Cases reported "Dentin, Secondary"

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1/8. Delayed apical healing after apexification treatment of non-vital immature tooth: a case report.

    We report the endodontic treatment of a non-vital permanent immature tooth in which unexpected complications such as exacerbation of apical periodontitis followed by external root resorption occurred after that the initial stages of the healing process were clinically and radiographically evident. After continued treatment stable repair was obtained.
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ranking = 1
keywords = periodontitis
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2/8. Revascularization of an immature permanent tooth with apical periodontitis and sinus tract.

    A necrotic immature mandibular second premolar with periapical involvement in a 13-year-old patient was treated. Instead of the standard root canal treatment protocol and apexification, antimicrobial agents were used in the canal, after which the canal was left empty. Radiographic examination showed the start of apical closure 5 months after the completion of the antimicrobial protocol. Thickening of the canal wall and complete apical closure was confirmed 30 months after the treatment, indicating the revascularization potential of a young permanent tooth pulp into a bacteria-free root canal space.
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ranking = 18.469875719914
keywords = periapical, periodontitis
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3/8. The use of MTA in teeth with necrotic pulps and open apices.

    Three clinical cases have been treated with the use of an apical plug of MTA for apexification. All three cases were central incisors that had suffered premature interruption of root development as a consequence of trauma. According to the treatment protocol, the root canals were rinsed with 5% NaOCl; then, calcium hydroxide paste was placed in the canals for 1 week. Consequently, the apical portion of the canal (4 mm) was filled with MTA. The remaining portion of the root canals was then closed with thermoplastic gutta-percha. At 6-month and 1-year follow-up period the clinical and radiographic appearance of the teeth showed resolution of the periapical lesions. MTA appears to be a valid option for apexification with its main advantage being the speed at which the treatment can be completed.
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ranking = 14.469875719914
keywords = periapical
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4/8. Management of teeth with open apexes and necrotic pulps: representative cases.

    This paper briefly reviews the pros and cons of five methods used to treat a tooth with a necrotic pulp and an open apex (incompletely developed root), and presents representative treatments of open apex cases. These treatments include customized cone, short-fill, periapical surgery, apexification, and one-visit apexification.
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ranking = 14.469875719914
keywords = periapical
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5/8. Influence of different endodontic methods of treatment upon the process of apical closure of immature pulpless human teeth and the structure of the newly formed calcified tissue in apical opening.

    A description is given of the pathohistological structure of the calcified tissue in the apical opening of four extracted immature pulpless human teeth treated by various endodontic methods. It is concluded that in the tooth treated by mortal extirpation there was neither histological healing nor any tendency for further apex formation. In both the tooth where vital extirpation was performed and in one of the teeth treated as apical periodontitis, the apices were formed from conglomerates of different calcified tissues, identical to the tissue which was formed under comparable conditions in experimental dogs. In the fourth human tooth also treated as apical periodontitis after treatment the apical opening closed with irregular dentine tissue. In this study consideration was given to the problem of the origin of the odontoblasts which co-exist with the hard destructive process present in some pulpless teeth. It is concluded that in the case presented in this study the irregular dentine was formed by the same odontoblasts which took part in the process of normal odontogenesis. This fact, should be respected in the course of endodontic treatment of immature pulpless teeth.
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ranking = 2
keywords = periodontitis
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6/8. Periapical healing after apicocurettage during apexification.

    A case is presented in which conventional apexification with CaOH-CMCP paste was not successful at first. A minimal apicocurettage was done. Subsequently, the periapical bone healed and a dry, hard apical stop formed at the apical foramen. A gutta percha root canal filling was packed from the coronal access. This procedure offered a surgical alternative to an alloy retrofilling, when the usual apexification process was not successful.
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ranking = 14.469875719914
keywords = periapical
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7/8. Clinical reliability of the dentine bridge formed after pulpotomy: a case report.

    An exposed pulp in a crown-fractured vital young tooth may be treated with either pulp capping or pulpotomy, using a calcium hydroxide dressing. calcium hydroxide stimulates dentine bridge formation, which is a good indicator of pulp vitality. In this case it is reported that, although seriously contaminated for a long period with debris from the oral environment, the dentine bridge which formed after pulpotomy was able to function as a protective pulpal barrier. The tooth responded to an electrical pulp tester within normal limits and the periapical radiographic appearance was normal at review after 7 years.
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ranking = 14.469875719914
keywords = periapical
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8/8. Chronic focal sclerosing osteomyelitis associated with a cracked tooth. Report of a case.

    Chronic focal sclerosing osteomyelitis is a periapical lesion that involves reactive osteogenesis evoked by chronic inflammation of the dental pulp. In most cases, this lesion develops in the mandibular molar region in response to a low-grade infection of the pulp that results from a deep carious lesion. A case is presented in which incomplete tooth fracture was the apparent cause of this type of periapical pathosis.
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ranking = 28.939751439827
keywords = periapical
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