Rastogi Sweta, Nabi Shahnaz, Miglani Sanjay, Ansari Mohd I, Pawar Ajinkya M
Conservative Dentistry and Endodontics, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, IND.
Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai, IND.
Cureus. 2025 Mar 18;17(3):e80801. doi: 10.7759/cureus.80801. eCollection 2025 Mar.
The present case series describes the postoperative outcomes of surgical endodontic treatment in teeth with immature root apices using different root-end filling materials. Three cases involving young patients with discolored and non-vital teeth were treated using varied approaches: no root-end filling, mineral trioxide aggregate (MTA), and Biodentine (Septodont, Saint-Maur-des-Fossés, France). Each case included comprehensive pre-surgical assessments, conservative non-surgical root canal treatments, and periapical surgeries performed under magnification. The outcomes were evaluated based on clinical and radiographic success over follow-up periods ranging from six to 24 months. Results demonstrated favorable healing and functional restoration across all cases, highlighting the importance of individualized treatment plans, meticulous surgical techniques, and rigorous postoperative care. The findings underscore the efficacy of contemporary root-end filling materials like MTA and Biodentine in promoting periapical healing and bone regeneration while also emphasizing the necessity for personalized approaches in managing immature root apices. Further research is recommended to optimize these treatment protocols.
本病例系列描述了使用不同根尖充填材料对根尖未发育成熟的牙齿进行牙髓外科治疗的术后结果。对3例牙齿变色且无活力的年轻患者采用了不同的治疗方法：未进行根尖充填、使用三氧化矿物凝聚体（MTA）和生物陶瓷（Biodentine，法国圣莫尔代福塞斯Septodont公司）。每个病例都包括全面的术前评估、保守的非手术根管治疗以及在放大条件下进行的根尖手术。根据6至24个月随访期内的临床和影像学成功情况对结果进行评估。结果显示所有病例均愈合良好且功能得以恢复，突出了个体化治疗方案、精细手术技术和严格术后护理的重要性。研究结果强调了MTA和生物陶瓷等当代根尖充填材料在促进根尖周愈合和骨再生方面的疗效，同时也强调了在处理根尖未发育成熟情况时采用个性化方法的必要性。建议进一步开展研究以优化这些治疗方案。
