Yang Ye-Qing, Wu Bu-Ling, Zeng Jun-Kai, Jiang Chong, Chen Ming
Department of Stomatology, Stomatological Hospital of Southern Medical University, Guangzhou 510280, Guangdong Province, China.
Shenzhen Stomatology Hospital (Pingshan), Southern Medical University, Shenzhen 518118, Guangdong Province, China.
World J Clin Cases. 2022 Jun 16;10(17):5833-5840. doi: 10.12998/wjcc.v10.i17.5833.
Pulp revascularization has become a new method for the treatment of periapical diseases in young permanent teeth in recent years. Through root canal flushing and disinfection, avoiding mechanical preparation, guiding apical stem cells into the root canal and promoting the continuous development of tooth roots, it has achieved good clinical curative effects. But in adult patients with chronic periapical periodontitis with immature roots and open apices, apical barrier technology is often used to treat these teeth.
Pulp revascularization of a 26-year-old patient's tooth was performed using cefaclor instead of minocycline and iRoot BP instead of mineral trioxide aggregate as intracanal medication. The case was followed up for 36 mo. Observations showed evidence of regression of clinical signs and symptoms, resolution of apical periodontitis and no discolouration of affected teeth.
For adult patients with chronic periapical periodontitis with immature roots and open apices, pulp revascularisation showed favourable results in treating these teeth.
近年来，牙髓血运重建已成为治疗年轻恒牙根尖周病的一种新方法。通过根管冲洗和消毒，避免机械预备，引导根尖干细胞进入根管并促进牙根的继续发育，已取得了良好的临床疗效。但对于牙根未发育成熟、根尖孔开放的成年慢性根尖周炎患者，常采用根尖屏障技术来治疗这些牙齿。
对一名26岁患者的牙齿进行牙髓血运重建，使用头孢克洛代替米诺环素，使用iRoot BP代替矿物三氧化物凝聚体作为根管内用药。对该病例进行了36个月的随访。观察结果显示临床体征和症状有消退迹象，根尖周炎得到解决，患牙未变色。
对于牙根未发育成熟、根尖孔开放的成年慢性根尖周炎患者，牙髓血运重建在治疗这些牙齿方面显示出良好的效果。
