Regeneracja miazgi i ozębnej – postępowanie w przypadku częściowego niepowodzenia leczenia rewaskularyzacyjnego
Follow-up
- One-week recall: we have noticed a loss of pain on palpation and percussion.
- Control radiographs were performed after 3 months and 10 months (Figs 4 and 5).
The analysis of these radiographs has shown the following:
- At the Distal Root:
- progressive reorganization of the periodontal space,
- reduction of the initial periapical image.
- At the Mesial Roots:
- after 10 months’ recall (Fig. 5), the radiograph has shown a failure of the revascularization therapy, a larger radiolucent image than the initial one, and a sign of recurrent periapical infection.
Believing in the tissue preservation principle and the potential of the periodontal regeneration, we have chosen to retreat the mesial roots with classical apexification therapy using MTA, thus retaining the therapeutic success of the distal root.
After conducting a mini access cavity, we have reached the MTA layer; with the assistance of ultrasonic inserts, the MTA in the cervical mesial zone was selectively removed to access the mesial canals. Both of [...]
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