External Inflammatory Root Resorption in Traumatized Immature Incisors: MTA Plug or Revitalization? A Case Series
Introduction: External inflammatory root resorption (EIRR) in immature permanent teeth is a common complication after severe dental trauma. The management of this condition requires thorough disinfection of the root canal in order to arrest the resorptive process. However, current guidelines regardi...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/10/7/1236 |
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| author | Tchilalo Boukpessi Leslie Cottreel Kerstin M. Galler |
| author_facet | Tchilalo Boukpessi Leslie Cottreel Kerstin M. Galler |
| author_sort | Tchilalo Boukpessi |
| collection | DOAJ |
| description | Introduction: External inflammatory root resorption (EIRR) in immature permanent teeth is a common complication after severe dental trauma. The management of this condition requires thorough disinfection of the root canal in order to arrest the resorptive process. However, current guidelines regarding the recommended treatment of EIRR following traumatic dental injuries vary, mainly in regard to the type of intracanal medication and its retention time in the root canal system. The objective of this case series was to present both the apical barrier technique (MTA plug) and revitalization procedures as valid treatment options in immature teeth with EIRR. Methods: Four cases of post-traumatic immature teeth diagnosed with pulp necrosis and EIRR, with or without apical periodontitis, were treated either by an MTA plug (two teeth) or revitalization (two teeth). Cases were followed between 12 and 24 months. Results: Both treatment methods were efficient in arresting EIRR and enabled bone healing. After revitalization, partial root maturation was observed. Conclusion: Whereas the key to achieve periodontal healing in cases of EIRR is thorough disinfection of the root canal, both a subsequent MTA plug as well as revitalization may represent adequate treatment methods. An additional benefit lies in the potential of revitalization to promote further root maturation through hard tissue apposition. |
| first_indexed | 2024-03-11T01:11:38Z |
| format | Article |
| id | doaj.art-61398ef89485474d95d37ee433f648d4 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T01:11:38Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-61398ef89485474d95d37ee433f648d42023-11-18T18:50:10ZengMDPI AGChildren2227-90672023-07-01107123610.3390/children10071236External Inflammatory Root Resorption in Traumatized Immature Incisors: MTA Plug or Revitalization? A Case SeriesTchilalo Boukpessi0Leslie Cottreel1Kerstin M. Galler2Department of Restorative Dentistry and Endodontics, Faculty of Dentistry, University Paris Cité, 1 rue Maurcice Arnoux, 92120 Montrouge, FranceDepartment of Restorative Dentistry and Endodontics, Faculty of Dentistry, University Paris Cité, 1 rue Maurcice Arnoux, 92120 Montrouge, FranceDepartment of Operative Dentistry and Periodontology, University Hospital Erlangen, University of Erlangen-Nuremberg, Glückstr. 11, 91054 Erlangen, GermanyIntroduction: External inflammatory root resorption (EIRR) in immature permanent teeth is a common complication after severe dental trauma. The management of this condition requires thorough disinfection of the root canal in order to arrest the resorptive process. However, current guidelines regarding the recommended treatment of EIRR following traumatic dental injuries vary, mainly in regard to the type of intracanal medication and its retention time in the root canal system. The objective of this case series was to present both the apical barrier technique (MTA plug) and revitalization procedures as valid treatment options in immature teeth with EIRR. Methods: Four cases of post-traumatic immature teeth diagnosed with pulp necrosis and EIRR, with or without apical periodontitis, were treated either by an MTA plug (two teeth) or revitalization (two teeth). Cases were followed between 12 and 24 months. Results: Both treatment methods were efficient in arresting EIRR and enabled bone healing. After revitalization, partial root maturation was observed. Conclusion: Whereas the key to achieve periodontal healing in cases of EIRR is thorough disinfection of the root canal, both a subsequent MTA plug as well as revitalization may represent adequate treatment methods. An additional benefit lies in the potential of revitalization to promote further root maturation through hard tissue apposition.https://www.mdpi.com/2227-9067/10/7/1236immature teethdental traumapulp necrosisMTA plugrevitalizationcase series |
| spellingShingle | Tchilalo Boukpessi Leslie Cottreel Kerstin M. Galler External Inflammatory Root Resorption in Traumatized Immature Incisors: MTA Plug or Revitalization? A Case Series Children immature teeth dental trauma pulp necrosis MTA plug revitalization case series |
| title | External Inflammatory Root Resorption in Traumatized Immature Incisors: MTA Plug or Revitalization? A Case Series |
| title_full | External Inflammatory Root Resorption in Traumatized Immature Incisors: MTA Plug or Revitalization? A Case Series |
| title_fullStr | External Inflammatory Root Resorption in Traumatized Immature Incisors: MTA Plug or Revitalization? A Case Series |
| title_full_unstemmed | External Inflammatory Root Resorption in Traumatized Immature Incisors: MTA Plug or Revitalization? A Case Series |
| title_short | External Inflammatory Root Resorption in Traumatized Immature Incisors: MTA Plug or Revitalization? A Case Series |
| title_sort | external inflammatory root resorption in traumatized immature incisors mta plug or revitalization a case series |
| topic | immature teeth dental trauma pulp necrosis MTA plug revitalization case series |
| url | https://www.mdpi.com/2227-9067/10/7/1236 |
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