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Outcome of revascularization therapy in traumatized immature incisors
BACKGROUND: The aim of this retrospective analysis was to evaluate the clinical and radiological outcome of revascularization therapy in traumatized permanent incisors to determine whether this approach could be implemented into clinical routine. METHODS: A total of 16 traumatized incisors (either a...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362656/ https://www.ncbi.nlm.nih.gov/pubmed/32664918 http://dx.doi.org/10.1186/s12903-020-01193-5 |
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author | Mittmann, Carolina W. Kostka, Eckehard Ballout, Husam Preus, Mareike Preissner, Robert Karaman, Murat Preissner, Saskia |
author_facet | Mittmann, Carolina W. Kostka, Eckehard Ballout, Husam Preus, Mareike Preissner, Robert Karaman, Murat Preissner, Saskia |
author_sort | Mittmann, Carolina W. |
collection | PubMed |
description | BACKGROUND: The aim of this retrospective analysis was to evaluate the clinical and radiological outcome of revascularization therapy in traumatized permanent incisors to determine whether this approach could be implemented into clinical routine. METHODS: A total of 16 traumatized incisors (either avulsion or severe luxation/intrusion) with open apices (> 1 mm) that underwent revascularization following a standardized protocol were analyzed with a mean follow-up of 22 months. Radiographs and clinical parameters (such as root length, pulp space, dentin wall width, apical foramen, alveolar bone loss, ankylosis/mobility, supra−/infraposition, discoloration, probing depth) were compared pre- and postoperatively and statistically analyzed. RESULTS: Over the follow-up period, 81.3% of the teeth survived revascularization and regained sensitivity, while 18.7% failed, as they had to be extracted due to serious root resorption. Regarding radiographic outcomes a significant difference could only be found in the decrease of apical foramina (p = 0.04). The other parameters showed no significant difference between pre- and postoperative measurements. More than half of the teeth (56.3%) developed root resorptions and 31.3% displayed signs of ankylosis and 92.9% developed discolorations during follow-up. However, 85.7% of the teeth maintained the bone level and outcomes of mobility showed a significant solidification. CONCLUSIONS: Revascularization is a promising approach for the treatment of immature incisors to regain sensitivity and to enhance apical closure and at least to maintain alveolar bone in terms of a socket preservation. Further studies have to be performed to determine ideal conditions (type of trauma, age, width of apical foramen) for a revascularization. |
format | Online Article Text |
id | pubmed-7362656 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-73626562020-07-20 Outcome of revascularization therapy in traumatized immature incisors Mittmann, Carolina W. Kostka, Eckehard Ballout, Husam Preus, Mareike Preissner, Robert Karaman, Murat Preissner, Saskia BMC Oral Health Research Article BACKGROUND: The aim of this retrospective analysis was to evaluate the clinical and radiological outcome of revascularization therapy in traumatized permanent incisors to determine whether this approach could be implemented into clinical routine. METHODS: A total of 16 traumatized incisors (either avulsion or severe luxation/intrusion) with open apices (> 1 mm) that underwent revascularization following a standardized protocol were analyzed with a mean follow-up of 22 months. Radiographs and clinical parameters (such as root length, pulp space, dentin wall width, apical foramen, alveolar bone loss, ankylosis/mobility, supra−/infraposition, discoloration, probing depth) were compared pre- and postoperatively and statistically analyzed. RESULTS: Over the follow-up period, 81.3% of the teeth survived revascularization and regained sensitivity, while 18.7% failed, as they had to be extracted due to serious root resorption. Regarding radiographic outcomes a significant difference could only be found in the decrease of apical foramina (p = 0.04). The other parameters showed no significant difference between pre- and postoperative measurements. More than half of the teeth (56.3%) developed root resorptions and 31.3% displayed signs of ankylosis and 92.9% developed discolorations during follow-up. However, 85.7% of the teeth maintained the bone level and outcomes of mobility showed a significant solidification. CONCLUSIONS: Revascularization is a promising approach for the treatment of immature incisors to regain sensitivity and to enhance apical closure and at least to maintain alveolar bone in terms of a socket preservation. Further studies have to be performed to determine ideal conditions (type of trauma, age, width of apical foramen) for a revascularization. BioMed Central 2020-07-14 /pmc/articles/PMC7362656/ /pubmed/32664918 http://dx.doi.org/10.1186/s12903-020-01193-5 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Mittmann, Carolina W. Kostka, Eckehard Ballout, Husam Preus, Mareike Preissner, Robert Karaman, Murat Preissner, Saskia Outcome of revascularization therapy in traumatized immature incisors |
title | Outcome of revascularization therapy in traumatized immature incisors |
title_full | Outcome of revascularization therapy in traumatized immature incisors |
title_fullStr | Outcome of revascularization therapy in traumatized immature incisors |
title_full_unstemmed | Outcome of revascularization therapy in traumatized immature incisors |
title_short | Outcome of revascularization therapy in traumatized immature incisors |
title_sort | outcome of revascularization therapy in traumatized immature incisors |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362656/ https://www.ncbi.nlm.nih.gov/pubmed/32664918 http://dx.doi.org/10.1186/s12903-020-01193-5 |
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