RESUMO
These 3 case reports the outcome of revascularization treatment in necrotic immature molars. During treatment, a tri antibiotic mix was used to disinfect the pulp for 2 weeks. Then a blood clot was created in the canal, over which mineral trioxide aggregate was placed. After 24 months, the immature molars showed continuation of root development. The patients were asymptomatic, no sinus tracts were evident and apical periodontitis was resolved Results from these cases show that revascularization/regeneration using 3Mix-MP method could be effective for managing immature permanent molar teeth with pulpal necrosis.
Assuntos
Necrose da Polpa Dentária/terapia , Dente Molar/patologia , Neovascularização Fisiológica/fisiologia , Regeneração/fisiologia , Ápice Dentário/patologia , Compostos de Alumínio/uso terapêutico , Antibacterianos/uso terapêutico , Apexificação/métodos , Compostos de Cálcio/uso terapêutico , Criança , Ciprofloxacina/uso terapêutico , Cimentos Dentários/uso terapêutico , Polpa Dentária/efeitos dos fármacos , Necrose da Polpa Dentária/tratamento farmacológico , Dentina/efeitos dos fármacos , Combinação de Medicamentos , Feminino , Seguimentos , Humanos , Masculino , Metronidazol/uso terapêutico , Minociclina/uso terapêutico , Dente Molar/irrigação sanguínea , Dente Molar/efeitos dos fármacos , Óxidos/uso terapêutico , Abscesso Periapical/tratamento farmacológico , Abscesso Periapical/terapia , Polivinil/uso terapêutico , Materiais Restauradores do Canal Radicular/uso terapêutico , Preparo de Canal Radicular/métodos , Silicatos/uso terapêutico , Ápice Dentário/irrigação sanguínea , Ápice Dentário/efeitos dos fármacos , Resultado do Tratamento , Óxido de Zinco/uso terapêuticoRESUMO
AIM: This was to investigate the effects of Klorhex, Tantum Verde, Kloroben, and Listerine on the discolouration of composite resin, compomer, giomer, and resin-modified glass ionomer. METHODS: Fifty disc-shaped specimens from each restorative material (n = 50) were prepared; initial colour values were measured with a spectrophotometer. Forty specimens from each group were placed in the four different types of mouthwashes (n = 10), while the remaining 10 specimens were immersed in distilled water for 2 min, twice a day for a period of 3 weeks. Colour change (ΔE*) values were obtained and the results were evaluated statistically. RESULTS: The ΔE* of composite resin in Klorhex (0.84 ± 0.37) was significantly lower than that of the other mouthwash groups. Moreover, composite resin showed the least colour change when compared with the other materials in all four mouthwashes. Resin-modified glass ionomer values were significantly higher in Tantum Verde (6.36 ± 2.82) when compared with the other mouthwashes (p < 0.05). Clinically appreciable discolourations were observed in the resin-modified glass ionomer specimens placed in Tantum Verde and Listerine. CONCLUSIONS: Nano-filling composite resins are the most successful aesthetic restorative materials, whereas the commonly used resin-modified glass ionomers exhibit more aesthetically divergent results following the use of mouthwashes.