Yang YQ, Wu BL, Zeng JK, Jiang C, Chen M. Pulp revascularization on an adult mandibular right second premolar: A case report. World J Clin Cases 2022; 10(17): 5833-5840 [PMID: 35979092 DOI: 10.12998/wjcc.v10.i17.5833]
Corresponding Author of This Article
Ming Chen, MD, Attending Doctor, Department of Stomatology, Stomatological Hospital of Southern Medical University, No. 366 Jiangnan Avenue South, Haizhu District, Guangzhou 510280, Guangdong Province, China. kumiming@smu.edu.cn
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2022; 10(17): 5833-5840 Published online Jun 16, 2022. doi: 10.12998/wjcc.v10.i17.5833
Pulp revascularization on an adult mandibular right second premolar: A case report
Ye-Qing Yang, Bu-Ling Wu, Jun-Kai Zeng, Chong Jiang, Ming Chen
Ye-Qing Yang, Ming Chen, Department of Stomatology, Stomatological Hospital of Southern Medical University, Guangzhou 510280, Guangdong Province, China
Ye-Qing Yang, Jun-Kai Zeng, School of Stomatology, Southern Medical University, Guangzhou 510515, Guangdong Province, China
Bu-Ling Wu, Shenzhen Stomatology Hospital (Pingshan), Southern Medical University, Shenzhen 518118, Guangdong Province, China
Chong Jiang, Department of Stomatology, Guangdong Provincial People’s Hospital; Guangdong Academy of Medical Sciences, Guangzhou 510080, Guangdong Province, China
Author contributions: Yang YQ wrote the main manuscript text, collected the case; Wu BL revised manuscript editing; Zeng JK and Jiang C collected data and prepared Figures; Chen M designed the study, performed critical revisions; all authors reviewed the manuscript; all authors read and approved the final manuscript.
Supported byGeneral Program of National Natural Scientific Foundation of China, No. 81870755; Medical Scientific Research Foundation of Guangdong Province of China, No. A2022199; and Science Research Cultivation Program of Stomatological Hospital, Southern Medical University, No. PY2020018 and No. PY2021021.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ming Chen, MD, Attending Doctor, Department of Stomatology, Stomatological Hospital of Southern Medical University, No. 366 Jiangnan Avenue South, Haizhu District, Guangzhou 510280, Guangdong Province, China. kumiming@smu.edu.cn
Received: December 13, 2021 Peer-review started: December 13, 2021 First decision: March 7, 2022 Revised: March 18, 2022 Accepted: April 3, 2022 Article in press: April 3, 2022 Published online: June 16, 2022 Processing time: 177 Days and 15.1 Hours
Abstract
BACKGROUND
Pulp revascularization has become a new method for the treatment of periapical diseases in young permanent teeth in recent years. Through root canal flushing and disinfection, avoiding mechanical preparation, guiding apical stem cells into the root canal and promoting the continuous development of tooth roots, it has achieved good clinical curative effects. But in adult patients with chronic periapical periodontitis with immature roots and open apices, apical barrier technology is often used to treat these teeth.
CASE SUMMARY
Pulp revascularization of a 26-year-old patient's tooth was performed using cefaclor instead of minocycline and iRoot BP instead of mineral trioxide aggregate as intracanal medication. The case was followed up for 36 mo. Observations showed evidence of regression of clinical signs and symptoms, resolution of apical periodontitis and no discolouration of affected teeth.
CONCLUSION
For adult patients with chronic periapical periodontitis with immature roots and open apices, pulp revascularisation showed favourable results in treating these teeth.
Core Tip: Pulp revascularization is especially suitable for young permanent teeth with incomplete apical development. However, few scholars have reported on adult teeth with apical periodontitis caused by an abnormal central tip being treated with dental pulp revascularization technology. The purpose of this case report was to describe the potential of using pulp revascularization to treat a permanent adult tooth.
