BACKGROUND Pulp revascularization has become a new method for the treatment of periapical diseases in young permanent teeth in recent years.Through root canal flushing and disinfection,avoiding mechanical preparation,...BACKGROUND Pulp revascularization has become a new method for the treatment of periapical diseases in young permanent teeth in recent years.Through root canal flushing and disinfection,avoiding mechanical preparation,guiding apical stem cells into the root canal and promoting the continuous development of tooth roots,it has achieved good clinical curative effects.But in adult patients with chronic periapical periodontitis with immature roots and open apices,apical barrier technology is often used to treat these teeth.CASE SUMMARY Pulp revascularization of a 26-year-old patient's tooth was performed using cefaclor instead of minocycline and iRoot BP instead of mineral trioxide aggregate as intracanal medication.The case was followed up for 36 mo.Observations showed evidence of regression of clinical signs and symptoms,resolution of apical periodontitis and no discolouration of affected teeth.CONCLUSION For adult patients with chronic periapical periodontitis with immature roots and open apices,pulp revascularisation showed favourable results in treating these teeth.展开更多
基金Supported by General Program of National Natural Scientific Foundation of China,No.81870755Medical Scientific Research Foundation of Guangdong Province of China,No.A2022199Science Research Cultivation Program of Stomatological Hospital,Southern Medical University,No.PY2020018 and No.PY2021021.
文摘BACKGROUND Pulp revascularization has become a new method for the treatment of periapical diseases in young permanent teeth in recent years.Through root canal flushing and disinfection,avoiding mechanical preparation,guiding apical stem cells into the root canal and promoting the continuous development of tooth roots,it has achieved good clinical curative effects.But in adult patients with chronic periapical periodontitis with immature roots and open apices,apical barrier technology is often used to treat these teeth.CASE SUMMARY Pulp revascularization of a 26-year-old patient's tooth was performed using cefaclor instead of minocycline and iRoot BP instead of mineral trioxide aggregate as intracanal medication.The case was followed up for 36 mo.Observations showed evidence of regression of clinical signs and symptoms,resolution of apical periodontitis and no discolouration of affected teeth.CONCLUSION For adult patients with chronic periapical periodontitis with immature roots and open apices,pulp revascularisation showed favourable results in treating these teeth.