Unknown

Dataset Information

0

Treatment of Necrotic Teeth by Apical Revascularization: Meta-analysis.


ABSTRACT: Each year ~5.4 million children and adolescents in the United States suffer from dental infections, leading to pulp necrosis, arrested tooth-root development and tooth loss. Apical revascularization, adopted by the American Dental Association for its perceived ability to enable postoperative tooth-root growth, is being accepted worldwide. The objective of the present study is to perform a meta-analysis on apical revascularization. Literature search yielded 22 studies following PRISMA with pre-defined inclusion and exclusion criteria. Intraclass correlation coefficient was calculated to account for inter-examiner variation. Following apical revascularization with 6- to 66-month recalls, root apices remained open in 13.9% cases (types I), whereas apical calcification bridge formed in 47.2% (type II) and apical closure (type III) in 38.9% cases. Tooth-root lengths lacked significant postoperative gain among all subjects (p?=?0.3472) or in subgroups. Root-dentin area showed significant increases in type III, but not in types I or II cases. Root apices narrowed significantly in types II and III, but not in type I patients. Thus, apical revascularization facilitates tooth-root development but lacks consistency in promoting root lengthening, widening or apical closure. Post-operative tooth-root development in immature permanent teeth represents a generalized challenge to regenerate diseased pediatric tissues that must grow to avoid organ defects.

SUBMITTER: He L 

PROVIDER: S-EPMC5655000 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

altmetric image

Publications


Each year ~5.4 million children and adolescents in the United States suffer from dental infections, leading to pulp necrosis, arrested tooth-root development and tooth loss. Apical revascularization, adopted by the American Dental Association for its perceived ability to enable postoperative tooth-root growth, is being accepted worldwide. The objective of the present study is to perform a meta-analysis on apical revascularization. Literature search yielded 22 studies following PRISMA with pre-de  ...[more]

Similar Datasets

| S-EPMC5559916 | biostudies-other
| S-EPMC5045198 | biostudies-literature
| S-EPMC6993827 | biostudies-literature
| S-EPMC7299885 | biostudies-literature
| S-EPMC4604458 | biostudies-other
| S-EPMC2576597 | biostudies-literature
| S-EPMC8213569 | biostudies-literature
| PRJEB41312 | ENA
| S-EPMC6659763 | biostudies-literature
| S-EPMC11310317 | biostudies-literature