Interventions for the endodontic management of non-vital traumatised immature permanent anterior teeth in children and adolescents: a systematic review of the evidence and guidelines of the European Academy of Paediatric Dentistry

被引：63
作者：
Duggal M. [1 ,2 ]
Tong H.J. [2 ]
Al-Ansary M. [1 ]
Twati W. [1 ]
Day P.F. [1 ]
Nazzal H. [1 ]
机构：
[1] Department of Paediatric Dentistry, Leeds Dental Institute, University of Leeds, The Worsley Building, Clarendon Way, Leeds
[2] Discipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry, National University of Singapore, 11 Lower Kent Ridge Road
来源：
European Archives of Paediatric Dentistry | 2017年 / 18卷 / 3期
关键词：
Calcium Hydroxide apexification; Endodontics; Immature non vital incisors; Mineral Trioxide aggregate; Regeneration/revitalisation; Trauamtized teeth;
D O I：
10.1007/s40368-017-0289-5
中图分类号：
学科分类号：
摘要：
Aim: This systematic review was undertaken in order to develop guidelines for the European Academy of Paediatric Dentistry for the management of non-vital permanent anterior teeth with incomplete root development. Methods: Three techniques were considered; apexification by single or multiple applications of calcium hydroxide, use of Mineral Trioxide Aggregate (MTA) for the creation of an apical plug followed by obturation of the root canal, and finally a Regenerative Endodontic Technique (RET). Scottish Intercollegiate Guideline Network (SIGN) Guidelines (2008) were used for the synthesis of evidence and grade of recommendation. Results: Variable levels of evidence were found and generally evidence related to these areas was found to be weak and of low quality. It was not possible to produce evidence-based guidelines based on the strength of evidence that is currently available for the management of non-vital immature permanent incisors. Conclusions: Based on the available evidence the European Academy of Paediatric Dentistry proposes Good Clinical Practice Points as a guideline for the management of such teeth. It is proposed that the long term use of calcium hydroxide in the root canals of immature teeth should be avoided and apexification with calcium hydroxide is no longer advocated. The evidence related to the use of a Regenerative Endodontic Technique is currently extremely weak and therefore this technique should only be used in very limited situations where the prognosis with other techniques is deemed to be extremely poor. The current review supports the use of MTA followed by root canal obturation as the treatment of choice. © 2017, The Author(s).
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页码：139 / 151
页数：12
相关论文
共 55 条
[1]  
Adamidou V., In vitro investigation of teeth discolouration with different endodontic medicaments, (2010)
[2]  
Al-Ansari A., Which type of post and core system should you use?, Evidence-based dentistry., 8, 2, (2007)
[3]  
Al-Jundi S.H., Type of treatment, prognosis, and estimation of time spent to manage dental trauma in late presentation cases at a dental teaching hospital: a longitudinal and retrospective study, Dent Traumatol, 20, 1, pp. 1-5, (2004)
[4]  
Alobaid A.S., Cortes L.M., Lo J., Et al., Radiographic and clinical outcomes of the treatment of immature permanent teeth by revascularization or apexification: a pilot retrospective cohort study, J Endod., 40, 8, pp. 1063-1070, (2014)
[5]  
AAE Clinical Considerations for a Regenerative Procedure (online), American Association of Endodontics, (2016)
[6]  
Andreasen J., Farik B., Munksgaard E., Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture, Dent Traumatol, 18, pp. 134-137, (2002)
[7]  
Banchs F., Trope M., Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol?, J of Endod., 30, 4, pp. 196-200, (2004)
[8]  
Bateman G., Ricketts D.N., Saunders W.P., Fibre-based post systems: a review, Br Dent J., 195, 1, pp. 43-48, (2003)
[9]  
Bezgin T., Yilmaz A.D., Celik B.N., Kolsuz M.E., Sonmez H., Efficacy of platelet-rich plasma as a scaffold in regenerative endodontic treatment, J Endod., 41, 1, pp. 36-44, (2015)
[10]  
Bose R., Nummikoski P., Hargreaves K., A retrospective evaluation of radiographic outcomes in immature teeth with necrotic root canal systems treated with regenerative endodontic procedures, J Endod., 35, 10, pp. 1343-1349, (2009)
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