Use of Endodontic Procedures in Young Permanent Teeth

Sujata Kumari; Ankita Sharma; Abhishek Singh; Sangala Bhavani Nagendra; Ahtesham A Qurishi; Nirav J Parmar; Dhaval Niranjan Mehta

doi:10.4103/jpbs.jpbs_1018_23

Use of Endodontic Procedures in Young Permanent Teeth

J Pharm Bioallied Sci. 2024 Feb;16(Suppl 1):S797-S799. doi: 10.4103/jpbs.jpbs_1018_23. Epub 2024 Feb 29.

Authors

Sujata Kumari¹, Ankita Sharma², Abhishek Singh³, Sangala Bhavani Nagendra⁴, Ahtesham A Qurishi⁵, Nirav J Parmar⁶, Dhaval Niranjan Mehta⁷

Affiliations

¹ Department of Pedodontics and Preventive Dentistry, Central Speciality Hospital, Patna, Bihar, India.
² Department of Pedodontics and Preventive Dentistry, PGIDS, Rohtak, Haryana, India.
³ Department of Conservative Dentistry and Endodontics, Bhabha College of Dental Sciences, Bhopal, Madhya Pradesh, India.
⁴ Department of Oral Pathology and Microbiology, Bharati Vidyapeeth Bharati Vidyapeeth Deemed University, Maharashtra, India.
⁵ Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jizan University, Saudi Arabia.
⁶ Department of Conservative Dentistry and Endodontics, Faculty of Dental Science, Dharsinh Desai University, Nadiad, Gujarat, India.
⁷ Professor and Head, Department of Oral Medicine and Radiology, Narsinbhai Patel Dental College and Hospital, Sankalchand Patel University, Visnagar, Gujrat, India.

Abstract

Background: Regenerative endodontic procedures (REPs) have emerged as a promising treatment option for young permanent teeth with pulp necrosis, offering the potential for tissue repair and preservation.

Materials and methods: A retrospective analysis was conducted on a cohort of 30 patients aged 8 to 16 years with pulp necrosis in young permanent teeth. The patients underwent REPs, including disinfection, triple antibiotic paste application, and a coronal barrier. Clinical and radiographic data were collected at baseline and follow-up appointments at 6, 12, and 24 months. Radiographs were analyzed for root lengthening, apical closure, and resolution of periapical lesions.

Results: The mean increase in root length after 24 months was 3.42 mm (SD ± 1.12 mm), and 90% of cases demonstrated complete apical closure. The overall success rate, defined as the absence of clinical symptoms and radiographic evidence of pathology, was 80.

Conclusion: REPs show promising outcomes in young permanent teeth with pulp necrosis, promoting root development, and apical closure.

Keywords: Apical closure; periapical lesions; pulp necrosis; regenerative endodontics; root development; treatment outcome; young permanent teeth.