scholarly journals REGENERACINIŲ ENDODONTINIŲ PROCEDŪRŲ VEIKSMINGUMO PALYGINIMAS, GYDANT NESUSIFORMAVUSIŲ NUOLATINIŲ DANTŲ ŠAKNŲ PULPOS NEKROZĘ

2021 ◽  
Vol 31 (1) ◽  
pp. 123-128
Author(s):  
Vestina Masytė ◽  
Ieva Vaškelytė ◽  
Jurgita Vazgytė

Šiuolaikinės regeneracinės endodontinės procedūros skatina naujo vaskuliarizuoto audinio susidarymą kanalo ertmėje, todėl galima tikėtis tolimesnio dantų šaknų formavimosi ir viršūninio periodontito sugijimo. Stebint tokius klinikinius bei rentgenologinius pokyčius, regeneracinės endodontinės procedūros gali būti svarstytinos kaip pirmo pasirinkimo gydymo priemonė, nuolatinių dantų nesusiformavusiose šaknyse išsivysčius pulpos nekrozei. Darbo tikslas – atlikti mokslinės literatūros analizę ir palyginti regeneracines endodontines procedūras taikant PRF, PRP, PP arba kraujo krešulį, kai gydomi nuolatiniai dantys, esant nevisiškai susiformavusioms šaknims ir pulpos nekrozei. Metodika. Atlikta elektroninė literatūros paieška anglų kalba PubMed duomenų bazėje, naudojant šias raktažodžių kombinacijas: tooth regeneration, platelet-rich plasma, platelet-rich fibrin, platelet pellet, scaffold, immature teeth. Rezultatai. Statistiškai reikšmingas danties šaknies pailgėjimas, atlikus kontrolę po vienerių metų su kraujo krešuliu, nustatytas dviejuose tyrimuose, o naudojant PRP – viename. Išvados. Atliekant regeneracines endodontines procedūras, svarbu sukurti natūralų biologinį audinio regeneravimo matriksą, kuris gali būti PRF, PRP, PP ar kraujo krešulio pavidalu. Nėra patvirtintų mokslinių įrodymų, kad danties kanale vietiškai naudojami antibiotikai teigiamai veiktų regeneracines dantų procedūras. EDTA naudojimas nerekomenduojamas.

2021 ◽  
Vol 14 (3) ◽  
pp. e240203
Author(s):  
Arun Mayya ◽  
Shruti Bhandary ◽  
Advith Kolakemar ◽  
Ann Mary George

The management of necrotic immature permanent teeth has always been a challenge to endodontists. Various treatment modalities have been tried and tested for achieving a successful outcome. Revascularisation is one among these treatment options, which is gaining widespread attention among endodontists. The growing body of evidence demonstrating the success of revascularisation has led to different variations of this treatment option. Clinicians have over time used different scaffolds such as blood clot, collagen, platelet-rich fibrin (PRF) and platelet-rich plasma for revascularisation. This case report outlines the management of immature maxillary central incisors with pulp necrosis and large periapical lesions in a 19-year-old female patient with a modified technique of revascularisation by combining PRF and blood clot. At the end of 12 months, the patient was completely asymptomatic along with regression of the periapical lesions.


2015 ◽  
Vol 42 (6) ◽  
pp. 421-423 ◽  
Author(s):  
Carlos Fernando de Almeida Barros Mourão ◽  
Helder Valiense ◽  
Elias Rodrigues Melo ◽  
Natália Belmock Mascarenhas Freitas Mourão ◽  
Mônica Diuana-Calasans Maia

The use of autologous platelet concentrates, represent a promising and innovator tools in the medicine and dentistry today. The goal is to accelerate hard and soft tissue healing. Among them, the platelet-rich plasma (PRP) is the main alternative for use in liquid form (injectable). These injectable form ofplatelet concentrates are often used in regenerative procedures and demonstrate good results. The aim of this study is to present an alternative to these platelet concentrates using the platelet-rich fibrin in liquid form (injectable) and its use with particulated bone graft materials in the polymerized form.


2015 ◽  
Vol 3 (2) ◽  
pp. 72 ◽  
Author(s):  
Vishnu Ravi Kumar ◽  
Gayathri Gangadharan

<p>The aim of any invasive procedure is the complete eradication and elimination of the infection and associated necrotic tissue followed by repair and regeneration of the affected tissue. In order to achieve this goal various biological products have been introduced, among which are present the platelet concentrates. Platelet concentrates with their higher concentration of platelets has been used in the field of medicine since the 1990s in the form of the first-generation concentrates-Platelet Rich Plasma, and the second generation concentrated -Platelet Rich Fibrin. Choukroun’s Platelet Rich Fibrin is one such material, which is used by itself and also as an adjunct with grafts. It has been successful as it delivers high doses of growth factors and has anti-inflammatory properties. They have been shown to be of great promise in the field of dentistry, ranging from implantology; Sinuses lift procedures, treating of endodontic and periodontal lesions to regeneration of necrotic pulp. This novel technique has the potential to revolutionize the treatment mode in dentistry and help with reducing patient morbidity. We will be further looking into the specification and implications of this material in this review.</p>


2013 ◽  
Vol 46 (10) ◽  
pp. 962-970 ◽  
Author(s):  
W. Zhu ◽  
X. Zhu ◽  
G. T.-J. Huang ◽  
G. S. P. Cheung ◽  
W. L. Dissanayaka ◽  
...  

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