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Foreign Body Removal and Revascularization of Teeth with Periapical Radiolucency: 18 Months' Follow-Up

Revascularization of the dental pulp is an emerging regenerative endodontic approach in which a new tissue is formed inside the root canal by induction of blood clot, allowing the continuation in the development of root. In this case report, the effective management of previously fractured immature...

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Autores principales: Ravikumar, Kaarunya, Chakravarthy, Yadav, Kumar, A, Samynathan, Mothiraj, Varshini, R. Jeya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8375945/
https://www.ncbi.nlm.nih.gov/pubmed/34447223
http://dx.doi.org/10.4103/jpbs.JPBS_536_20
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author Ravikumar, Kaarunya
Chakravarthy, Yadav
Kumar, A
Samynathan, Mothiraj
Varshini, R. Jeya
author_facet Ravikumar, Kaarunya
Chakravarthy, Yadav
Kumar, A
Samynathan, Mothiraj
Varshini, R. Jeya
author_sort Ravikumar, Kaarunya
collection PubMed
description Revascularization of the dental pulp is an emerging regenerative endodontic approach in which a new tissue is formed inside the root canal by induction of blood clot, allowing the continuation in the development of root. In this case report, the effective management of previously fractured immature tooth with the presence of foreign body (wire) inside the canal and radiographic periapical radiolucency had been described. A 17-year-old patient with immature fractured upper left lateral incisor with radiographic evidence of foreign body (wire) inside the canal was treated with removal of wire by H file followed by revascularization protocol that used working length determination, 5.25% sodium hypochlorite irrigation, intracanal medication with calcium hydroxide, final irrigation with 17% ethylenediaminetetraacetic acid and saline, induction of apical bleeding and blood clot formation, and coronal seal with mineral trioxide aggregate. Patient was recalled at every 3 months and response checked as the tooth remained asymptomatic. At 18 months' follow-up, intraoral periapical radiography radiograph was taken to evaluate the revascularization procedure. The periapical radiolucency was healed and root closure began to appear. Increased thickness of root width was also found. Although revascularization shows clinically acceptable results, care should be taken to achieve proper disinfection of canals and regular follow-up to improve long-term efficacy and new approaches.
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spelling pubmed-83759452021-08-25 Foreign Body Removal and Revascularization of Teeth with Periapical Radiolucency: 18 Months' Follow-Up Ravikumar, Kaarunya Chakravarthy, Yadav Kumar, A Samynathan, Mothiraj Varshini, R. Jeya J Pharm Bioallied Sci Case Report Revascularization of the dental pulp is an emerging regenerative endodontic approach in which a new tissue is formed inside the root canal by induction of blood clot, allowing the continuation in the development of root. In this case report, the effective management of previously fractured immature tooth with the presence of foreign body (wire) inside the canal and radiographic periapical radiolucency had been described. A 17-year-old patient with immature fractured upper left lateral incisor with radiographic evidence of foreign body (wire) inside the canal was treated with removal of wire by H file followed by revascularization protocol that used working length determination, 5.25% sodium hypochlorite irrigation, intracanal medication with calcium hydroxide, final irrigation with 17% ethylenediaminetetraacetic acid and saline, induction of apical bleeding and blood clot formation, and coronal seal with mineral trioxide aggregate. Patient was recalled at every 3 months and response checked as the tooth remained asymptomatic. At 18 months' follow-up, intraoral periapical radiography radiograph was taken to evaluate the revascularization procedure. The periapical radiolucency was healed and root closure began to appear. Increased thickness of root width was also found. Although revascularization shows clinically acceptable results, care should be taken to achieve proper disinfection of canals and regular follow-up to improve long-term efficacy and new approaches. Wolters Kluwer - Medknow 2021-06 2021-06-05 /pmc/articles/PMC8375945/ /pubmed/34447223 http://dx.doi.org/10.4103/jpbs.JPBS_536_20 Text en Copyright: © 2021 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 Case Report
Ravikumar, Kaarunya
Chakravarthy, Yadav
Kumar, A
Samynathan, Mothiraj
Varshini, R. Jeya
Foreign Body Removal and Revascularization of Teeth with Periapical Radiolucency: 18 Months' Follow-Up
title Foreign Body Removal and Revascularization of Teeth with Periapical Radiolucency: 18 Months' Follow-Up
title_full Foreign Body Removal and Revascularization of Teeth with Periapical Radiolucency: 18 Months' Follow-Up
title_fullStr Foreign Body Removal and Revascularization of Teeth with Periapical Radiolucency: 18 Months' Follow-Up
title_full_unstemmed Foreign Body Removal and Revascularization of Teeth with Periapical Radiolucency: 18 Months' Follow-Up
title_short Foreign Body Removal and Revascularization of Teeth with Periapical Radiolucency: 18 Months' Follow-Up
title_sort foreign body removal and revascularization of teeth with periapical radiolucency: 18 months' follow-up
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8375945/
https://www.ncbi.nlm.nih.gov/pubmed/34447223
http://dx.doi.org/10.4103/jpbs.JPBS_536_20
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