Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol?
A new technique is presented to revascularize immature permanent teeth with apical periodontitis. The canal is disinfected with copious irrigation and a combination of three antibiotics. After the disinfection protocol is complete, the apex is mechanically irritated to initiate bleeding into the canal to produce a blood clot to the level of the cemento-enamel junction. The double seal of the coronal access is then made. In this case, the combination of a disinfected canal, a matrix into which new tissue could grow, and an effective coronal seal appears to have produced the environment necessary for successful revascularization.
Banchs
Francisco
F
Temple Dental School, Philadelphia, PA, USA.
Trope
Martin
M
D001641:Bicuspid; D002648:Child; D003782:Dental Pulp / Q000098:blood supply* / Q000502:physiology; D003790:Dental Pulp Necrosis / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D018919:Neovascularization, Physiologic; D010485:Periapical Periodontitis / Q000150:complications / Q000601:surgery*; D011670:Pulpectomy; D012038:Regeneration; D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; D012390:Root Canal Therapy / Q000379:methods*; D014092:Tooth Root / Q000254:growth & development
D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants