Dostęp do tego artykułu jest płatny.
Zapraszamy do zakupu!
Cena: 6.15 PLN (z VAT)
Kup artykuł
Po dokonaniu zakupu artykuł w postaci pliku PDF prześlemy bezpośrednio pod twój adres e-mail.
Revitalization of pulp with use of a preparation of high biocompatibility. Case report
Mariusz Lipski, Monika Bogusz, Elżbieta Krawczuk-Molęda, Alicja Nowicka
Mariusz Lipski, Monika Bogusz, Elżbieta Krawczuk-Molęda, Alicja Nowicka
Streszczenie
W pracy opisano postępowanie w przypadku zęba siecznego szczęki z niezakończonym rozwojem korzenia i martwą miazgą. Ze względu na szeroki otwór wierzchołkowy i młody wiek pacjentki podjęto próbę leczenia metodą rewaskularyzacji z użyciem materiału o dużej biozgodności. Po dezynfekcji kanału pastą dwuantybiotykową wywołano krwawienie z okolicy okołowierzchołkowej i na powstały skrzep zaaplikowano materiał Biodentine. Ponieważ jakość zastosowanego materiału budziła zastrzeżenia, usunięto go i umieszczono materiał ponownie. W tym celu po raz drugi wywołano krwawienie z okolicy okołowierzchołkowej, następnie na powstały skrzep założono gąbkę kolagenową i Biodentine. Zabieg wykonano w powiększeniu mikroskopu zabiegowego. W badaniu kontrolnym przeprowadzonym po 13 miesiącach od zakończenia leczenia stan tkanek przyzębia wierzchołkowego nie budził zastrzeżeń; pacjentka negowała jakiekolwiek dolegliwości ze strony leczonego zęba. Zdjęcie rentgenowskie wykazało pogrubienie ścian korzenia i całkowite uformowanie się wierzchołka korzenia.
Abstract
The study describes the procedure in the case of a maxillary incisor with uncompleted root development and non-vital pulp. Due to the wide opening of the apex and young age of the female patient, there was an attempt to treat using the method of revascularisation using a material of high biocompatibility. After disinfecting the canal using a dual antibiotic paste, bleeding was initiated in the periapical area and the material Biodentine was applied on the ensuing blood clot. As the quality of the used material was in doubt, it was removed and again placed. With this aim in view, for a second time, bleeding was initiated in the periapical area and then, after the clot was formed, a collagen sponge and Biodentine were placed. The procedure was carried out with magnification under the operating microscope. In the control examinations carried out 13 months after the end of treatment, the condition of the periapical tissues did not give rise to any reservations. The patient did not admit to any whatsoever problems from the treated tooth. The radiograph showed a thickening of the walls of the root and a completely completed root apex.
Hasła indeksowe: endodoncja regeneracyjna, rewaskularyzacja, ząb z martwą miazgą, Biodentine
Key words: regenerative endodontics, revascularization, necrotic tooth, Biodentine
PIŚMIENNICTWO
1. Domagała E., Sokołowski J., Banaszek K.: Rewaskularyzacja jako metoda endodoncji regeneracyjnej alternatywą dla leczenia kanałowego. e-Dentico, 2014, 51, 60-75.
2. Pazera R., Szczepańska J.: Nowoczesna metoda leczenia martwicy miazgi w zębach z nieukształtowanym wierzchołkiem – rewaskularyzacja miazgi. Część 1. Nowa Stomatol., 2014, 1, 37-40.
3. Witek A., Nowicka A., Lipski M., Buczkowska-Radlińska J.: Rewaskularyzacja miazgi – nowa metoda leczenia endodontycznego zębów stałych z niezakończonym rozwojem korzenia – przegląd piśmiennictwa. Mag. Stomatol., 2012, 22, 10, 122-124.
4. Czopik B., Zarzecka J.: Endodoncja regeneracyjna. Mag. Stomatol., 2013, 13, 7-8, 127-130.
5. Wigler R., Kaufman A.Y., Lin S. i wsp.: Revascularization: a treatment for permanent teeth with necrotic pulp and incomplete root development. J. Endod., 2013, 39, 3, 319-326.
