Treatment of primary molar utilizing lesion sterilization and tissue repair: a case report
DOI:
https://doi.org/10.33448/rsd-v10i16.23717Keywords:
Childid; Dental Pulp Disease; Teeth, Endodontically Treated; Tooth, deciduous.Abstract
Aim: Non-instrumental endodontic therapy has stood out for being a minimal intervention approach that uses a mixture of antibiotics to disinfect the root canals. The purpose of this case report was to describe the treatment and 36-month follow-up of a deciduous necrotic molar using the modified technique of “Injury Sterilization and Tissue Repair” (LSTR). Methodology: A 5-year-old female patient sought dental care complaining of pain in the region of tooth 85 whose oral clinical examination revealed the presence of caries with pulp involvement. In the preoperative period (T1), the patient presented with fistula, abscess and edema. Endodontic treatment was performed using the LSTR technique with triple antibiotic paste. In the follow-up, due to radiographic aspects, a large interradicular lesion was observed in T1 and at the end of the follow-up (T4 / T5), complete bone regeneration was observed in the region. Conclusion: Due to the high antibacterial efficacy of the paste used, the LSTR technique showed satisfactory results in the pulpectomy of a deciduous necrotic molar. Clinical significance: This technique shows the potential to be used in cases to being performed in a shorter operative time, which can be useful in the treatment of children with negative behavior.
References
Aminabadi, N. A., Huang, B., Samiei, M., Agheli, S., Jamali, Z. & Shirazi, S. (2016). (2016) A Randomized Trial Using 3Mixtatin Compared to MTA in Primary Molars with Inflammatory Root Resorption: A Novel Endodontic Biomaterial. The Journal of clinical pediatric dentistry, 40 2).
Anila, B, Murali, H, Cheranjeevi, J, & Kapil, R. S. Lesion Sterilization and Tissue Repair (LSTR). A Review J scientific dentistry. 2014;4(2):49–55
Bharuka, S. B. & Mandroli, P. S. (2016) Single- versus two-visit pulpectomy treatment in primary teeth with apical periodontitis: A double-blind, parallel group, randomized controlled trial. ], 34 (4).
Brustolin, J. P., Mariath, A. A., Ardenghi, T. M. & Casagrande, L. (2017) Survival and Factors Associated with Failure of Pulpectomies Performed in Primary Teeth by Dental Students. Brazilian dental journal, 28 (1).
Chawla, H. S., Setia, S., Gupta, N., Gauba, K., & Goyal, A. (2008). Evaluation of a mixture of zinc oxide, calcium hydroxide, and sodium fluoride as a new root canal filling material for primary teeth. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 26(2), 53–58.
Duarte, M. L., Pires, P. M., Ferreira, D. M., Pintor, A., de Almeida Neves, A., Maia, L. C., & Primo, L. G. (2020). Is there evidence for the use of lesion sterilization and tissue repair therapy in the endodontic treatment of primary teeth? A systematic review and meta-analyses. Clinical oral investigations, 24(9).
Fuks, A. B. (2000) Pulp therapy for the primary and young permanent dentitions. Dental clinics of North America, 44 (3).
Fuks, A. B., Eidelman, E., & Pauker, N. (2002) Root fillings with Endoflas in primary teeth: a retrospective study. The Journal of clinical pediatric dentistry, 27 (1).
Grewal, N., Sharma, N., & Chawla, S. (2018) Comparison of resorption rate of primary teeth treated with alternative lesion sterilization and tissue repair and conventional endodontic treatment: An in vivo randomized clinical trial. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 36 (3).
Huang, G.T. (2008) A paradigm shift in endodontic management of immature teeth: conservation of stem cells for regeneration. Journal of dentistry, 36 (6).
Jia, L., Zhang, X., Shi, H., Li, T., Lv, B., & Xie, M. (2019) The Clinical Effectiveness of Calcium Hydroxide in Root Canal Disinfection of Primary Teeth: A Meta-Analysis. Medical science monitor: international medical journal of experimental and clinical research, (25).
Lacerda, I. N. L., Guimarães, R. P., Pompeu, J. G. F., Filho, P. F. M., & Silva, C. H. V. (2011) Tooth staining by tetracycline: How does it happen? Tese Doutorado em Odontologia) - Faculdade de Odontologia de Lins/Unimep.
Lokade, A., Thakur, S., Singhal, P., Chauhan, D., & Jayam, C. (2019) Comparative evaluation of clinical and radiographic success of three different lesion sterilization and tissue repair techniques as treatment options in primary molars requiring pulpectomy: An in vivo study. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 37 (2).
