Incidence of pulp necrosis subsequent to pulp canal obliteration from trauma of permanent incisors

Robertson, Agneta; Andreasen, Frances M.; Bergenholtz, Gunnar; Andreasen, Jens Ove; Norén, Jörgen G.

doi:10.1016/s0099-2399(96)80018-5

Cited by 138 publications

(145 citation statements)

References 14 publications

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“…In early stages, vitality tests may be normal; however, in late stages, a negative response is normally present (7,10). The presence of a negative response of pulp vitality tests, crown discoloration, sensitivity to percussion and apical radiolucency are indicators of pulp necrosis (2,6,7,10). In this case report, both teeth showed inconclusive responses to vitality tests without apical lesions or pulp necrosis symptoms in the first years of evaluation.…”

Section: Discussionmentioning

confidence: 69%

“…The clinical challenge is to perform a prophylactic endodontic therapy in the beginning of PCC before the calcification process makes the root canal difficult to access or to observe until signs and symptoms of pulp necrosis are present (6,7). In this case, the endodontic therapy was not indicated because the patient was in the rhizogenesis phase, with approximately one-third of the root formed, which could even lead to loss of teeth in a bite support function if root formation was interrupted (3).…”

Section: Discussionmentioning

confidence: 99%

“…If the revascularisation process is successful or in cases of milder injuries to pulp, regressive pulp changes can occur, resulting in accelerated apposition of new hard tissue inside the root canal (5). PCC is present in about 4%-14% of all replanted teeth (6,7). This complication is characterised by a yellow discoloration of the dental crown and an irregular deposition of hard tissue inside of the root canal space (7).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Therapeutic Approach to Pulp Canal Calcification as Sequelae of Dental Avulsion

Moura¹,

Velasques²,

Silveira³

et al. 2017

Eur Endod J

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Tooth avulsion represents the most complicated dental injury, and the classic treatment is tooth replantation. The most common sequelae are pulp canal calcification (PCC) and pulp necrosis. The presence of pulp necrosis after PCC is reported in up to 30% of the cases and is a challenge due to the difficulty of endodontic treatment. This case report describes the surgical treatment of a replanted tooth presenting PCC and periapical pathology eight years after the trauma. An endodontic surgery was performed to remove the apical granuloma, to prepare the apical root, and to seal the apical region with an endodontic cement. In a three-year follow-up, there was an absence of inflammatory signs and symptoms or apical lesion. This report shows the importance of close follow-up after dentoalveolar injuries. After the initial dental trauma and its consequences to pulpal tissues, the executed procedures allowed a favourable outcome.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Therapeutic Approach to Pulp Canal Calcification as Sequelae of Dental Avulsion

Moura¹,

Velasques²,

Silveira³

et al. 2017

Eur Endod J

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“…They also reported pulp necrosis due to root canal obstruction after trauma in 8.5% of teeth, noting that this percentage increased with time 23) . In this study, however, the calcified tissue formed in the pulp chamber was bone-like dentin, whereas that formed in the apical area was considered to be cementum.…”

Section: Calcified Tissue In Pulp Chambermentioning

confidence: 94%

Calcification of Pulp Canal Space after Replantation of Immature Rat Molars

Ihara

Miake

Morinaga

et al. 2007

J. Hard Tissue Biology.

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The objective of this study was to investigate the process of hard tissue formation after replantation of open-ended immature teeth in rat and morphologically type the hard tissue generated according to its degree of calcification. The pulp chamber, periapical cells and matrix were observed by light microscopy. Degree of ossification in undecalcified, polished samples was determined by contact microradiography (CMR). After tooth replantation, pulp cells and odontoblasts temporarily showed degeneration and necrosis. Thereafter, some of the surviving pulp cells showed activation, with healing and revascularization of apical tissue, proliferating to form matrix. These results together with the CMR findings showed that bone-like dentin was formed in the cervical pulp chamber, and that intracanal cementogenesis occurred in the apical area, continuing until the pulp chamber was filled with calcified tissues.

