Modified revascularization technique in permanent molars. A case series
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/14532 |
Resumo: | There are few reports of regenerative endodontic procedures in molars, and most using manual root canal preparation. This case series describes a modified revascularization technique used in permanent molars (five patients between 9 and 16 years old). Patients were referred by an emergency service and a diagnostic hypothesis was made based on the patient's reports. At the first appointment, coronal preparation was performed using Hedstroem files and Gates Glidden drills, followed by complete root canal preparation with rotary NiTi files. Calcium hydroxide (Ca(OH)2) paste was used as intracanal medication. At the second appointment, intracanal medication was removed, followed by final irrigation with EDTA under ultrasonic agitation, and the clot was promoted. The entrances of the canals were sealed using a mineral trioxide aggregate sealer (MTA) and provisionally restored with a light-cured glass ionomer. All teeth were finally restored using direct composite resin restoration and were followed for up to 18 months, checking pain, edema, and fistula during clinical evaluation. Radiographic examinations were performed to assess apical repair until 15 months, where root apex closure and canal reduction were observed. After 6 months, evidence of healing was observed in all cases. It was possible to confirm that endodontic regeneration after mechanized root canal preparation, use of a MTA sealer, and direct composite resin restoration in molars is a promising option for maintaining permanent molars in adolescents. |
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Modified revascularization technique in permanent molars. A case seriesTécnica de revascularización modificada en molares permanentes. Una serie de casosTécnica de revascularização modificada em molares permanentes. Uma série de casosAdolescenteRegeneraçãoDente molarPolpa dentária.AdolescenteRegeneraciónDiente molarPulpa dental.AdolescentRegenerationMolar toothDental pulp.There are few reports of regenerative endodontic procedures in molars, and most using manual root canal preparation. This case series describes a modified revascularization technique used in permanent molars (five patients between 9 and 16 years old). Patients were referred by an emergency service and a diagnostic hypothesis was made based on the patient's reports. At the first appointment, coronal preparation was performed using Hedstroem files and Gates Glidden drills, followed by complete root canal preparation with rotary NiTi files. Calcium hydroxide (Ca(OH)2) paste was used as intracanal medication. At the second appointment, intracanal medication was removed, followed by final irrigation with EDTA under ultrasonic agitation, and the clot was promoted. The entrances of the canals were sealed using a mineral trioxide aggregate sealer (MTA) and provisionally restored with a light-cured glass ionomer. All teeth were finally restored using direct composite resin restoration and were followed for up to 18 months, checking pain, edema, and fistula during clinical evaluation. Radiographic examinations were performed to assess apical repair until 15 months, where root apex closure and canal reduction were observed. After 6 months, evidence of healing was observed in all cases. It was possible to confirm that endodontic regeneration after mechanized root canal preparation, use of a MTA sealer, and direct composite resin restoration in molars is a promising option for maintaining permanent molars in adolescents.Hay pocos informes de procedimientos de endodoncia regenerativa en molares y la mayoría utiliza la preparación manual del conducto radicular. Esta serie de casos describe una técnica de revascularización modificada utilizada en molares permanentes (cinco pacientes entre 9 y 16 años). Los pacientes fueron remitidos por un servicio de urgencias y se formuló una hipótesis diagnóstica a partir de los informes de los pacientes. En la primera cita, la preparación coronal se realizó utilizando limas Hedstroem y fresas Gates Glidden, seguida de una preparación completa del conducto radicular con limas rotatorias NiTi. Se utilizó pasta de hidróxido de calcio (Ca (OH)2) como medicación intracanal. En la segunda cita se retiró la medicación intracanal, seguida de la irrigación final con EDTA bajo agitación ultrasónica y se promovió el coágulo. Las entradas de los canales se sellaron con un sellador de agregado de trióxido mineral (MTA) y se restauraron provisionalmente con un ionómero de vidrio fotopolimerizable. Todos los dientes fueron finalmente restaurados usando restauración directa de resina compuesta y fueron seguidos durante hasta 18 meses, controlando el dolor, el edema y la fístula durante la evaluación clínica. Se realizaron exámenes radiográficos para evaluar la reparación apical hasta los 15 meses, donde se observó el cierre del ápice radicular y la reducción del conducto. Después de 6 meses, se observó evidencia de curación en todos los casos. Se pudo confirmar que la regeneración endodóntica después de la preparación mecanizada del conducto radicular, el uso de un sellador MTA y la restauración directa de resina compuesta en los molares es una opción prometedora para el mantenimiento de los molares permanentes en adolescentes.Existem poucos relatos de procedimentos endodônticos regenerativos em molares, e a maioria usando preparo de canal radicular manual. Esta série de casos descreve uma técnica de revascularização modificada usada em molares permanentes (cinco pacientes entre 9 e 16 anos). Os pacientes foram encaminhados por um serviço de emergência e foi feita a hipótese diagnóstica com base no relato do paciente. Na primeira consulta, o preparo coronal foi realizado com limas Hedstroem e brocas Gates Glidden, seguido de preparo completo do canal radicular com limas rotativas de NiTi. A pasta de hidróxido de cálcio (Ca (OH)2) foi usada como medicação intracanal. Na