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Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up

The regenerative endodontic procedure (REP) is considered a viable treatment option for immature teeth with necrotic pulp and periapical radiolucency which can facilitate continued root formation. In this report, an immature necrotic mandibular molar received REP in three appointments wherein chemom...

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Detalles Bibliográficos
Autores principales: Alasqah, Mohannad, Khan, Sulthan Ibrahim Raja, Alfouzan, Khalid, Jamleh, Ahmed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035542/
https://www.ncbi.nlm.nih.gov/pubmed/32095292
http://dx.doi.org/10.1155/2020/9025847
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author Alasqah, Mohannad
Khan, Sulthan Ibrahim Raja
Alfouzan, Khalid
Jamleh, Ahmed
author_facet Alasqah, Mohannad
Khan, Sulthan Ibrahim Raja
Alfouzan, Khalid
Jamleh, Ahmed
author_sort Alasqah, Mohannad
collection PubMed
description The regenerative endodontic procedure (REP) is considered a viable treatment option for immature teeth with necrotic pulp and periapical radiolucency which can facilitate continued root formation. In this report, an immature necrotic mandibular molar received REP in three appointments wherein chemomechanical debridement was performed with a sequential application of nonsetting calcium hydroxide (in the whole canal) and triple antibiotics paste (in the root's middle third) dressings in the first and second appointments, respectively. In the third appointment, blood clots were created in the root canals. MTA was placed over the blood clots and the tooth was restored with a composite filling and stainless-steel crown. Recall appointments were performed for two years where the tooth was deemed asymptomatic clinically and a complete root formation with significant periapical healing was evident radiographically. More cases are required to warrant the feasibility of this disinfection protocol.
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spelling pubmed-70355422020-02-24 Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up Alasqah, Mohannad Khan, Sulthan Ibrahim Raja Alfouzan, Khalid Jamleh, Ahmed Case Rep Dent Case Report The regenerative endodontic procedure (REP) is considered a viable treatment option for immature teeth with necrotic pulp and periapical radiolucency which can facilitate continued root formation. In this report, an immature necrotic mandibular molar received REP in three appointments wherein chemomechanical debridement was performed with a sequential application of nonsetting calcium hydroxide (in the whole canal) and triple antibiotics paste (in the root's middle third) dressings in the first and second appointments, respectively. In the third appointment, blood clots were created in the root canals. MTA was placed over the blood clots and the tooth was restored with a composite filling and stainless-steel crown. Recall appointments were performed for two years where the tooth was deemed asymptomatic clinically and a complete root formation with significant periapical healing was evident radiographically. More cases are required to warrant the feasibility of this disinfection protocol. Hindawi 2020-02-10 /pmc/articles/PMC7035542/ /pubmed/32095292 http://dx.doi.org/10.1155/2020/9025847 Text en Copyright © 2020 Mohannad Alasqah et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Alasqah, Mohannad
Khan, Sulthan Ibrahim Raja
Alfouzan, Khalid
Jamleh, Ahmed
Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up
title Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up
title_full Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up
title_fullStr Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up
title_full_unstemmed Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up
title_short Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up
title_sort regenerative endodontic management of an immature molar using calcium hydroxide and triple antibiotic paste: a two-year follow-up
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035542/
https://www.ncbi.nlm.nih.gov/pubmed/32095292
http://dx.doi.org/10.1155/2020/9025847
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