294594

Revascularization Induced Maturogenesis of Non-Vital Immature Teeth Using Different Scaffolds and Intra Canal Medications

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Endodontics

Abstract

purpose: to evaluate revascularization induced maturogenesis of non-vital immature teeth using Platelets rich plasma compared to blood clot as scaffolds with two different medications: modified triple antibiotic paste and calcium hydroxide mixed with chlorhexidine. Materials and Methods: 32 patients requiring endodontic therapy of maxillary centrals were selected. Patients were divided into four equal groups (n=8); Group I: Blood clot scaffold/mTAP intra canal medication ,Group II: PRP scaffold/mTAP intra canal medication ,Group III: Blood clot scaffold/Ca(OH)2 mixed with CHX intra canal medication ,Group IV: PRP scaffold/Ca(OH)2 mixed with CHX intra canal medication. Patients were evaluated clinically and radiographically for any change in apical foramen diameter, root length and root canal diameter. Radiographic digital examination was done immediately postoperative and at 3,6,9 and 12months of follow-up. Results: Clinically, all patients were completely asymptomatic through out the study. Radiographically, concerning percentage of root length increase, PRP produced superior results with statistically significant difference compared to blood clot as a scaffold while mTAP showed significantly better results compared to Ca(OH)2 mixed with CHX as intracanal medication. Concerning percentage of canal diameter decrease and apical foramen diameter decrease, using PRP scaffold with mTAP medication produced superior results with statistically significant difference when compared to blood clot scaffold with a mix of Ca(OH)2 and CHX medication respectively. Conclusions: PRP is better than Blood clot as a scaffold and mTAP is better than Ca(OH)2 mixed with CHX as an intracanal medication when they are used during revascularization of immature teeth.

DOI

10.21608/edj.2023.182591.2385

Keywords

Calcium hydroxide mixed with chlorhexidine, Immature teeth, modified triple antibiotic paste, platelets rich plasma, Revascularization

Authors

First Name

Tokka

Last Name

Moukhtar

MiddleName

-

Affiliation

Assistant Professor, Endodontic department, Faculty of Dentistry, Tanta University,Tanta Elgharbeiya, Egypt

Email

tma32011@gmail.com

City

Tanta

Orcid

0000-0001-8166-2126

First Name

abeer

Last Name

darrag

MiddleName

-

Affiliation

Professor, Endodontics Department, Faculty of Dentistry, Tanta University, Egypt

Email

adarrag@hotmail.com

City

Tanta

Orcid

0000-0002-3479-5169

First Name

Ahmed

Last Name

Labib

MiddleName

-

Affiliation

Professor, Endodontics Department, Faculty of Dentistry, Tanta University, Egypt

Email

d-ahmedlabib@hotmail.com

City

Tanta

Orcid

0000-0002-8388-8388

First Name

Walaa

Last Name

Ghoneim

MiddleName

-

Affiliation

Associate Professor, Endodontic Department, Faculty of Dentistry, Tanta University

Email

walaaghoneim2006@yahoo.com

City

Tanta

Orcid

0009-0004-8908-688X

Volume

69

Article Issue

2

Related Issue

40759

Issue Date

2023-04-01

Receive Date

2022-12-25

Publish Date

2023-04-01

Page Start

1,561

Page End

1,578

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_294594.html

Detail API

https://edj.journals.ekb.eg/service?article_code=294594

Order

3

Type

Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

MainTitle

Revascularization Induced Maturogenesis of Non-Vital Immature Teeth Using Different Scaffolds and Intra Canal Medications

Details

Type

Article

Created At

23 Dec 2024