Immature teeth with periradicular periodontitis or abscess undergoing apexogenesis: A paradigm shift
Immature teeth with periradicular periodontitis or abscess undergoing apexogenesis: A paradigm shift
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DOI：
10.1016/j.joen.2006.07.010
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发表时间：
2006-12-01
影响因子：
4.2
通讯作者：
Huang, George T. J.
中科院分区：
文献类型：
--
作者：
Chueh, Ling-Huey;Huang, George T. J.
四个临床病例的未成熟的牙齿，发展根周牙周炎或脓肿进行了保守治疗的方法，即没有根管器械。相反，仅进行大量2.5%NaOCl冲洗。所有病例均在初次治疗后7个月至5年发育成熟，无并发症，但观察到椎管狭窄。我们的临床观察支持通过提供有利于组织再生的环境而向保守方法转变的范例。这种持续发展和根端形成的机制进行了讨论。
Four clinical cases of immature teeth that developed periradicular periodontitis or abscess underwent a conservative treatment approach, i.e. without canal instrumentation. instead, only copious 2.5% NaOCl irrigation was performed. All cases presented herein developed mature apices after 7 months to 5 years after the initial treatment without complications, although narrowing canal space was observed. Our clinical observations support a shifting paradigm toward a conservative approach by providing a favorable environment for tissue regeneration. The mechanism of this continued development and formation of the root end is discussed.