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“…Pasak juga harus memiliki kemampuan untuk menyebarkan beban dan tekanan ke sepanjang akar gigi untuk mencegah fraktur akar. 10 Pasak prefabricated memiliki berbagai macam jenis dengan kelebihan dan kekurangannya masing-masing. Pasak prefabricated tipe parallel self threading dowel memiliki kepala yang besar dan dukungan yang baik untuk bahan inti.…”

Section: Pendahuluanunclassified

Mahkota Porselin Fusi Metal dengan Parallel Self-Threading Dowel Pasca Perawatan Saluran Akar Gigi Premolar Maksila

Putri

Ratih

2016

MKGK

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ABSTRAKGigi premolar maksila merupakan gigi yang mendapat tekanan pengunyahan besar dan rentan mengalami fraktur terutama setelah dilakukan perawatan saluran akar (PSA). Gigi yang telah dilakukan PSA akan menjadi sangat rapuh dan rentan fraktur karena telah kehilangan kelembaban dan banyak jaringan kerasnya. Gigi premolar juga mendapat tekanan pengunyahan yang besar karena bentuk dan letaknya yang lebih dekat dengan aksis horizontal transversal. Penggunaan parallel self-threading dowel dan mahkota penuh porselen fusi metal akan mendistribusikan beban pengunyahan keseluruh bagian akar dan meningkatkan ketahanannya terhadap fraktur. Tujuan laporan kasus ini adalah untuk menunjukkan keberhasilan penggunaan parallel self-threading dowel dengan mahkota penuh porselen fusi metal sebagai restorasi pasca PSA pada gigi premolar kedua maksila nekrosis pulpa dengan lesi periapikal. Pasien wanita berusia 30 tahun dirujuk untuk PSA pada gigi premolar kedua kanan maksila nekrosis pulpa dengan lesi periapikal. Pasien merasakan sakit saat gigi digunakan untuk makan. Perkusi dan palpasi positif namun mobilitas normal. Pemeriksaan radiografik menunjukkangambaran radiopak yang telah mengenai ruang pulpa dan radiolusensi pada periapikal gigi. PSA dan restorasi mahkota penuh dilakukan dengan parallel self-threading dowel. Parallel self-threading dowel dan mahkota penuh PFM sebagai restorasi akhir menunjukkan keberhasilan perawatan pada gigi premolar kedua maksila pasca PSA. MKGK. Juni 2015; 1(1): 46-53 PENDAHULUANDewasa ini perkembangan perawatan saluran akar (PSA) mengalami perkembangan yang sangat pesat, sehingga perawatan ini menjadi suatu alternatif sebelum dilakukan ekstraksi. Selama dekade terakhir, perbaikan konsep, strategi, dan teknik dapat meningkatkan kesuksesan perawatan endodontik. 1 Nekrosis pulpa merupakan kematian pulpa yang disebabkan iskemik jaringan pulpa. Gigi yang nekrosis tidak lagi menerima suplai darah dari pulpa dan serabut saraf pada pulpa juga tidak berfungsi. Etiologi nekrosis pulpa yang paling sering adalah karies gigi, trauma, dan iatrogenik. Sebagian besar kasus nekrosis pulpa berawal dari pulpitis yang disebabkan oleh karies gigi. Gigi yang nekrosis jarang memberikan keluhan terutama bila gigi mengalami nekrosis total dan tidak terdapat patogenesis kearah periodonsium. Pada tahap ini gigi tidak akan memberikan respon terhadap electric pulp test (EPT) ataupun stimulasi dingin, namun apabila suhu panas diaplikasikan dalam jangka waktu tertentu akan memberikan respon nyeri pada gigi. Hal ini berkaitan dengan adanya sisa-sisa cairan pulpa atau gas yang memuai dan meluas hingga ke daerah periapikal. 2

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Incidence of pulp necrosis subsequent to pulp canal obliteration from trauma of permanent incisors

Cited by 138 publications

References 14 publications

Therapeutic Approach to Pulp Canal Calcification as Sequelae of Dental Avulsion

Therapeutic Approach to Pulp Canal Calcification as Sequelae of Dental Avulsion

Calcification of Pulp Canal Space after Replantation of Immature Rat Molars

Mahkota Porselin Fusi Metal dengan Parallel Self-Threading Dowel Pasca Perawatan Saluran Akar Gigi Premolar Maksila

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