D. Regenerative treatment of an immature, traumatized tooth with apical periodontitis: report of a case. J Endod. 2008; 34(5): 611-6.

  11. García-Godoy F, Murray PE. Recommendations for using regenerative endodontic procedures in permanent immature traumatized teeth. Dent Traumatol 2012; 28(1): 33–41.

  12. Spouge JD. A new look at the rests of Malassez. A review of their embryological origin, anatomy, and possible role in periodontal health and disease. J Periodontol 1980; 51(8): 437-44.

  13. Lovelace TW, Henry MA, Hargreaves KM, Diogenes A. Evaluation of the delivery of mesenchymal stem cells into the root canal space of necrotic immature teeth after clinical regenerative endodontic procedure. J Endod 2011;37(2):133-8.

  14. Gucciardino F, Miegimolle Herrero M. Revascularización con pasta tri-antibiótica. Revisión bibliográfica. Cient Dent. 2015; 12;1:15-20.

  15. Huang G. Apexification: the beginning of its end. Int End J 2009; 42(10):855-66.

  16. Pruskin, E. Regeneración de tejidos dentarios en casos de dientes permanentes inmaduros infectados con o sin lesión periapical.

  17. García-Godoy F, Murray PE. Recommendations for using regenerative endodontic procedures in permanent immature traumatized teeth. Dental Traumatology 2012; 28(1):33–41

  18. González VM, Madrid KC, Amador EA, Silva-Herzog D, & Rodríguez O. Revascularización en dientes permanentes con ápice inmaduro y necrosis pulpar: Revisión bibliográfica. ADM 2014; 71(3): 110-4.

  19. Gutiérrez-Marín, N. Defectos del esmalte en dentición temporal en niños prematuros con muy bajo peso al nacer: reporte de tres casos. Revista Científica Odontológica 2007;13(1).

  20. Feltrin de Souzaa J, Jeremiasa F, da Costa Silvaa CM, Cilense AC. Hipomineralización incisivo y molar: diagnóstico diferencial. Acta Odontólogica Venezolana. 2011;49(3):1-8.

  21. Iwaya, S. I., Ikawa, M., & Kubota, M. Revascularization of an immature permanent tooth with apical periodontitis and sinus tract. Dental Traumatology 2001;17(4):185-187.

  22. Romaní, CB, Portaro CP. Tratamiento endodóntico regenerativo de un incisivo central permanente: a propósito de un caso. Odontol Ped 2013;21(3):196-205.

  23. Trevino EG et al. Effect of irrigants on the survival of human stem cells of the apical papilla in a platelet-rich plasma scaffold in human root tips. J Endod 2011;37(8):1109-15.

  24. Wang Y, Zhu X, Zhang C. Pulp revascularization on permanent teeth with open apices in a middle-aged patient. J Endod 2015;41(9):1571-5.

  25. Zhujiang A, Kim SG. Regenerative endodontic treatment of an inmature necrotic molar with arrested root development by using recombinant human platelet-derived growth factor: a case report. J Endod 2016;42(1):72-5.

  26. Nader Aldakak MM, Capar ID, Rekab MS, Abboud S. Single-Visit Pulp Revascularization of a Nonvital Immature Permanent Tooth Using Biodentine. Iranian Endodontic Journal 2016;11(3):246-9.

  27. Rehmen EL et al. Revascularization: a review of the previous literature and clinical use of two different types of intracanal medicaments. Asianet-Pakistan 2015:513-8.

  28. She CML, Cheung GSP, Zhang CF. Long-Term Follow-Up of a Revascularized Immature Necrotic Tooth Evaluated by CBCT. Case Reports. J Dent 2016:1-5.




2020     |     www.medigraphic.com