Combined conventional and regenerative treatment in molars with coexistent closed and open apices: A case series

ÇEHRELİ Z. C., ERBAŞ ÜNVERDİ G., SERDAR EYMİRLİ P., Mergen I., ARSLAN E., ESENTÜRK G.

AUSTRALIAN ENDODONTIC JOURNAL, cilt.48, sa.1, ss.197-201, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 48 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1111/aej.12616
  • Dergi Adı: AUSTRALIAN ENDODONTIC JOURNAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.197-201
  • Anahtar Kelimeler: immature teeth, pulp regeneration, pulp revascularisation, pulp revitalisation, regenerative endodontic procedure, regenerative endodontics, ENDODONTIC TREATMENT, TEETH, TOOTH, ABSCESS
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Regenerative endodontic treatment (RET) may not be suitable in some necrotic young permanent molars due to coexistent roots with closed and open apices, and/or inadequate apical bleeding in one or more roots. Here, we present a combined treatment approach utilising conventional root canal treatment in the closed-apex roots and RET on the open-apex roots of necrotic young molars. The closed-apex roots of 8 molars received root fillings, and their open-apex roots were treated with a regenerative endodontic procedure. In another molar, the failed RET on one root was retreated by conventional root canal filling, preserving other revitalised roots. After 4-6 years, all teeth showed periapical healing in the absence of clinical symptoms. The combined conventional and regenerative treatment approach can yield favourable healing outcomes in necrotic, young molar roots with different levels of apical closure. Likewise, failed revitalised roots can be retreated separately with conventional root filling.