The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
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Regenerative Endodontic Procedure using Mineral Trioxide Aggregate

Mineral trioxide Aggregate를 이용한 근관치료재생술(Regenerative endodontic procedure)

  • Lee, Woo-Cheol (Department of Conservative Dentistry, Seoul National University)
  • 이우철 (서울대학교 치의학대학원 치과보존학교실)
  • Received : 2010.11.08
  • Accepted : 2010.11.19
  • Published : 2010.11.01
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Abstract

Regenerative endodontic procedure (REP) is a treatment option to replace damaged pulp tissue with the viable tissue which restores the normal function of the pulp-dentin complex. Possible reason for doing REP is not clearly known, however, clinicians perform REP in order to recover the histological structure as well as function of the traumatized and diseased tooth so that this tooth can restore its original root shape and thickness. This REP can be explained by the concept of revascularization or revitalization after induction of blood clot formation in the canal space. For this purpose, several treatment strategies have been suggested. In this regard, the rationale for the application of triantibiotics, calcium hydroxide or mineral trioxide aggregate is discussed in this paper. As a result, we will try to find the best method for REP by reviewing each available technique and their advantages and disadvantages.

Keywords

References

  1. Murray PE, Godoy F, Hargreaves KM. Regenerative endodontics: a review of current status and a call for action. J Endod 2007;33:377-90. https://doi.org/10.1016/j.joen.2006.09.013
  2. Chueb L-H et al. Regenerative endodontic treatment for necrotic immature permanent teeth. J Endod 2009;35:160-4. https://doi.org/10.1016/j.joen.2008.10.019
  3. Thibodeau B et al. Pulp revascularization of immature dog teeth with apical periodontitis. J Endod 2007;33:680-9. https://doi.org/10.1016/j.joen.2007.03.001
  4. Herman BW. On the reaction of the dental pulp to vital amputation and calxyl capping. Disch Zahnarztl Z1952;7:1446-7.
  5. Kling M, Cvek M, Mejare I. Rate and predictability of pulp revascularization in therapeutically reimplanted permanent incisors. Endod Dent Traumatol 1986;2:83-9. https://doi.org/10.1111/j.1600-9657.1986.tb00132.x
  6. Iwaya SI et al. Revascularization of an immature permanent tooth with apical periodontitis and sinus tract. Dent Traumatol 2001;17:185-7. https://doi.org/10.1034/j.1600-9657.2001.017004185.x
  7. Kaiser JH. Management of wide-open canals with calcium hydroxide. 1964 AAE meeting
  8. Frank AL.. Therapy for the divergent pulpless tooth by continued apical formation. J Am Dent Assoc 1966;72:87. https://doi.org/10.14219/jada.archive.1966.0017
  9. Roberts SC, Brilliant JD. Tricalcium phosphate as an adjunct to apical closure in pulpless permanent teeth. J Endod 1975;1:263. https://doi.org/10.1016/S0099-2399(75)80038-0
  10. Tittle KW et al. Apical closure induction using bone growth factors and MTA (abstract) J Endod 1996;22:198.
  11. Shabahang S et al. A comparative study of root-end induction using osteogenic protein-I, calcium hydroxide and MTA in dogs. J Endod 1999;25:1-5. https://doi.org/10.1016/S0099-2399(99)80388-4
  12. Andreasen JO et al. Long-term calcium hydroxide as a root canal dressing may increase the risk of root fracture. Dent Traumatol 2002;18:134-7. https://doi.org/10.1034/j.1600-9657.2002.00097.x
  13. Banches F, Trope M. . Revascularization of an immature permanent teeth with apical periodontitis: new treatment protocol? J Endod 2004;30:196-200. https://doi.org/10.1097/00004770-200404000-00003
  14. Shab N et al. Efficacy of revascularization to induce apexification/apexogenesis in infected, nonvital, immature teeth: a pilot clinical study. J Endod 2008;34:919-25. https://doi.org/10.1016/j.joen.2008.05.001
  15. Reynolds K, Johnson JD, Cohenca N. Pulp vascularization of necrotic bilateral bicuspids using a modified novel technique to eliminate potential coronal discolouration: a case report. Int Endo J 2009;42:84-92. https://doi.org/10.1111/j.1365-2591.2008.01467.x
  16. Simon S et al. The use of MTA in one-visit apexification treatment: a prospective study. Int Endod J 2007;40:186-97. https://doi.org/10.1111/j.1365-2591.2007.01214.x
  17. Cvek M et al. Pulp revascularization in reimplanted immature monkey incisors: predictability and the effect of antibiotic systemic prophylaxis. Endod Dent Traumatol 1990;6:157-69. https://doi.org/10.1111/j.1600-9657.1990.tb00412.x
  18. Hoshino E et al. In vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of Ciprofloxacin, Metronidazole, Minocycline. Int Endo J 1996;29:125-30. https://doi.org/10.1111/j.1365-2591.1996.tb01173.x
  19. Bose R, Nummikoski P, Hargreaves KM. A retrospective evaluation of radiographic outcomes in immature teeth with necrotic root canal systems treated with regenerative endodontic procedures. J Endod 2009;35:1343-9. https://doi.org/10.1016/j.joen.2009.06.021
  20. Ding RY et al. Pulp revascularization of immature teeth with apical periodontitis: A clinical study. J Endod 2009;35:745-9. https://doi.org/10.1016/j.joen.2009.02.009
  21. Jung IY, Lee SJ, Hargreaves KM. Biologically based treatment of immature permanent teeth with pulpal necrosis: a case series. J Endod 2008;34:876-87. https://doi.org/10.1016/j.joen.2008.03.023
  22. Kim JH et al. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod 2010;36:1086-91. https://doi.org/10.1016/j.joen.2010.03.031
  23. Windley W et al. Disinfection of immature teeth with a triple antibiotic paste. J Endod 2005;31:439-43. https://doi.org/10.1097/01.don.0000148143.80283.ea
  24. Wang X et al. istologic characterization of regenerated tissues in canal space after the revitalization/revascularization procedure of immature dog teeth with apical periodontitis. J Endod 2009
  25. Arcangelo C, Amario M. Use of MTA orthograde obturation of non-vital teeth with open apices: report of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:98-101. https://doi.org/10.1016/j.tripleo.2007.05.021