Journal of Research and Advancement in Dentistry
Official publication of Magadh University and Kolhan University, Government of Bihar and Jharkhand, India
Official publication of Magadh University and Kolhan University, Government of Bihar and Jharkhand, India
Year : 2022
Volume : Volume 13
Issue : Issue 4
Address for correspondence :
Dr. Vijayendra Pande
vijayendra2006@gmail.com
Introduction: Regenerative endodontic procedure (REP) is a progressive treatment modality for immature permanent teeth with necrotic pulp. The ambiguousness about the predictability of REP outcome in relation to complete disinfection of the root canal system and the occurrence of discoloration still exists. Materials and Methods: The study was standardized and was approved by the Ethical Committee of the University. All the patients who had treatment for the management of immature permanent teeth were referred to the Department and were studied over a period between 2007 and 2019, the teeth were treated either with calcium hydroxide apexification, mineral trioxide aggregate (MTA) apexification, or revascularization. Revascularization procedure was established in three-appointment procedure with rubber dam isolation, irrigation using 2.5% NaOCl, and no instrumentation during the first visit. MTA apexification procedure consist of placement of apical plug of MTA for at least 3 mm followed by obturation with placement of glass ionomer cement and resin composite. Calcium hydroxide apexification procedure consists of a rubber dam isolation and placement of Ca(OH)2 16 ± 12.8 months followed by obturation with gutta-percha. Results: An analysis of the radiographic outcomes indicated a significant effect (P < 0.0001) for the effective revascularization treatment on the overall root width particularly at the apical third. There were no statistically significant differences between the calcium hydroxide apexification and the MTA apexification groups. Teeth that were treated with revascularization resulted a significantly higher percentage of increase in root length (14.9%) when compared with those teeth treated by either MTA apexification (6.1%) or calcium hydroxide apexification (0.4%). Conclusion: In addition, the methods that were described in this study, including standardized clinical follow-up checklists, may provide the framework for continuing this study with both prolonged follow-up periods and increased numbers of patients that were included in the study.
Keywords: Immature, Apexification, Regeneration, MTA.