6. Murray P.E., Garcia-Godoy F., Hargreaves K.M.: Regenerative endodontics: a review of current status and a call for action. J. Endod., 2007, 33, 377-390.
7. Law A.S.: Considerations for regeneration procedures. J. Endod., 2013, 39, 3 Supplement, S44-56.
8. http://www.aae.org/uploadedfiles/publications_and_research/endodontics_colleagues_for_excellence_newsletter/considerationsregendo.pdf
9. Kontaktiotis E.G., Filippatos C.G., Tzanetakis G.N., Agrafioti A.: Regenerative endodontic therapy: a data analysis of clinical protocols. J. Endod., 2015, 41, 146-154.
10. Abudiak H.N., Rajan S., Karagianni A.P., Duggal M.S.: Regeneracyjna technika endodontyczna z zastosowaniem terapii łączonej wykorzystującej amoksycylinę i metronidazol. Przegląd literatury i opis dwóch przypadków. Endodoncja.pl, 2013, 2, 120-128.
11. Iwaya S.I., Ikawa M., Kubota M.: Revascularization of an immature permanent tooth with apical periodontitis and sinus tract. Dent. Traumatol., 2001, 17, 185-187.
12. Paryani K., Kim S.G.: Regenerative endodontic treatment of permanent teeth after completion of root development: a report of 2 cases. J. Endod., 2013, 39, 929-934.
13. Shah N., Logani A., Bhaskar U., Aggarwal V.: Efficacy of revascularization to induce apexification/apexogensis in infected, nonvital, immature teeth: a pilot clinical study. J. Endod., 2008, 34, 919-925.
14. Cotti E., Mereu M., Lusso D.: Regenerative treatment of an immature, traumatized tooth with apical periodontitis: report of a case. J. Endod., 2008, 34, 611-616.
15. Chueh L.H., Ho Y.C., Kuo T.C. i wsp.: Regenerative endodontic treatment for necrotic immature permanent teeth. J. Endod., 2009, 35, 160-164.
16. Iwaya S., Ikawa M., Kubota M.: Revascularization of an immature permanent tooth with periradicular abscess after luxation. Dent. Traumatol., 2011, 27, 55-58.
17. Cehreli Z.C., Isbitiren B., Sara S., Erbas G.: Regenerative endodontic treatment (revascularization) of immature necrotic molars medicated with calcium hydroxide: a case series. J. Endod., 2011, 37, 1327-1330.
18. Chen M.Y., Chen K.L., Chen C.A. i wsp.: Responses of immature permanent teeth with infected necrotic pulp tissue and apical periodontitis/abscess to revascularization procedures. Int. Endod. J., 2012, 45, 294-305.
19. Soares Ade J., Lins F.F., Nagata J.Y. i wsp.: Pulp revascularization after root canal decontamination with calcium hydroxide and 2% chlorhexidine gel. J. Endod., 2013, 39, 417-420.
20. Shimizu E., Ricucci D., Albert J. i wsp.: Clinical, radiographic, and histological observation of a human immature permanent tooth with chronic apical abscess after revitalization treatment. J. Endod., 2013, 39, 1078-1083.
21. Nagata J.Y., Gomes B.P., Rocha Lima T.F. i wsp.: Traumatized immature teeth treated with 2 protocols of pulp revascularization. J. Endod., 2014, 40, 606-612.
22. Kim D.S., Park H.J., Yeom J.H. i wsp.: Long-term follow-ups of revascularized immature necrotic teeth: three case reports. Int. J. Oral Sci., 2012, 4, 109-113.
23. Banchs F., Trope M.: Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol? J. Endod., 2004, 30, 196-200.
24. Hargreaves K.M., Diogenes A., Teixeira F.B.: Paradigm lost: a perspective on the design and interpretation of regenerative endodontic research. J. Endod., 2014, 40, S65-69.
25. Thibodeau B.: Case report: pulp revascularization of a necrotic, infected, immature, permanent tooth. Pediatr. Dent., 2009, 31, 145-148.
26. Thomson A., Kahler B.: Regenerative endodontics–biologically-based treatment for immature permanent teeth: a case report and review of the literature. Aust. Dent. J., 2010, 55, 446-452.
