Artículos de revistas
Traumatized Immature Teeth Treated With 2 Protocols Of Pulp Revascularization
Registro en:
Journal Of Endodontics. Elsevier Inc., v. 40, n. 5, p. 606 - 612, 2014.
992399
10.1016/j.joen.2014.01.032
2-s2.0-84899620665
Autor
Nagata J.Y.
Figueiredo De Almeida Gomes B.P.
Rocha Lima T.F.
Murakami L.S.
De Faria D.E.
Campos G.R.
De Souza-Filho F.J.
Soares A.D.J.
Institución
Resumen
Introduction Pulp revascularization may be considered a promising alternative for traumatized necrotic immature teeth. The aim of this study was to evaluate traumatized immature teeth treated with 2 protocols of pulp revascularization. Methods Twenty-three teeth of young patients (7-17 years old) with necrotic upper incisors caused by dental trauma were divided into 2 groups; one group was treated with triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) (TAP) (n = 12), and the other was medicated with combination of calcium hydroxide and 2% chlorhexidine gel (CHP) (n = 11). Patients were treated and followed up for a period from 9-19 months in 2 dental institutions for evaluation of clinical and radiographic data. Results Most of the teeth were affected by lateral luxation (47.8%). Clinical evaluation in group TAP showed significant reduction in spontaneous pain (P =.01), pain on horizontal percussion (P =.007), and pain on palpation (P =.03), whereas group CHP showed significant reduction in pain on vertical percussion (P =.03). Crown discoloration was observed significantly more in teeth of group TAP (83.3%) (P <.002). On radiographic exam, periapical repair was found in all TAP-treated teeth (P =.03). Similarly, the same findings were found for all teeth treated with CHP with exception of 1 tooth (P =.21). Apical closure was significantly observed in both groups (P <.05). Increase in root length was demonstrated in 5 teeth (41.7%) and 3 teeth (27.3%) of groups TAP and CHP, respectively. Thickening of lateral dentinal walls was observed in 5 teeth of each group. Conclusions Revascularization outcomes for traumatized patients treated with the tested protocols presented similar clinical and radiographic data. 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