|
KMID : 1034420190440040035
|
|
Restorative Dentistry & Endodontics
2019 Volume.44 No. 4 p.35 ~ p.35
|
|
|
Pulp revascularization with and without platelet-rich plasma in two anterior teeth with horizontal radicular fractures: a case report
|
|
Arango-Gomez Edison
Nino-Barrera Javier Laureano
Nino Gustavo
Jordan Freddy
Sossa-Rojas Henry
|
|
|
Abstract
|
|
|
|
Pulp revascularization is an alternative treatment in immature traumatized teeth with necrotic pulp. However, this procedure has not been reported in horizontal root fractures. This is a case report of a 9-year-old patient with multiple horizontal root fractures in 2 upper central incisors that were successfully treated with pulp revascularization. The patient presented for treatment 2 years after the initial trauma, and revascularization was attempted after the initial treatment with calcium hydroxide had failed. Prior to pulp revascularization, cone-beam computed tomography and autoradiograms demonstrated multiple horizontal fractures in the middle and apical thirds of the roots of the 2 affected teeth. Revascularization was performed in both teeth; platelet-rich plasma (PRP) was used in one tooth (#11) and the conventional method (blood clot) was used in the other tooth (#21). Clinical and radiographic follow-up over 4 years demonstrated pulp calcification in the PRP-treated tooth. Neither of the 2 teeth were lost, and the root canal calcification of tooth #11 was greater than that of tooth #21. This case suggests that PRP-based pulp revascularization may be an alternative for horizontal root fractures.
|
|
|
KEYWORD
|
|
|
Cone-beam computed tomography, Mineral trioxide aggregate, Platelet-rich plasma, Regenerative endodontics, Tooth fractures
|
|
|
FullTexts / Linksout information
|
|
  
|
|
|
Listed journal information
|
|
 
|