27. Kahler B., Mistry S., Moule A. i wsp.: Revascularization outcomes: a prospective analysis of 16 consecutive cases. J. Endod., 2014, 40, 333-338.
28. Petrino J.A.: Revascularization of necrotic pulp of immature teeth with apical periodontitis. Northwest Dent., 2007, 86, 33-35.
29. Reynolds K., Johnson J.D., Cohenca N.: Pulp revascularization of necrotic bilateral bicuspids using a modified novel technique to eliminate potential coronal discolouration: a case report. Int. Endod. J., 2009, 42, 84-92.
30. Petrino J.A., Boda K.K., Shambarger S. i wsp.: Challenges in regenerative endodontics: a case series. J. Endod., 2010, 36, 536-541.
31. Noy A.F., Nuni E., Moskovitz M.: Regenerative endodontic treatment of an immature permanent canine following infant oral mutilation. Pediatr. Dent., 2013, 35, 355-359.
32. Aggarwal V., Miglani S., Singla M.: Conventional apexification and revascularization induced maturogenesis of two non-vital, immature teeth in same patient: 24 months follow up of a case. J. Conserv. Dent., 2012, 15, 68-72.
33. Trevino E.G., Patwardhan A.N., Henry M.A. i wsp.: Effect of irrigants on the survival of human stem cells of the apical papilla in a platelet-rich plasma scaffold in human root tips. J. Endod., 2011, 37, 1109-1115.
34. Martin D.E., De Almeida J.F., Henry M.A. i wsp.: Concentration-dependent effect of sodium hypochlorite on stem cells of apical papilla survival and differentiation. J. Endod., 2014, 40, 51-55.
35. Galler K.M., D’Souza R.N., Federlin M. i wsp.: Dentin conditioning codetermines cell fate in regenerative endodontics. J. Endod., 2011, 37, 1536-1541.
36. Nosrat A., Homayounfar N., Oloomi K.: Drawbacks and unfavorable outcomes of regenerative endodontic treatments of necrotic immature teeth: a literature review and report of a case. J. Endod., 2012, 38, 1428-1434.
37. Lenzi R., Trope M.: Revitalization procedures in two traumatized incisors with different biological outcomes. J. Endod., 2012, 8, 411-414.
38. Wigler R., Kaufman A.Y., Lin S. i wsp.: Revascularization: a treatment for permanent teeth with necrotic pulp and incomplete root development. J. Endod., 2013, 39, 319-326.
39. Torabinejad M., Turman M.: Revitalization of tooth with necrotic pulp and open apex by using platelet-rich plasma: a case report. J. Endod., 2011, 37, 265-268.
40. Torabinejad M., Faras H.: A clinical and histological report of a tooth with an open apex treated with regenerative endodontics using platelet-rich plasma. J. Endod., 2012, 38, 864-868.
41. Shivashankar V.Y., Johns D.A., Vidyanath S., Kumar M.R.: Platelet rich fibrin in the revitalization of tooth with necrotic pulp and open apex. J. Conserv. Dent., 2012, 15, 395-398.
42. Keswani D., Pandey R.K.: Revascularization of an immature tooth with a necrotic pulp using platelet-rich fibrin: a case report. Int. Endod. J., 2013, 46, 1096-1104.
43. Chueh L.H., Huang G.T.: Immature teeth with periradicular periodontitis or abscess undergoing apexogenesis: a paradigm shift. J. Endod., 2006, 32, 1205-1213.
44. Jadhav G., Shah N., Logani A.: Revascularization with and without platelet-rich plasma in nonvital, immature, anterior teeth: a pilot clinical study. J. Endod., 2012, 38, 1581-1587.
PIŚMIENNICTWO
1. Domagała E., Sokołowski J., Banaszek K.: Rewaskularyzacja jako metoda endodoncji regeneracyjnej alternatywą dla leczenia kanałowego. e-Dentico, 2014, 51, 60-75.
2. Pazera R., Szczepańska J.: Nowoczesna metoda leczenia martwicy miazgi w zębach z nieukształtowanym wierzchołkiem – rewaskularyzacja miazgi. Część 1. Nowa Stomatol., 2014, 1, 37-40.
