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Emerging therapies for the management of traumatized immature permanent incisors
Journal article   Peer reviewed

Emerging therapies for the management of traumatized immature permanent incisors

Elizabeth K Miller, Jessica Y Lee, Peter Z Tawil, Fabricio B Teixeira and William F Vann Jr
Pediatric dentistry, Vol.34(1), pp.66-69
01/2012
PMID: 22353461

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Abstract

Early loss of immature permanent teeth due to pulpal necrosis secondary to trauma can have dire consequences for a child's growth and development. The treatment alternatives include surgical endodontics, traditional calcium hydroxide apexification, and mineral trioxide aggregate (MTA) apexification. These options pose potential complications, including: arrest of root development; weakened dentinal walls; and increased potential for fracture. Revascularization of the dentin-pulp complex is a new approach that involves disinfecting the root canal system followed by tissue repair and regeneration while allowing for continued root development and thickening of the lateral dentinal walls through deposition of new hard tissue. The purpose of this report was to present the revascularization of an immature permanent maxillary central incisor that had evidence of external root resorption. Six months later, internal bleaching was performed to remove cervical discoloration from the triple antibiotic paste. At 18 months, the tooth remained vital and had evidence of continued root development.
Periodontal Splints Apexification Dentition, Permanent Doxycycline - therapeutic use Humans Male Tooth Apex - growth & development Tooth Avulsion - complications Tooth Avulsion - therapy Maxilla Tooth Bleaching Anti-Bacterial Agents - therapeutic use Regeneration Root Canal Therapy - methods Incisor - injuries Incisor - growth & development Tooth Replantation Child Dental Pulp - blood supply Neovascularization, Physiologic Root Resorption - etiology Tooth Injuries - therapy

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