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[Clinical study on prevention root absorption after teeth replantation with Vitapex paste]
1Department of General Dentistry, College of Stomatology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai 200011, China. hanjunli@sina.com
Shanghai Kou Qiang Yi Xue = Shanghai Journal of Stomatology
|September 28, 2010
Summary
Vitapex paste effectively prevents root absorption in replanted avulsed teeth. While calcium hydroxide (Ca(OH)₂) showed a slightly higher success rate, Vitapex offers easier handling and radiopacity for monitoring.
Area of Science:
- Dentistry
- Endodontics
- Dental Traumatology
Background:
- Tooth avulsion is a common dental emergency requiring prompt replantation.
- Preventing root resorption is crucial for the long-term success of replanted teeth.
- Calcium hydroxide (Ca(OH)₂) based pastes are commonly used to manage root canal treatment in avulsed teeth.
Purpose of the Study:
- To evaluate the efficacy of Vitapex paste in preventing root absorption after replantation of avulsed teeth.
- To compare Vitapex paste with calcium hydroxide (Ca(OH)₂) paste for root canal filling in avulsed teeth.
Main Methods:
- Thirty patients with 36 avulsed anterior teeth were treated.
- Teeth underwent pulpectomy and were randomly assigned to receive either Ca(OH)₂ paste or Vitapex paste for temporary root canal filling.
- Radiographic evaluation of root absorption was performed over a follow-up period.
Main Results:
- Both groups showed comparable success rates in preventing root absorption.
- Calcium hydroxide (Ca(OH)₂) group had a slightly higher success rate (88.9%) compared to Vitapex (83.3%) at one year.
- Vitapex paste combines the benefits of Ca(OH)₂ and iodoform, offering radiopacity for easy monitoring.
Conclusions:
- Vitapex paste is easily manipulated due to its injection style.
- Vitapex paste is an effective material for preventing root absorption in replanted avulsed teeth.
- Vitapex paste's radiopacity aids in assessing filling status and detecting root absorption.