3. Witek A., Nowicka A., Lipski M., Buczkowska-Radlińska J.: Rewaskularyzacja miazgi – nowa metoda leczenia endodontycznego zębów stałych z niezakończonym rozwojem korzenia – przegląd piśmiennictwa. Mag. Stomatol., 2012, 22, 10, 122-124.
4. Czopik B., Zarzecka J.: Endodoncja regeneracyjna. Mag. Stomatol., 2013, 13, 7-8, 127-130.
5. Wigler R., Kaufman A.Y., Lin S. i wsp.: Revascularization: a treatment for permanent teeth with necrotic pulp and incomplete root development. J. Endod., 2013, 39, 3, 319-326.
6. Murray P.E., Garcia-Godoy F., Hargreaves K.M.: Regenerative endodontics: a review of current status and a call for action. J. Endod., 2007, 33, 377-390.
7. Law A.S.: Considerations for regeneration procedures. J. Endod., 2013, 39, 3 Supplement, S44-56.
8. http://www.aae.org/uploadedfiles/publications_and_research/endodontics_colleagues_for_excellence_newsletter/considerationsregendo.pdf
9. Kontaktiotis E.G., Filippatos C.G., Tzanetakis G.N., Agrafioti A.: Regenerative endodontic therapy: a data analysis of clinical protocols. J. Endod., 2015, 41, 146-154.
10. Abudiak H.N., Rajan S., Karagianni A.P., Duggal M.S.: Regeneracyjna technika endodontyczna z zastosowaniem terapii łączonej wykorzystującej amoksycylinę i metronidazol. Przegląd literatury i opis dwóch przypadków. Endodoncja.pl, 2013, 2, 120-128.
11. Iwaya S.I., Ikawa M., Kubota M.: Revascularization of an immature permanent tooth with apical periodontitis and sinus tract. Dent. Traumatol., 2001, 17, 185-187.
12. Paryani K., Kim S.G.: Regenerative endodontic treatment of permanent teeth after completion of root development: a report of 2 cases. J. Endod., 2013, 39, 929-934.
13. Shah N., Logani A., Bhaskar U., Aggarwal V.: Efficacy of revascularization to induce apexification/apexogensis in infected, nonvital, immature teeth: a pilot clinical study. J. Endod., 2008, 34, 919-925.
14. Cotti E., Mereu M., Lusso D.: Regenerative treatment of an immature, traumatized tooth with apical periodontitis: report of a case. J. Endod., 2008, 34, 611-616.
15. Chueh L.H., Ho Y.C., Kuo T.C. i wsp.: Regenerative endodontic treatment for necrotic immature permanent teeth. J. Endod., 2009, 35, 160-164.
16. Iwaya S., Ikawa M., Kubota M.: Revascularization of an immature permanent tooth with periradicular abscess after luxation. Dent. Traumatol., 2011, 27, 55-58.
17. Cehreli Z.C., Isbitiren B., Sara S., Erbas G.: Regenerative endodontic treatment (revascularization) of immature necrotic molars medicated with calcium hydroxide: a case series. J. Endod., 2011, 37, 1327-1330.
18. Chen M.Y., Chen K.L., Chen C.A. i wsp.: Responses of immature permanent teeth with infected necrotic pulp tissue and apical periodontitis/abscess to revascularization procedures. Int. Endod. J., 2012, 45, 294-305.
19. Soares Ade J., Lins F.F., Nagata J.Y. i wsp.: Pulp revascularization after root canal decontamination with calcium hydroxide and 2% chlorhexidine gel. J. Endod., 2013, 39, 417-420.
20. Shimizu E., Ricucci D., Albert J. i wsp.: Clinical, radiographic, and histological observation of a human immature permanent tooth with chronic apical abscess after revitalization treatment. J. Endod., 2013, 39, 1078-1083.
21. Nagata J.Y., Gomes B.P., Rocha Lima T.F. i wsp.: Traumatized immature teeth treated with 2 protocols of pulp revascularization. J. Endod., 2014, 40, 606-612.
22. Kim D.S., Park H.J., Yeom J.H. i wsp.: Long-term follow-ups of revascularized immature necrotic teeth: three case reports. Int. J. Oral Sci., 2012, 4, 109-113.
