Retrospective analysis of pulp revascularization in immature permanent teeth with diffuse pulpitis
10.3760/cma.j.issn.1002-0098.2017.01.003
- VernacularTitle: 牙髓血运重建治疗年轻恒牙弥漫性牙髓炎的回顾性分析
- Author:
Chufang PENG
1
;
Yuming ZHAO
1
;
Yuan YANG
1
;
He LIU
1
;
Man QIN
1
Author Information
1. Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
- Publication Type:Journal Article
- Keywords:
Pulpitis;
Pulpectomy;
Revasculariztion;
Immature permanent teeth
- From:
Chinese Journal of Stomatology
2017;52(1):10-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the treatment effectiveness of revascularization in immature permanent teeth with diffuse pulpitis and to provide an alternative approach for the treatment of these teeth.
Methods:Clinical and radiographic data were collected from 17 immature permanent teeth which were diagnosed as diffuse pulpitis and with their pulp extirpated at Emergency Department of Peking University School and Hospital of Stomatology. All these teeth were treated using pulp revascularization at Department of Pediatric Dentistry. Clinical success rate was then evaluated based on the clinical and radiographic findings. The increase of root length and dentin wall thickness of the revascularized teeth and the contralateral control teeth were measured and compared according to the preoperative and recall periapical radiographs.
Results:The average follow-uptime is (25.8±9.9) months (12-46 months). Totally 13 out of the 17 teeth showed normal clinical and radiographic manifestation and achieved the increasein root length and dentin wall thickness. They met criteria for success treatment. The rest 4 out of the 17 teeth also showed root length and dentin wall thickness increaseand apical foramen closure. However, periapical inflammations were observed during 12 to 36 monthfollow-ups. These cases were recognized as failed. In all the17 teeth, the increase of root length and dentin wall thickness was not significantly different between the revascularized teeth and the contralateral control teeth (P>0.05).
Conclusions:Pulp revascularization in young permanent teeth with diffuse pulpitis resulted in similar clinical outcomes in root development and root canal wall formation compared with the contralateral control teeth. However, reinfection might occur during long-term follow-up.
