Management of permanent teeth with necrotic pulps and open apices according to the stage of root development
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Management of permanent teeth with necrotic pulps and open apices according to the stage of root development

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Management of permanent teeth with necrotic pulps and open apices according to the stage of root development

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dc.contributor.author Plascencia, Hugo es
dc.contributor.author Díaz Haro, Ana es
dc.contributor.author Gascón, Gerardo es
dc.contributor.author Garduño, Susana es
dc.contributor.author Guerrero Bobadilla, Carlos es
dc.contributor.author Márquez-De Alba, Salvador es
dc.contributor.author González-Barba, Geovani es
dc.date.accessioned 2018-02-28T11:26:55Z
dc.date.available 2018-02-28T11:26:55Z
dc.date.issued 2017 es
dc.identifier.uri http://hdl.handle.net/10550/65073
dc.description.abstract This paper analyzed the distribution of treatments for permanent teeth with necrotic pulps and open apices according to the stage of root development. Dental records from all root canal procedures performed in permanent teeth with necrotic pulps and open apices over a period of 14 years by residents of the Speciality of Endodontics, University of Guadalajara, Mexico, were analized. Records from 206 treatments were mainly divided into the following 3 different stages according to criteria described by Cvek: stage IV (n = 79, 38.3%), stage V (n = 66, 32%) and stage III (n = 53, 25.7%). Few cases involved the initial stages of root development (stages I and II) (n = 8, 3.8%). Such teeth were submitted to four different treatments: MTA apical barrier (n = 69), Ca(OH)2 replacements (n = 34), gutta-percha (n = 67) and a plug of Ca(OH)2/gutta-percha (n = 36). The teeth with intermediate root development (Cvek stage III) showed a predilection for the MTA apical barrier and Ca(OH)2 replacement techniques (P ? 0.001). Furthermore, the stage of root development did not influence the apical extent of the root filling. The finding of permanent teeth with necrotic pulp and open apices is not exclusive to young patients with an open apex. Moreover, teeth with fragile, irregular and divergent apical morphologies, such as Cvek?s stages´ I and II, were not common and may be considered to be unusual findings. The diverse endodontic procedures were reliable regardless of the stage of root development. es
dc.source Plascencia, Hugo ; Díaz Haro, Ana ; Gascón, Gerardo ; Garduño, Susana ; Guerrero Bobadilla, Carlos ; Márquez-De Alba, Salvador ; González-Barba, Geovani. Management of permanent teeth with necrotic pulps and open apices according to the stage of root development. En: Journal of Clinical and Experimental Dentistry, 9 11 2017: 1329-1339 es
dc.title Management of permanent teeth with necrotic pulps and open apices according to the stage of root development es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/jced.54287 es

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