24 / 32
Page 58
Dentistry and Craniofacial Research
ISSN: 2576-392X
3
rd
Euroscicon Conference on
M a r c h 2 5 - 2 6 , 2 0 1 9
B u d a p e s t , H u n g a r y
Dental Hygiene 2019
Dental & Dental Hygiene
It is no doubt that management of traumatic immature permenent teeth poses a great challenge to the clinician as incorrect
treatment at the time of trauma can lead to further worsening of the situation and development of periapical lesion and cessation
of tooth development. Conventional root canal treatment is difficult to perform and the outcome is uncertain. Traditionally, the
apexification procedure has consisted of multiple and long-term applications of calcium hydroxide [Ca(OH)2] to create an apical
barrier to aid the obturation. Recently, artificial apical barriers such as those made with mineral trioxide aggregate (MTA) have
been used in teeth with necrotic pulps and open apices. More recently, procedures referred to as regenerative endodontics have
received much attention as an option for these teeth. The purpose of this presented article is to compare clinical and radiographic
CBCT (Cone Beam CT) between MTA apexification and revascularization in immature traumatic permanent incisors teeth.
Material and Methods:
The sample of the presented study was consisted of 30 children (7-9 years old) had irreversible pulpitis
or necrotic immature permanent upper incisors and divided into two groups Study group 15 teeth were treated with Pulp
revascularization and Positive control group 15 teeth were treated with MTA apexification. Clinical examinations, standard
periapical x-ray and CBCT were done to tested groups before and after follow up period 18 months.
Results:
It was found that clinical success and healing of the periapical lesion have been occurred in all cases. The statistical
analysis of results showed that there was no significant difference between the two tested groups in the root development but
there was significant difference of CBCT revascularization group over the apexification one.
Conclusion:
Revascularization had comparable, superior outcomes of CBCT with MTA apexification procedure but not at clinical
and radiographic outcomes.
dawood19752004@yahoo.comCLINICAL AND RADIOGRAPHIC COMPARISON OF
REVASCULARIZATION AND APEXIFICATION OF
IMMATURE TEETH
Ahmed Dawoud
Tanta University School of Dentistry, Egypt
Dent Craniofac Res 2019, Volume:4
DOI: 10.21767/2576-392X-C2-018