Brosnan, M. G., Natarajan, A. K., Campbell, J. M., & Drummond, B. K. (2014) Pulp management in primary teeth: an update, New Zealand Dental Journal, 110 (119-123).
Manfredi, M., Figini, L., Gagliani, M., & Lodi, G. (2016) Single versus multiple visits for endodontic treatment of permanent teeth. The Cochrane database of systematic reviews, 12 (12).
Moreira, M. S., Anuar, A. S. N., Tedesco, T. K., Dos Santos, M., & Morimoto, S. (2017) Endodontic Treatment in Single and Multiple Visits: An Overview of Systematic Reviews. Journal of endodontics, 43 (6).
Najjar, R. S., Alamoudi, N. M., El-Housseiny, A. A., Al Tuwirqi, A. A., & Sabbagh, H. J. (2019) A comparison of calcium hydroxide/iodoform paste and zinc oxide eugenol as root filling materials for pulpectomy in primary teeth: A systematic review and meta-analysis. Clinical and experimental dental research, 5 (3).
Nakornchai, S., Banditsing, P., & Visetratana, N. (2010) Clinical evaluation of 3Mix and Vitapex as treatment options for pulpally involved primary molars. International journal of paediatric dentistry, 20 (3).
Nanda, R., Koul, M., Srivastava, S., Upadhyay, V., & Dwivedi, R. (2014) Clinical evaluation of 3 Mix and Other Mix in non-instrumental endodontic treatment of necrosed primary teeth. Journal of oral biology and craniofacial research, 4 (2).
Ozalp, N., Saroğlu, I., & Sönmez, H. (2015) Evaluation of various root canal filling materials in primary molar pulpectomies: an in vivo study. American journal of dentistry,18 (6).
Parisay, I., Ghoddusi, J., & Forghani, M. (2015) A review on vital pulp therapy in primary teeth. Iran Endod Journal, 10 1(6-15).
Pinky, C., Shashibhushan, K. K., & Subbareddy, V. V. (2011) Endodontic Treatment of necrosed primary teeth using two diferente combinations of antibacterial drugs: an in vivo study. Journal Indian Society of Pedodontics and Preventive Dentistry, 29 (121-7).
Prabhakar, A. R., Sridevi, E., Raju, O. S., S& atish, V. (2008) Endodontic treatment of primary teeth using combination of antibacterial drugs: an in vivo study. Journal of the Indian Society of Pedodontics and Preventive Dentistry, Suppl 1(26).
Rajamanickam, P., Murugan, M. S., Gurunathan, D., Farzan, J. M. F., & Rodrigues, S. J. (2015) Pulpectomies in primary mandibular molars: a comparison of outcomes using three root filling materials. Int Endod J, 49 (5):413-21).
Reddy, S. & Ramakrshna, Y. (2007) Evaluation of antimicrobial efficacy of various root canal filling materials used in primary teeth – a microbiological study. J Clin Pediatr Dent, 31 (195-99).
Sato, T., Hoshino, E., Uematsu, H., & Noda, T. (1993) In vitro antimicrobial susceptibility to combinations of drugs on bacteria from carious and endodontic lesions of human deciduous teeth. Oral microbiology and immunology, 8 (3).
Takushige, T., Cruz, E. V., Asgor Moral, A., & Hoshino, E. (2004) Endodontic treatment of primary teeth using a combination of antibacterial drugs. International endodontic journal, 37 (2).
Tchaou, W. S., Turng, B. F., Minah, G. E., & Coll, J. A. (1995) In vitro inhibition of bacteria from root canals of primary teeth by various dental materials. Pediatric dentistry, 17 (5).
Triches, T. C., Zimmermann, G. S., de Freitas, S. F. T., Ximenes, M., Vieira, R. S., & Cordeiro, M. M. R. (2018) Efficacy of a single session protocol for endodontic treatment in primary teeth: in vivo study. European archives of paediatric dentistry: official journal of the European Academy of Paediatric Dentistry, 19 (1).
Zancan, R. F., Vivan, R. R., Milanda Lopes, M. R., Weckwerth, P. H., de Andrade, F. B., Ponce, J. B., & Duarte, M. A. l. (2016) Antimicrobial Activity and Physicochemical Properties of Calcium Hydroxide Pastes Used as Intracanal Medication. Journal of endodontics, 42 (12
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