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Root canal treatment of traumatized permanent teeth with external root resorption
Title: | Root canal treatment of traumatized permanent teeth with external root resorption |
Authors: | Yawaka, Yasutaka Browse this author →KAKEN DB | Toyota, Yuki Browse this author | Hisada, Akina Browse this author | Maeda, Ayako Browse this author | Inoue, Shohei Browse this author | Yoshihara, Toshihiro Browse this author →KAKEN DB |
Keywords: | dental trauma | replanted tooth | external root resorption | calcium hydroxide | smear layer |
Issue Date: | Sep-2017 |
Publisher: | 北海道歯学会 |
Journal Title: | 北海道歯学雑誌 |
Volume: | 38 |
Issue: | Special issue |
Start Page: | 122 |
End Page: | 129 |
Abstract: | External root resorption is an important challenge in the preservation of traumatized teeth. External root resorption is observed in cases of replanted teeth from dental trauma. Root canal dressing containing calcium hydroxide (Ca(OH)2) is one recommended clinical approach for external root resorption treatment. However, complete control of external resorption may not be possible due to certain factors, such as the smear layer, which is formed by reaming and filing during root canal treatments. The smear layer plugs dentinal tubules and inhibits the effects of Ca(OH)2 as a root canal dressing material. Our study showed that root canal irrigation with ethylenediaminetetraacetic acid (EDTA) and sodium hypochlorite (NaOCl) with an ultrasonic device is the most effective method to remove the smear layer. Additionally, we observed an alkaline environment at the outer root surface due to ion diffusion from Ca(OH)2 following this treatment. As a result, the combined use of EDTA and NaOCl with an ultrasonic device for root canal irrigation led to good control of external root resorption. |
Type: | article |
URI: | http://hdl.handle.net/2115/67350 |
Appears in Collections: | 北海道歯学雑誌 > 第38巻 記念特集号
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