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Regenerative Therapy for the Permanent Immature Teeth: A Long Term Study. An Original Research

INTRODUCTION: Endodontics faces several clinical difficulties while treating young necrotic permanent teeth. The use of regenerative endodontic procedures (REPs) enables apical closure, improved canal wall thickness, and root growth. The objective of this study was to assess the effects of these reg...

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Autores principales: Jena, Debkant, Sabiha, P. B., Kumar, Neshaneni Satish, Ahmed, Sanya Syed, Bhagat, Priyanka, Singh, Shobhit Pratap, Mustafa, Mohammed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466624/
https://www.ncbi.nlm.nih.gov/pubmed/37654254
http://dx.doi.org/10.4103/jpbs.jpbs_435_22
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author Jena, Debkant
Sabiha, P. B.
Kumar, Neshaneni Satish
Ahmed, Sanya Syed
Bhagat, Priyanka
Singh, Shobhit Pratap
Mustafa, Mohammed
author_facet Jena, Debkant
Sabiha, P. B.
Kumar, Neshaneni Satish
Ahmed, Sanya Syed
Bhagat, Priyanka
Singh, Shobhit Pratap
Mustafa, Mohammed
author_sort Jena, Debkant
collection PubMed
description INTRODUCTION: Endodontics faces several clinical difficulties while treating young necrotic permanent teeth. The use of regenerative endodontic procedures (REPs) enables apical closure, improved canal wall thickness, and root growth. The objective of this study was to assess the effects of these regenerative procedures on immature necrotic permanent teeth. METHODS: This prospective clinical study was conducted at the tertiary care hospital for the study period of 2 years. This study includes 30 necrotic permanent immature teeth that were studied in 30 subjects of both genders. A standard REP protocol was used to treat every tooth. A follow-up visit was scheduled for each patient at timely intervals. Various study parameters as well as the demographics were assessed at each visit. To examine various parameters, a calibrated endodontist also performed a radiographic evaluation. RESULTS: Our findings point to excellent rates of survival, clinical success, and apical pathological resolution for 29 teeth. After 2 years, there were significant variations in the root thickness area and the average root length. The apical diameter significantly decreased during the research period, with 30.8% of the instances exhibiting full apical closure. Apical diameter, root length, and thickness changed more frequently in teeth with the level of the immaturity of the root, although the variations were not significant. CONCLUSIONS: REP treatment for teeth preceded symptom relief. Increased root thickness, root length, and apical closure were seen at 30 months, even if the clinically meaningful change was not attained in all patients.
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spelling pubmed-104666242023-08-31 Regenerative Therapy for the Permanent Immature Teeth: A Long Term Study. An Original Research Jena, Debkant Sabiha, P. B. Kumar, Neshaneni Satish Ahmed, Sanya Syed Bhagat, Priyanka Singh, Shobhit Pratap Mustafa, Mohammed J Pharm Bioallied Sci Original Article INTRODUCTION: Endodontics faces several clinical difficulties while treating young necrotic permanent teeth. The use of regenerative endodontic procedures (REPs) enables apical closure, improved canal wall thickness, and root growth. The objective of this study was to assess the effects of these regenerative procedures on immature necrotic permanent teeth. METHODS: This prospective clinical study was conducted at the tertiary care hospital for the study period of 2 years. This study includes 30 necrotic permanent immature teeth that were studied in 30 subjects of both genders. A standard REP protocol was used to treat every tooth. A follow-up visit was scheduled for each patient at timely intervals. Various study parameters as well as the demographics were assessed at each visit. To examine various parameters, a calibrated endodontist also performed a radiographic evaluation. RESULTS: Our findings point to excellent rates of survival, clinical success, and apical pathological resolution for 29 teeth. After 2 years, there were significant variations in the root thickness area and the average root length. The apical diameter significantly decreased during the research period, with 30.8% of the instances exhibiting full apical closure. Apical diameter, root length, and thickness changed more frequently in teeth with the level of the immaturity of the root, although the variations were not significant. CONCLUSIONS: REP treatment for teeth preceded symptom relief. Increased root thickness, root length, and apical closure were seen at 30 months, even if the clinically meaningful change was not attained in all patients. Wolters Kluwer - Medknow 2023-07 2023-07-05 /pmc/articles/PMC10466624/ /pubmed/37654254 http://dx.doi.org/10.4103/jpbs.jpbs_435_22 Text en Copyright: © 2023 Journal of Pharmacy and Bioallied Sciences https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Jena, Debkant
Sabiha, P. B.
Kumar, Neshaneni Satish
Ahmed, Sanya Syed
Bhagat, Priyanka
Singh, Shobhit Pratap
Mustafa, Mohammed
Regenerative Therapy for the Permanent Immature Teeth: A Long Term Study. An Original Research
title Regenerative Therapy for the Permanent Immature Teeth: A Long Term Study. An Original Research
title_full Regenerative Therapy for the Permanent Immature Teeth: A Long Term Study. An Original Research
title_fullStr Regenerative Therapy for the Permanent Immature Teeth: A Long Term Study. An Original Research
title_full_unstemmed Regenerative Therapy for the Permanent Immature Teeth: A Long Term Study. An Original Research
title_short Regenerative Therapy for the Permanent Immature Teeth: A Long Term Study. An Original Research
title_sort regenerative therapy for the permanent immature teeth: a long term study. an original research
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466624/
https://www.ncbi.nlm.nih.gov/pubmed/37654254
http://dx.doi.org/10.4103/jpbs.jpbs_435_22
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