Regenerative endodontic treatment of immature permanent teeth after mechanical instrumentation with XP-Endo Finisher
Introduction: The traditional treatment of immature permanent teeth with necrotic pulp involves creating an apical barrier by using calcium hydroxide or an MTA plug for an extended period of time. A novel therapeutic approach called regenerative endodontic procedures (REP) is used to allow root deve...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Pensoft Publishers
2023-06-01
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| Series: | Folia Medica |
| Online Access: | https://foliamedica.bg/article/80063/download/pdf/ |
| _version_ | 1797789979722645504 |
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| author | Krasimir Hristov Liliya Doitchinova Natalia Gateva |
| author_facet | Krasimir Hristov Liliya Doitchinova Natalia Gateva |
| author_sort | Krasimir Hristov |
| collection | DOAJ |
| description | Introduction: The traditional treatment of immature permanent teeth with necrotic pulp involves creating an apical barrier by using calcium hydroxide or an MTA plug for an extended period of time. A novel therapeutic approach called regenerative endodontic procedures (REP) is used to allow root development to continue. Aim: To investigate the response of immature permanent teeth and necrotic pulp to REP using a modified clinical protocol involving minimal mechanical instrumentation and irrigation with 10% citric acid. Materials and methods: We treated 30 immature permanent teeth with necrotic pulp in 28 patients aged 7-14 years using a modified protocol for regenerative endodontics. The protocol included mechanical instrumentation of the root canal with the appropriate file for 2 minutes in total and irrigation with 10% citric acid. Results: The root walls increased their thickness in 28 (93%) of the treated cases. In 16 (53%) cases, we found radiographic signs of continued root development; in six (20%), there was thickening of the canal walls and closure of the apex but no elongation; in four (13%), there was obliteration of the root canal; in two (7%), there was healing of the periapical lesion without any change in the length of the root walls or closure of the apex; and only two cases (7%) showed no signs of healing, but the teeth remained asymptomatic. Conclusions: The use of mechanical instrumentation with the appropriate files in REP shortens the clinical protocol, which is advantageous when treating children’s dental issues. |
| first_indexed | 2024-03-13T01:58:15Z |
| format | Article |
| id | doaj.art-5226a9c556b0431a9ca338d33ec292ab |
| institution | Directory Open Access Journal |
| issn | 1314-2143 |
| language | English |
| last_indexed | 2024-03-13T01:58:15Z |
| publishDate | 2023-06-01 |
| publisher | Pensoft Publishers |
| record_format | Article |
| series | Folia Medica |
| spelling | doaj.art-5226a9c556b0431a9ca338d33ec292ab2023-07-02T08:11:14ZengPensoft PublishersFolia Medica1314-21432023-06-0165346046710.3897/folmed.65.e8006380063Regenerative endodontic treatment of immature permanent teeth after mechanical instrumentation with XP-Endo FinisherKrasimir Hristov0Liliya Doitchinova1Natalia Gateva2Medical University of SofiaMedical University of SofiaMedical University of SofiaIntroduction: The traditional treatment of immature permanent teeth with necrotic pulp involves creating an apical barrier by using calcium hydroxide or an MTA plug for an extended period of time. A novel therapeutic approach called regenerative endodontic procedures (REP) is used to allow root development to continue. Aim: To investigate the response of immature permanent teeth and necrotic pulp to REP using a modified clinical protocol involving minimal mechanical instrumentation and irrigation with 10% citric acid. Materials and methods: We treated 30 immature permanent teeth with necrotic pulp in 28 patients aged 7-14 years using a modified protocol for regenerative endodontics. The protocol included mechanical instrumentation of the root canal with the appropriate file for 2 minutes in total and irrigation with 10% citric acid. Results: The root walls increased their thickness in 28 (93%) of the treated cases. In 16 (53%) cases, we found radiographic signs of continued root development; in six (20%), there was thickening of the canal walls and closure of the apex but no elongation; in four (13%), there was obliteration of the root canal; in two (7%), there was healing of the periapical lesion without any change in the length of the root walls or closure of the apex; and only two cases (7%) showed no signs of healing, but the teeth remained asymptomatic. Conclusions: The use of mechanical instrumentation with the appropriate files in REP shortens the clinical protocol, which is advantageous when treating children’s dental issues.https://foliamedica.bg/article/80063/download/pdf/ |
| spellingShingle | Krasimir Hristov Liliya Doitchinova Natalia Gateva Regenerative endodontic treatment of immature permanent teeth after mechanical instrumentation with XP-Endo Finisher Folia Medica |
| title | Regenerative endodontic treatment of immature permanent teeth after mechanical instrumentation with XP-Endo Finisher |
| title_full | Regenerative endodontic treatment of immature permanent teeth after mechanical instrumentation with XP-Endo Finisher |
| title_fullStr | Regenerative endodontic treatment of immature permanent teeth after mechanical instrumentation with XP-Endo Finisher |
| title_full_unstemmed | Regenerative endodontic treatment of immature permanent teeth after mechanical instrumentation with XP-Endo Finisher |
| title_short | Regenerative endodontic treatment of immature permanent teeth after mechanical instrumentation with XP-Endo Finisher |
| title_sort | regenerative endodontic treatment of immature permanent teeth after mechanical instrumentation with xp endo finisher |
| url | https://foliamedica.bg/article/80063/download/pdf/ |
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