Regeneration of Pulp and Radicular Tissues in a Nonvital Avulsed Tooth with Open Apex: A Case Report.

Avulsed tooth Case report Endodontics Mineral trioxide aggregate Open apex Radiculogenesis

Journal

International journal of clinical pediatric dentistry
ISSN: 0974-7052
Titre abrégé: Int J Clin Pediatr Dent
Pays: India
ID NLM: 101585405

Informations de publication

Date de publication:
May 2024
Historique:
medline: 2 10 2024
pubmed: 2 10 2024
entrez: 2 10 2024
Statut: ppublish

Résumé

The management of avulsed immature teeth poses a significant challenge to clinicians, as prolonged dry time before reimplantation may lead to replacement resorption or ankylosis. Recent studies have shown promising results with the use of an intracanal proprietary pharmaceutical preparation, followed by sealing of the orifice with mineral trioxide aggregate (MTA). Angiography suggested the presence of vascularized tissue after 1 year, indicating successful regeneration of pulpal tissue in the radicular area. Despite an unfavorable crown-root fracture leading to tooth extraction after 9 months, histological examination revealed regular root dentin formation, indicating a favorable outcome. These findings offer hope for the management of avulsed immature teeth and underscore the importance of early intervention and appropriate treatment selection. Rathi N, Agrawal A, Thosar N,

Sections du résumé

Aim and background UNASSIGNED
The management of avulsed immature teeth poses a significant challenge to clinicians, as prolonged dry time before reimplantation may lead to replacement resorption or ankylosis.
Case description UNASSIGNED
Recent studies have shown promising results with the use of an intracanal proprietary pharmaceutical preparation, followed by sealing of the orifice with mineral trioxide aggregate (MTA). Angiography suggested the presence of vascularized tissue after 1 year, indicating successful regeneration of pulpal tissue in the radicular area.
Conclusion UNASSIGNED
Despite an unfavorable crown-root fracture leading to tooth extraction after 9 months, histological examination revealed regular root dentin formation, indicating a favorable outcome.
Clinical significance UNASSIGNED
These findings offer hope for the management of avulsed immature teeth and underscore the importance of early intervention and appropriate treatment selection.
How to cite this article UNASSIGNED
Rathi N, Agrawal A, Thosar N,

Identifiants

DOI: 10.5005/jp-journals-10005-2840 PMID: 39355191 PMC: PMC11440670
pubmed: 39355191
doi: 10.5005/jp-journals-10005-2840
pmc: PMC11440670
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Pagination

596-600

Informations de copyright

Copyright © 2024; The Author(s).

Déclaration de conflit d'intérêts

Source of support: Nil Conflict of interest: None Patient consent statement: The author(s) have obtained written informed consent from the patient's parents/legal guardians for publication of the case report details and related images.Conflict of interest: None

Auteurs

Nilesh Rathi (N)

Department of Pediatric and Preventive Dentistry, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India.

Akshat Agrawal (A)

Department of Pediatric Dentistry, Kids Dental Centre, Gondia, Maharashtra, India.

Nilima Thosar (N)

Department of Pediatric and Preventive Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education & Research (DMIHER), Wardha, Maharashtra, India.

Alka Hande (A)

Department of Oral and Maxillofacial Pathology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education & Research (DMIHER), Wardha, Maharashtra, India.

Ankita Mathur (A)

Department of Dental Research Cell, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India.

Classifications MeSH