Clinical and radiographic outcomes of traumatized immature permanent necrotic teeth after revascularization/revitalization therapy.
Clinical and radiographic outcomes of traumatized immature permanent necrotic teeth after revascularization/revitalization therapy.
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DOI：
10.1016/j.joen.2014.08.023
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发表时间：
2014-12
影响因子：
4.2
通讯作者：
Gibbs JL
中科院分区：
文献类型：
--
作者：
Saoud TM;Zaazou A;Nabil A;Moussa S;Lin LM;Gibbs JL
血运重建治疗正迅速成为一种公认的替代治疗牙髓坏死的未成熟恒牙的牙髓病理。然而，成功和临床症状的解决和感兴趣的影像学结果，如根内持续的硬组织沉积的时间，在很大程度上是未知的。在这项前瞻性队列研究中，20颗牙齿接受了标准化血运重建治疗方案的治疗，并监测了一年的临床和影像学变化。定期收集标准化X线片，并对X线片变化进行量化。在12个月的随访期间，所有20颗治疗牙齿均存活，并且所有20颗牙齿在12个月时也符合成功的临床标准。作为一个组，治疗的牙齿表现出统计学上显着的增加，在放射学上的宽度和长度，并在根尖直径的减少，虽然在许多情况下的变化是相当小的，临床意义尚不清楚。3个月后根尖直径的病例内百分比变化为16%，12个月时增加至79%，55%（11/20）显示根尖完全闭合。在3个月时，根长的病例内变化百分比平均小于1%，在12个月时增加到5%。病例内牙根厚度的变化百分比在3个月时平均为3%，在12个月时平均为21%。虽然这种手术的临床成功率是高度可预测的，但在一年的随访中，临床上有意义的放射学牙根增厚和延长是不可预测的。根尖闭合是最一致的影像学发现。
Revascularization treatment is rapidly becoming an accepted alternative for the management of endodontic pathology in immature permanent teeth with necrotic dental pulps. However, the success and timing of clinical resolution of symptoms and of radiographic outcomes of interest, such as continued hard tissue deposition within the root, are largely unknown. In this prospective cohort study, 20 teeth were treated with a standardized revascularization treatment protocol, and monitored for clinical and radiographic changes for one year. Standardized radiographs were collected at regular intervals and radiographic changes were quantified. All 20 treated teeth survived during the 12 month follow up period and all 20 also met the clinical criteria for success at 12 months. As a group, the treated teeth demonstrated a statistically significant increase in radiographic width and length, and a decrease in apical diameter, although the changes in many cases were quite small such that the clinical significance is unclear. The within-case percent change in apical diameter after 3 months was 16% and had increased to 79% by 12 months, with 55% (11/20) showing complete apical closure. The within-case percent change in root length averaged less than 1% at 3 months and increased to 5% at 12 months. The within-case percent change in root thickness averaged 3% at 3 months and 21% at 12 months. Although clinical success was highly predictable with this procedure, clinically meaningful radiographic root thickening and lengthening is less predictable at one year of follow up. Apical closure is the most consistent radiographic finding.
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影响因子：
4.2
作者：
Alobaid AS;Cortes LM;Lo J;Nguyen TT;Albert J;Abu-Melha AS;Lin LM;Gibbs JL
通讯作者：
Gibbs JL
影响因子：
4.2
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通讯作者：
Lin, Louis M.
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4.2
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通讯作者：
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影响因子：
4.2
作者：
Jadhav, Ganesh;Shah, Naseem;Logani, Ajay
通讯作者：
Logani, Ajay
影响因子：
4.2
作者：
Banchs, F;Trope, M
通讯作者：
Trope, M