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Treatment of non-vital immature teeth with amoxicillin-containing triple antibiotic paste resulting in apexification

A recent treatment option for non-vital immature teeth in young patients is revascularization with triple antibiotic paste (TAP). However, tooth discoloration was reported with the use of conventional minocycline-containing TAP. In this case report, amoxicillin-containing TAP was used for revascular...

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Autores principales: Park, Hyon-Beom, Lee, Bin-Na, Hwang, Yun-Chan, Hwang, In-Nam, Oh, Won-Mann, Chang, Hoon-Sang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Conservative Dentistry 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4650529/
https://www.ncbi.nlm.nih.gov/pubmed/26587419
http://dx.doi.org/10.5395/rde.2015.40.4.322
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author Park, Hyon-Beom
Lee, Bin-Na
Hwang, Yun-Chan
Hwang, In-Nam
Oh, Won-Mann
Chang, Hoon-Sang
author_facet Park, Hyon-Beom
Lee, Bin-Na
Hwang, Yun-Chan
Hwang, In-Nam
Oh, Won-Mann
Chang, Hoon-Sang
author_sort Park, Hyon-Beom
collection PubMed
description A recent treatment option for non-vital immature teeth in young patients is revascularization with triple antibiotic paste (TAP). However, tooth discoloration was reported with the use of conventional minocycline-containing TAP. In this case report, amoxicillin-containing TAP was used for revascularization of non-vital immature teeth to prevent tooth discoloration. At the 1 yr follow up, the teeth were asymptomatic on clinical examination and showed slight discoloration of the crown due to mineral trioxide aggregate (MTA) filling rather than amoxicillin-containing TAP. Radiographic examination revealed complete resolution of the periapical radiolucency, and closed apex with obvious periodontal ligament space. However, the root growth was limited, and the treatment outcome was more like apexification rather than revascularization. These results may be due to unstable blood clot formation which could not resist the condensation force of MTA filling, whether or not a collagen matrix was in place. These cases showed that although revascularization was not successful, apexification could be expected, resulting in the resolution of the periapical radiolucency and the closure of the apex. Therefore, it is worthwhile attempting revascularization of non-vital immature teeth in young patients.
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spelling pubmed-46505292015-11-19 Treatment of non-vital immature teeth with amoxicillin-containing triple antibiotic paste resulting in apexification Park, Hyon-Beom Lee, Bin-Na Hwang, Yun-Chan Hwang, In-Nam Oh, Won-Mann Chang, Hoon-Sang Restor Dent Endod Case Report A recent treatment option for non-vital immature teeth in young patients is revascularization with triple antibiotic paste (TAP). However, tooth discoloration was reported with the use of conventional minocycline-containing TAP. In this case report, amoxicillin-containing TAP was used for revascularization of non-vital immature teeth to prevent tooth discoloration. At the 1 yr follow up, the teeth were asymptomatic on clinical examination and showed slight discoloration of the crown due to mineral trioxide aggregate (MTA) filling rather than amoxicillin-containing TAP. Radiographic examination revealed complete resolution of the periapical radiolucency, and closed apex with obvious periodontal ligament space. However, the root growth was limited, and the treatment outcome was more like apexification rather than revascularization. These results may be due to unstable blood clot formation which could not resist the condensation force of MTA filling, whether or not a collagen matrix was in place. These cases showed that although revascularization was not successful, apexification could be expected, resulting in the resolution of the periapical radiolucency and the closure of the apex. Therefore, it is worthwhile attempting revascularization of non-vital immature teeth in young patients. The Korean Academy of Conservative Dentistry 2015-11 2015-08-28 /pmc/articles/PMC4650529/ /pubmed/26587419 http://dx.doi.org/10.5395/rde.2015.40.4.322 Text en ©Copyrights 2015. The Korean Academy of Conservative Dentistry. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Park, Hyon-Beom
Lee, Bin-Na
Hwang, Yun-Chan
Hwang, In-Nam
Oh, Won-Mann
Chang, Hoon-Sang
Treatment of non-vital immature teeth with amoxicillin-containing triple antibiotic paste resulting in apexification
title Treatment of non-vital immature teeth with amoxicillin-containing triple antibiotic paste resulting in apexification
title_full Treatment of non-vital immature teeth with amoxicillin-containing triple antibiotic paste resulting in apexification
title_fullStr Treatment of non-vital immature teeth with amoxicillin-containing triple antibiotic paste resulting in apexification
title_full_unstemmed Treatment of non-vital immature teeth with amoxicillin-containing triple antibiotic paste resulting in apexification
title_short Treatment of non-vital immature teeth with amoxicillin-containing triple antibiotic paste resulting in apexification
title_sort treatment of non-vital immature teeth with amoxicillin-containing triple antibiotic paste resulting in apexification
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4650529/
https://www.ncbi.nlm.nih.gov/pubmed/26587419
http://dx.doi.org/10.5395/rde.2015.40.4.322
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