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The aim of this study was to perform a clinical and microbiological evaluation of teeth with incomplete apexogenesis and traumatic necrosis that were treated with a revascularization technique, evaluating the microbial reduction after the use a double antibiotic paste. Furthermore, the investigation also aims to identify the presence of Enterococcus faecalis and Porphyromomas gingivalis within the root canal system.
This investigation is a longitudinal prospective interventional study of a series of cases. Patients who sought treatment at the Faculty of Dentistry from June 2011 to September 2015 were selected. They should have one permanent tooth with traumatic necrosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| permanent teeth apexification | Experimental | They should have one permanent tooth with traumatic necrosis, which in turns should show color alteration, fistulae, periapical lesion, and/or internal or external root resorption, pain, or absence of pulp response to sensitivity tests at a clinical examination to be considered necrotic. Male and female patients who had not undergone antibiotic therapy 3 months before the treatment were included and clinical and radiographic examinations confirmed pulp necrosis. This study analyzed the clinical and microbiological results of the endodontic treatment performed on permanent teeth with necrosis caused by traumatic injury and treated using revascularization technique, double antibiotic paste, intra-canal medication, and an MTA cervical plug. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Apexification | Procedure | Apexification forms a calcified barrier in teeth with open apexes and pulp necrosis. It is used to treat immature teeth, but it does not promote the continuity of root formation. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of teeth with apex closed according to nolle stages. | The apical closure of the teeth was evaluated by radiography /computed tomography every 3 months according to the nolla stages, in which a tooth is considered to be a closed apex in stage 9 of nolla | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with clinically and radiographically observed fistulas | The occurrence of fistulas through clinical signs and symptoms was observed for a period of 6 months in which it was recorded in medical records | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| José Jeová S Moreira Neto, Dr | Universidade Federal do Ceara | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Adriana Kelly de Sousa Santiago Barbosa | Fortaleza | Ceará | 60861635 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25069943 | Background | Pace R, Giuliani V, Nieri M, Di Nasso L, Pagavino G. Mineral trioxide aggregate as apical plug in teeth with necrotic pulp and immature apices: a 10-year case series. J Endod. 2014 Aug;40(8):1250-4. doi: 10.1016/j.joen.2013.12.007. Epub 2014 Apr 3. | |
| 24767551 | Result | Nagata JY, Gomes BP, Rocha Lima TF, Murakami LS, de Faria DE, Campos GR, de Souza-Filho FJ, Soares Ade J. Traumatized immature teeth treated with 2 protocols of pulp revascularization. J Endod. 2014 May;40(5):606-12. doi: 10.1016/j.joen.2014.01.032. Epub 2014 Mar 6. |
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| ID | Term |
|---|---|
| D056624 | Apexification |
| ID | Term |
|---|---|
| D012390 | Root Canal Therapy |
| D004708 | Endodontics |
| D003813 | Dentistry |
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This investigation is a longitudinal prospective interventional study of a series of cases
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| 20433980 | Result | Trope M. Treatment of the immature tooth with a non-vital pulp and apical periodontitis. Dent Clin North Am. 2010 Apr;54(2):313-24. doi: 10.1016/j.cden.2009.12.006. |