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Braz. oral res. (Online) ; 30(1): e74, 2016. tab, graf
Artículo en Inglés | LILACS | ID: biblio-952057

RESUMEN

Abstract Revascularization of immature teeth with necrotic pulps traditionally involves the use of triple antibiotic paste, which may sometimes lead to undesirable complications. The objective of this study was to assess tissue repair in immature dog teeth with apical periodontitis subjected to revascularization, comparing two different pastes used for root canal disinfection. Apical periodontitis was induced in 30 dog premolars. Teeth were randomly divided into three experimental groups: root canals filled with triple antibiotic paste (n = 10); root canals filled with 1% propolis paste (n = 10); and no medication (n = 10). An additional group (n = 10, no intervention) was used as control. After 7 months, the jaws were histologically evaluated for the following variables: newly formed mineralized tissue (present/absent); vital tissue in the canal space (absent/periodontal ligament-like/pulp-like); apical extension of root (present/absent); and severity of inflammatory process (absent/mild/moderate/severe). There were no statistically significant differences among the experimental groups in new mineralized tissue formation and apical root development. The formation of vital tissue in the canal space, in turn, was statistically different between the triple paste and propolis groups: vital tissues were present in all revascularized teeth disinfected with propolis paste (100%), compared to 71% of those disinfected with the triple paste. Severity of inflammatory process was different between the triple paste and no medication groups. The new tissues formed onto canal walls and in the root canal space showed characteristics of cementum and periodontal ligament, respectively. Propolis may have some advantages over the triple paste for the revascularization of immature teeth.


Asunto(s)
Animales , Perros , Periodontitis Periapical/tratamiento farmacológico , Própolis/farmacología , Irrigantes del Conducto Radicular/farmacología , Diente/irrigación sanguínea , Neovascularización Fisiológica/efectos de los fármacos , Necrosis de la Pulpa Dental/tratamiento farmacológico , Regeneración Tisular Dirigida/métodos , Antiinfecciosos/farmacología , Pomadas , Periodontitis Periapical/fisiopatología , Ligamento Periodontal/efectos de los fármacos , Própolis/uso terapéutico , Irrigantes del Conducto Radicular/uso terapéutico , Factores de Tiempo , Remineralización Dental/métodos , Distribución Aleatoria , Reproducibilidad de los Resultados , Resultado del Tratamiento , Necrosis de la Pulpa Dental/fisiopatología , Ápice del Diente/efectos de los fármacos , Ápice del Diente/fisiopatología , Pulpa Dental/efectos de los fármacos , Pulpa Dental/fisiopatología , Cavidad Pulpar/efectos de los fármacos , Cavidad Pulpar/fisiopatología , Dentina/efectos de los fármacos , Antiinfecciosos/uso terapéutico
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