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Case series: management of immature permanent teeth with pulpal necrosis: a case series.
- Source :
-
Pediatric dentistry [Pediatr Dent] 2013 Jan-Feb; Vol. 35 (1), pp. 55-60. - Publication Year :
- 2013
-
Abstract
- The management of immature permanent teeth with necrotic pulps has changed in recent years from apexification techniques to regenerative endodontic procedures, which enable apexogenesis with physiologic maturation of the roots. This regenerative technique lies squarely in the endodontist's scope of practice, but children presenting with necrotic immature incisors may pose behavior management problems that endodontists are untrained and unwilling to handle. Treatment of these immature permanent teeth provides an excellent opportunity for collaboration and shared patient management between pediatric dentists and endodontists that can yield optimal clinical outcomes. The purpose of this paper was to report a series of 32 regenerative endodontic cases in 28 children treated at the Nationwide Children's Hospital, Columbus, Ohio. The report describes procedural and patient management issues and the need for a collaborative relationship between pediatric dentists and endodontists in tackling these challenging cases.
- Subjects :
- Adolescent
Aluminum Compounds therapeutic use
Anti-Infective Agents therapeutic use
Apexification methods
Bicuspid injuries
Bicuspid pathology
Calcium Compounds therapeutic use
Child
Chlorhexidine therapeutic use
Ciprofloxacin therapeutic use
Clindamycin therapeutic use
Dental Caries complications
Dental Pulp physiology
Dental Pulp Necrosis etiology
Drug Combinations
Follow-Up Studies
Humans
Incisor injuries
Incisor pathology
Metronidazole therapeutic use
Oxides therapeutic use
Patient Care Team
Regeneration physiology
Root Canal Filling Materials therapeutic use
Root Canal Irrigants therapeutic use
Root Canal Preparation instrumentation
Root Canal Preparation methods
Silicates therapeutic use
Sodium Hypochlorite therapeutic use
Tooth Apex growth & development
Tooth Discoloration prevention & control
Tooth Root growth & development
Treatment Outcome
Dental Pulp Necrosis therapy
Odontogenesis physiology
Tooth Apex physiology
Subjects
Details
- Language :
- English
- ISSN :
- 1942-5473
- Volume :
- 35
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Pediatric dentistry
- Publication Type :
- Academic Journal
- Accession number :
- 23635900