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Braz. oral res. (Online) ; 30(1): e74, 2016. tab, graf
Artigo em Inglês | LILACS | ID: biblio-952057

RESUMO

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.


Assuntos
Animais , Cães , Periodontite Periapical/tratamento farmacológico , Própole/farmacologia , Irrigantes do Canal Radicular/farmacologia , Dente/irrigação sanguínea , Neovascularização Fisiológica/efeitos dos fármacos , Necrose da Polpa Dentária/tratamento farmacológico , Regeneração Tecidual Guiada/métodos , Anti-Infecciosos/farmacologia , Pomadas , Periodontite Periapical/fisiopatologia , Ligamento Periodontal/efeitos dos fármacos , Própole/uso terapêutico , Irrigantes do Canal Radicular/uso terapêutico , Fatores de Tempo , Remineralização Dentária/métodos , Distribuição Aleatória , Reprodutibilidade dos Testes , Resultado do Tratamento , Necrose da Polpa Dentária/fisiopatologia , Ápice Dentário/efeitos dos fármacos , Ápice Dentário/fisiopatologia , Polpa Dentária/efeitos dos fármacos , Polpa Dentária/fisiopatologia , Cavidade Pulpar/efeitos dos fármacos , Cavidade Pulpar/fisiopatologia , Dentina/efeitos dos fármacos , Anti-Infecciosos/uso terapêutico
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