23. Banchs F., Trope M.: Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol? J. Endod., 2004, 30, 196-200.
24. Hargreaves K.M., Diogenes A., Teixeira F.B.: Paradigm lost: a perspective on the design and interpretation of regenerative endodontic research. J. Endod., 2014, 40, S65-69.
25. Thibodeau B.: Case report: pulp revascularization of a necrotic, infected, immature, permanent tooth. Pediatr. Dent., 2009, 31, 145-148.
26. Thomson A., Kahler B.: Regenerative endodontics–biologically-based treatment for immature permanent teeth: a case report and review of the literature. Aust. Dent. J., 2010, 55, 446-452.
27. Kahler B., Mistry S., Moule A. i wsp.: Revascularization outcomes: a prospective analysis of 16 consecutive cases. J. Endod., 2014, 40, 333-338.
28. Petrino J.A.: Revascularization of necrotic pulp of immature teeth with apical periodontitis. Northwest Dent., 2007, 86, 33-35.
29. Reynolds K., Johnson J.D., Cohenca N.: Pulp revascularization of necrotic bilateral bicuspids using a modified novel technique to eliminate potential coronal discolouration: a case report. Int. Endod. J., 2009, 42, 84-92.
30. Petrino J.A., Boda K.K., Shambarger S. i wsp.: Challenges in regenerative endodontics: a case series. J. Endod., 2010, 36, 536-541.
31. Noy A.F., Nuni E., Moskovitz M.: Regenerative endodontic treatment of an immature permanent canine following infant oral mutilation. Pediatr. Dent., 2013, 35, 355-359.
32. Aggarwal V., Miglani S., Singla M.: Conventional apexification and revascularization induced maturogenesis of two non-vital, immature teeth in same patient: 24 months follow up of a case. J. Conserv. Dent., 2012, 15, 68-72.
33. Trevino E.G., Patwardhan A.N., Henry M.A. i wsp.: Effect of irrigants on the survival of human stem cells of the apical papilla in a platelet-rich plasma scaffold in human root tips. J. Endod., 2011, 37, 1109-1115.
34. Martin D.E., De Almeida J.F., Henry M.A. i wsp.: Concentration-dependent effect of sodium hypochlorite on stem cells of apical papilla survival and differentiation. J. Endod., 2014, 40, 51-55.
35. Galler K.M., D’Souza R.N., Federlin M. i wsp.: Dentin conditioning codetermines cell fate in regenerative endodontics. J. Endod., 2011, 37, 1536-1541.
36. Nosrat A., Homayounfar N., Oloomi K.: Drawbacks and unfavorable outcomes of regenerative endodontic treatments of necrotic immature teeth: a literature review and report of a case. J. Endod., 2012, 38, 1428-1434.
37. Lenzi R., Trope M.: Revitalization procedures in two traumatized incisors with different biological outcomes. J. Endod., 2012, 8, 411-414.
38. Wigler R., Kaufman A.Y., Lin S. i wsp.: Revascularization: a treatment for permanent teeth with necrotic pulp and incomplete root development. J. Endod., 2013, 39, 319-326.
39. Torabinejad M., Turman M.: Revitalization of tooth with necrotic pulp and open apex by using platelet-rich plasma: a case report. J. Endod., 2011, 37, 265-268.
40. Torabinejad M., Faras H.: A clinical and histological report of a tooth with an open apex treated with regenerative endodontics using platelet-rich plasma. J. Endod., 2012, 38, 864-868.
41. Shivashankar V.Y., Johns D.A., Vidyanath S., Kumar M.R.: Platelet rich fibrin in the revitalization of tooth with necrotic pulp and open apex. J. Conserv. Dent., 2012, 15, 395-398.
42. Keswani D., Pandey R.K.: Revascularization of an immature tooth with a necrotic pulp using platelet-rich fibrin: a case report. Int. Endod. J., 2013, 46, 1096-1104.
43. Chueh L.H., Huang G.T.: Immature teeth with periradicular periodontitis or abscess undergoing apexogenesis: a paradigm shift. J. Endod., 2006, 32, 1205-1213.
44. Jadhav G., Shah N., Logani A.: Revascularization with and without platelet-rich plasma in nonvital, immature, anterior teeth: a pilot clinical study. J. Endod., 2012, 38, 1581-1587.
