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미성숙 영구치의 치수치료

Pulp treatment for immature permanent teeth

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초록

For dental pulp treatment of immature permanent teeth, direct pulp capping or partial/cervical pulpotomy (apexogenesis) procedures can be used if the dental pulp is vital. MTA (Mineral Trioxide Aggregate) is regarded as the first choice dressing material for these procedures because its higher success rate. It can be also used successfully for devitalized dental pulp which has been treated by calcium hydroxide. This apexification procedure with MTA has a few advantage such as short treatment period and increase of resistance against root fracture. Recently, regenerative endodontic treatment was introduced for devitalized immature pulp. It can maintain pulp vitality and lead to continuing root development although the dental pulp was devitalized.

Abstract

For dental pulp treatment of immature permanent teeth, direct pulp capping or partial/cervical pulpotomy (apexogenesis) procedures can be used if the dental pulp is vital. MTA (Mineral Trioxide Aggregate) is regarded as the first choice dressing material for these procedures because its higher success rate. It can be also used successfully for devitalized dental pulp which has been treated by calcium hydroxide. This apexification procedure with MTA has a few advantage such as short treatment period and increase of resistance against root fracture. Recently, regenerative endodontic treatment was introduced for devitalized immature pulp. It can maintain pulp vitality and lead to continuing root development although the dental pulp was devitalized.

참고문헌 (19)

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  6. Lin J-C, "Comparison of mineral trioxide aggregate and calcium hydroxide for apexification of immature permanent teeth : A systematic review and meta-analysis", Journal of the Formosan Medical Association, 115(7), pp.523~530 (2016)
  7. Thakur L, "Regenerative endodontics : a comprehensive review", EC Dent Sci, 3, pp.556~567 (2016)
  8. Lin L, "Regeneration of the dentine– pulp complex with revitalization", revascularization therapy : challenges and hopes, 2014, pp.47(8), 713~724
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  10. "AAE Clinical Considerations for a Regenerative Procedure"[URL]
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  13. Yassen GH, "Effect of medicaments used in endodontic regeneration technique on the chemical structure of human immature radicular dentin : an in vitro study", Journal of endodontics, 39(2), pp.269~273 (2013)
  14. Kahler B, "A review of tooth discoloration after regenerative endodontic therapy", Journal of endodontics, 42(4), pp.563~569 (2016)
  15. Montero-Miralles P, "Effectiveness and clinical implications of the use of topical antibiotics in regenerative endodontic procedures: a review", International endodontic journal (2018)
  16. Zhu X, "Transplantation of dental pulp stem cells and platelet-rich plasma for pulp regeneration", Journal of endodontics, 38(12), pp.1604~1609 (2012)
  17. Del Fabbro M, "Autologous platelet concentrates for pulp and dentin regeneration : a literature review of animal studies", Journal of endodontics, 42(2), pp.250~257 (2016)
  18. Jiang X, "Clinical and radiographic assessment of the efficacy of a collagen membrane in regenerative endodontics : a randomized, controlled clinical trial", Journal of endodontics, 43(9), pp.1465~1471 (2017)
  19. Yang J, "Pulp revascularization of immature dens invaginatus with periapical periodontitis", Journal of endodontics, 39(2), pp.288~292 (2013)

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