Žižka Radovan, Šedý Jiří, Voborná Iva
Institute of Oral Sciences and Dentistry, Faculty of Medicine, Palacky University, Olomouc, Czech Republic.
Department of Anatomy, Faculty of Medicine and Dentistry, Palacky University, Olomouc, Czech Republic.
J Clin Exp Dent. 2018 Feb 1;10(2):e185-e188. doi: 10.4317/jced.53745. eCollection 2018 Feb.
The aim of this article is to describe the clinical case of the non-surgical retreatment of a failed revascularization/revitalization treatment (RRT). The retreatment was preceded by two sessions including an interim medication with calcium hydroxide and a modified irrigation protocol containing a highly-concentrated sodium hypochlorite and prolonged usage of ethylenediaminetetraacetic acid (EDTA) to reverse unacceptable side effects of hypochlorite. During a 15- month follow-up, the healing of the periapical lesion, increased thickening of root canal walls and maturation of root was apparent. The repeated RRT represents a possible treatment modality for s failed RRT. Retreatment, revascularization, revitalization, maturogenesis, immature tooth.
本文旨在描述一例失败的牙髓血管再生/牙髓复活治疗(RRT)的非手术再治疗临床病例。再治疗前进行了两个疗程,包括使用氢氧化钙进行 interim 用药,以及采用一种改良冲洗方案,该方案含有高浓度次氯酸钠并延长使用乙二胺四乙酸(EDTA)以逆转次氯酸钠不可接受的副作用。在15个月的随访期间,根尖周病变愈合、根管壁增厚增加以及牙根成熟明显。重复进行的RRT是失败的RRT的一种可能治疗方式。再治疗、牙髓血管再生、牙髓复活、牙根成熟、未成熟牙齿。