segunda consulta, a medicação intracanal foi retirada, seguida da irrigação final com EDTA sob agitação ultrassônica e o coágulo foi promovido. As entradas dos canais foram seladas com selante de agregado trióxido mineral (MTA) e restauradas provisoriamente com ionômero de vidro fotopolimerizável. Todos os dentes foram finalmente restaurados com restauração direta de resina composta e foram acompanhados por até 18 meses, verificando dor, edema e fístula durante a avaliação clínica. Exames radiográficos foram realizados para avaliar o reparo apical até 15 meses, onde foi observado fechamento do ápice radicular e redução do canal. Após 6 meses, a evidência de cura foi observada em todos os casos. Foi possível confirmar que a regeneração endodôntica após o preparo mecanizado do canal radicular, o uso de um cimento MTA e a restauração direta de resina composta em molares é uma opção promissora para a manutenção de molares permanentes em adolescentes.Research, Society and Development2021-05-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1453210.33448/rsd-v10i5.14532Research, Society and Development; Vol. 10 No. 5; e20810514532Research, Society and Development; Vol. 10 Núm. 5; e20810514532Research, Society and Development; v. 10 n. 5; e208105145322525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/14532/13325Copyright (c) 2021 Lilian Vieira Oliveira; Anahi de Paula Melo; Priscilla Barbosa Ferreira Soares; Juliane Maria Guerreiro Tanomaru; Carlos José Soares; Camilla Christian Gomes Mourahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Oliveira, Lilian VieiraMelo, Anahi de PaulaSoares, Priscilla Barbosa FerreiraGuerreiro Tanomaru, Juliane Maria Soares, Carlos JoséMoura, Camilla Christian Gomes2021-05-17T18:20:49Zoai:ojs.pkp.sfu.ca:article/14532Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:35:37.375419Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Modified revascularization technique in permanent molars. A case series Técnica de revascularización modificada en molares permanentes. Una serie de casos Técnica de revascularização modificada em molares permanentes. Uma série de casos |
title |
Modified revascularization technique in permanent molars. A case series |
spellingShingle |
Modified revascularization technique in permanent molars. A case series Oliveira, Lilian Vieira Adolescente Regeneração Dente molar Polpa dentária. Adolescente Regeneración Diente molar Pulpa dental. Adolescent Regeneration Molar tooth Dental pulp. |
title_short |
Modified revascularization technique in permanent molars. A case series |
title_full |
Modified revascularization technique in permanent molars. A case series |
title_fullStr |
Modified revascularization technique in permanent molars. A case series |
title_full_unstemmed |
Modified revascularization technique in permanent molars. A case series |
title_sort |
Modified revascularization technique in permanent molars. A case series |
author |
Oliveira, Lilian Vieira |
author_facet |
Oliveira, Lilian Vieira Melo, Anahi de Paula Soares, Priscilla Barbosa Ferreira Guerreiro Tanomaru, Juliane Maria Soares, Carlos José Moura, Camilla Christian Gomes |
author_role |
author |
author2 |
Melo, Anahi de Paula Soares, Priscilla Barbosa Ferreira Guerreiro Tanomaru, Juliane Maria Soares, Carlos José Moura, Camilla Christian Gomes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Oliveira, Lilian Vieira Melo, Anahi de Paula Soares, Priscilla Barbosa Ferreira Guerreiro Tanomaru, Juliane Maria Soares, Carlos José Moura, Camilla Christian Gomes |
dc.subject.por.fl_str_mv |
Adolescente Regeneração Dente molar Polpa dentária. Adolescente Regeneración Diente molar Pulpa dental. Adolescent Regeneration Molar tooth Dental pulp. |
topic |
Adolescente Regeneração Dente molar Polpa dentária. Adolescente Regeneración Diente molar Pulpa dental. Adolescent Regeneration Molar tooth Dental pulp. |
description |
There are few reports of regenerative endodontic procedures in molars, and most using manual root canal preparation. This case series describes a modified revascularization technique used in permanent molars (five patients between 9 and 16 years old). Patients were referred by an emergency service and a diagnostic hypothesis was made based on the patient's reports. At the first appointment, coronal preparation was performed using Hedstroem files and Gates Glidden drills, followed by complete root canal preparation with rotary NiTi files. Calcium hydroxide (Ca(OH)2) paste was used as intracanal medication. At the second appointment, intracanal medication was removed, followed by final irrigation with EDTA under ultrasonic agitation, and the clot was promoted. The entrances of the canals were sealed using a mineral trioxide aggregate sealer (MTA) and provisionally restored with a light-cured glass ionomer. All teeth were finally restored using direct composite resin restoration and were followed for up to 18 months, checking pain, edema, and fistula during clinical evaluation. Radiographic examinations were performed to assess apical repair until 15 months, where root apex closure and canal reduction were observed. After 6 months, evidence of healing was observed in all cases. It was possible to confirm that endodontic regeneration after mechanized root canal preparation, use of a MTA sealer, and direct composite resin restoration in molars is a promising option for maintaining permanent molars in adolescents. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05-04 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/14532 10.33448/rsd-v10i5.14532 |
url |
https://rsdjournal.org/index.php/rsd/article/view/14532 |
identifier_str_mv |
10.33448/rsd-v10i5.14532 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/14532/13325 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 5; e20810514532 Research, Society and Development; Vol. 10 Núm. 5; e20810514532 Research, Society and Development; v. 10 n. 5; e20810514532 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
_version_ |
1797052784914202624 |