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再生牙髓治疗——以自然方式使牙髓再生:一例病例报告

Regenerative Endodontics-Reviving the Pulp the Natural Way: A Case Report.

作者信息

Das Simran, Srivastava Rashi, Thosar Nilima R, Khubchandani Monika, Ragit Rutuja, Malviya Nishi

机构信息

Pediatric Dentistry, Sharad Pawar Dental College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Mar 23;15(3):e36587. doi: 10.7759/cureus.36587. eCollection 2023 Mar.

Abstract

Regenerative endodontic therapy (RET) offers a novel treatment option for developing teeth with pulp necrosis. In the current instance, RET was used to treat an immature mandibular permanent first molar that had been identified with irreversible pulpitis. The root canals were treated with triple antibiotic paste (TAP) and 1.5% sodium hypochlorite (NaOCl) irrigation. TAP was removed, and 17% ethylenediaminetetraacetic acid (EDTA) was used to treat the root canals during the second visit. As a scaffold, Platelet-rich fibrin (PRF) was applied. Mineral trioxide aggregate (MTA) was applied over PRF, and composite resin was used to repair the teeth. Radiographs taken from the posterior were utilized to assess the healing. The teeth displayed no signs of pain and healing after the six-month follow-up periods, and pulp sensibility tests using a cold and electric pulp tester produced no results. Conservative treatment options should be considered to save immature permanent teeth and assist in the regeneration of the root apex.

摘要

再生牙髓治疗(RET)为患有牙髓坏死的发育中牙齿提供了一种新的治疗选择。在当前病例中,RET被用于治疗一颗已被诊断为不可逆性牙髓炎的未成熟下颌第一恒磨牙。根管先用三联抗生素糊剂(TAP)治疗,并用1.5%次氯酸钠(NaOCl)冲洗。第二次就诊时取出TAP,并用17%乙二胺四乙酸(EDTA)处理根管。应用富血小板纤维蛋白(PRF)作为支架。在PRF上覆盖三氧化矿物凝聚体(MTA),并用复合树脂修复牙齿。利用从后方拍摄的X线片评估愈合情况。在六个月的随访期后,牙齿没有疼痛和愈合的迹象,使用冷测和电测牙髓活力测试仪进行的牙髓敏感性测试没有结果。应考虑采用保守治疗方案来保存未成熟恒牙并促进根尖再生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0238/10122445/6760ba94afc5/cureus-0015-00000036587-i01.jpg

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