Endodontic management of submerged roots following complicated traumatic dental injury (TDI) in children and adolescents: A systematic review.
Int J Paediatr Dent
; 34(5): 608-620, 2024 Sep.
Article
en En
| MEDLINE
| ID: mdl-38282164
ABSTRACT
INTRODUCTION:
The International Association of Dental Traumatology (IADT) guidelines include the use of decoronation for the management of complex crown-root fractures but do not outline how this technique is best employed. The aim of this review is to reach a consensus in the management of the root canal system in decoronated permanent teeth undergoing root submergence and to determine whether this has an impact on the success and survival of the retained root. MATERIALS ANDMETHODS:
Search included databases MEDLINE via Ebsco, EMBASE via Ovid, Web of Science via Clarivate, PubMed via PubMed.gov, the Cochrane Library via Wiley, cited reference searching and hand searching of relevant journals. Two independent reviewers performed study selection, data extraction and risk of bias assessment using Joanna Briggs Institute (JBI) Critical Appraisal Checklist. RESULTS ANDDISCUSSION:
In total, 18 articles were included in qualitativeanalysis:
17 of these were case reports and one case series. A total of 37 teeth were treated with decoronation either using the Malmgren or an alternative protocol (root submergence following endodontic treatment with gutta-percha [GP] or a calcium silicate cement and vital root submergence). Limited evidence from this review suggests that immediate decoronation and vital root submergence are successful in apexogenesis and preserving alveolar bone. This systematic review has been registered in the International Prospective Register of Systematic Reviews (PROSPERO registration number CRD42022316266).Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Tratamiento del Conducto Radicular
Tipo de estudio:
Guideline
/
Qualitative_research
/
Systematic_reviews
Límite:
Adolescent
/
Child
/
Humans
Idioma:
En
Revista:
Int J Paediatr Dent
Asunto de la revista:
ODONTOLOGIA
/
PEDIATRIA
Año:
2024
Tipo del documento:
Article