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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Academy of Conservative Dentistry
2015
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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. |
format | Online Article Text |
id | pubmed-4650529 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Academy of Conservative Dentistry |
record_format | MEDLINE/PubMed |
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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