Nazzal, H orcid.org/0000-0002-6220-8873, Kenny, K orcid.org/0000-0001-9076-5856, Altimimi, A et al. (2 more authors) (2018) A prospective clinical study of regenerative endodontic treatment of traumatized immature teeth with necrotic pulps using bi-antibiotic paste. International Endodontic Journal. Special Issue: Clinical Outcome Studies, 51 (S3). e204-e215. ISSN 0143-2885
Abstract
Aim: To evaluate the treatment outcomes of a revitalization endodontic technique (RET) for the management of traumatized immature teeth with necrotic pulps in children. Methodology: Fifteen healthy children (age range = 7–10 years) with traumatized immature maxillary incisors with necrotic pulps treated with bi-antibiotic revitalization endodontic technique were prospectively assessed over approximately two years (mean = 22 months). One operator undertook all treatments, clinical reviews and standardized radiographic exposures with radiographic analysis being carried out by two calibrated experienced clinicians. Crown colour change was assessed using an objective published methodology. Wilcoxon signed-rank test was used to compare root lengths, root dentinal widths and apical foramen widths over time. Results: Interoperator measurement reliability was consistently strong for all measurements. There was no significant difference in root lengths or root dentinal wall widths following RET. A significant difference in apical foramen widths was observed after 2 years (P = 0.013) with resolution of clinical signs of infection in all cases. Despite omitting minocycline and using Portland cement (nonbismuth containing cement), a noticeable crown colour change (yellower, redder and lighter), as measured by an objective colour measurement system with ΔE = 7.39, was recorded. Most patients, however, were satisfied with the aesthetic outcome. Conclusion:
Traumatized immature teeth with necrotic pulps treated with revitalization endodontic technique did not demonstrate continuation of root development or dentine formation when assessed by periapical radiographs. However, apical closure and periodontal healing were observed. A measurable change in crown colour (yellower, redder and lighter), with mostly no aesthetic concern to the patients/parents, was also observed.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | (c) 2017, International Endodontic Journal. Published by John Wiley & Sons Ltd. This is the peer reviewed version of the following article: 'Nazzal, HM , Kenny, K , Altimimi, A et al (2017) A prospective clinical study of regenerative endodontic treatment of traumatized immature teeth with necrotic pulps using bi-antibiotic paste. International Endodontic Journal,' which has been published in final form at [https://doi.org/10.1111/iej.12808]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
Keywords: | dental trauma; immature teeth; nonvital teeth; revitalisation endodontic treatment |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > Oral Biology (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > Paediatric Dentistry (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 30 Jun 2017 13:27 |
Last Modified: | 27 Jun 2018 00:38 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/iej.12808 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:118419 |