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Revitalisation endodontic treatment of traumatised immature teeth: a prospective long-term clinical study.

ABSTRACT: PURPOSE:Continuation of root development following revitalisation endodontics (RET) has been shown to be unpredictable with lower success rates in traumatised teeth. This study reports the outcomes for RET in traumatised teeth over a review period of 4 years. METHODS:A prospective uncontrolled study, where RET was performed on traumatised upper immature anterior teeth with necrotic pulps in 15 children (mean age?=?8.3 years), was conducted. Patients were reviewed at 3, 9, 12, 24, and 48 months, where clinical and radiographic assessments were performed. At the last review appointment, patients and parents answered questions assessing their perception and acceptance of tooth colour change over time. McNemar's Exact test and linear mixed model assessment were used to assess changes in pulpal electrical response and radiographic evidence of continuation of root development over time, respectively. RESULTS:There was 83.3% healing with no significant changes in EPT responses, and no significant changes in root lengths, while significant changes in root widths (p?

SUBMITTER: Nazzal H

PROVIDER: S-EPMC7518998 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Revitalisation endodontic treatment of traumatised immature teeth: a prospective long-term clinical study.

Nazzal H H Ainscough S S Kang J J Duggal M S MS

European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry 20191206 5

<h4>Purpose</h4>Continuation of root development following revitalisation endodontics (RET) has been shown to be unpredictable with lower success rates in traumatised teeth. This study reports the outcomes for RET in traumatised teeth over a review period of 4 years.<h4>Methods</h4>A prospective uncontrolled study, where RET was performed on traumatised upper immature anterior teeth with necrotic pulps in 15 children (mean age = 8.3 years), was conducted. Patients were reviewed at 3, 9, 12, 24, ...[more]

PMID: 31808111

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Project description:BackgroundThis study aimed to assess the effect of a 980-nm diode laser following chemomechanical root canal preparation on the severity of post-operative pain (PP) after root canal treatment (RCT).MethodsThis study included asymptomatic, single-rooted teeth with a periapical index (PAI) score of 3 or 4. All the patients received RCT, including dressing with calcium hydroxide (Ca(OH)2), during two visits. The patients were randomly divided into two groups (n:30): a control group, in which the final irrigation was performed using 5 ml of 2.5% sodium hypochlorite (NaOCI), followed by 5 ml of 17% and ethylenediaminetetraacetic acid (EDTA) and 5 ml of distilled water, and a laser group, in which the root canals were irradiated using a 980-nm diode laser after the final irrigation at both visits. The pain levels after both visits were evaluated using a visual analogue scale (VAS) after 8 h, 24 h, 48 h and 7 d. In addition, the time intervals to medication intake were recorded. The collected data were statistically analysed using the chi-square and Mann-Whitney U test (p?<?0.05).ResultsThe average pain level in the control group 24 h after the first visit was significantly higher than that in the laser group (p?<?0.05). The average pain level 24 h and 48 h after the second visit was significantly higher in the control group (p?<?0.05). The levels of PP 24 h after the first visit were higher than those after the second visit only in the control group (p?<?0.05). After the first visit, analgesic use in the control group was significantly higher after 8 h (40%) and 24 h (23%) as compared with that in the laser group (p?<?0.05).ConclusionsRoot canal irradiation with a diode laser may reduce PP after RCT in single-rooted teeth with a PAI score of 3 or 4.Trial registrationEffect of the Diode Laser on Post-operative Pain After Endodontic Treatment in Teeth with Apical Periodontitis: NCT04486196. Registered 24 July 2020-Retrospectively registered, http://clinicaltrials.gov/ct2/show/NCT04486196.

Dataset Information

Revitalisation endodontic treatment of traumatised immature teeth: a prospective long-term clinical study.

Publications

Revitalisation endodontic treatment of traumatised immature teeth: a prospective long-term clinical study.

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