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An uncommon type of segmental root development after revitalization
1Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology, Beijing, China.
International Endodontic Journal
|August 12, 2020
Summary
Segmental root development, an uncommon outcome of endodontic revitalization, occurs when the apical root segment detaches and develops separately. This phenomenon, seen after trauma or inflammation, impacts root growth potential.
Area of Science:
- Endodontics
- Regenerative dentistry
- Dental traumatology
Background:
- Endodontic revitalization aims to promote continued root development in immature teeth.
- Segmental root development is an uncommon complication observed post-revitalization.
Observation:
- Four cases of immature teeth with extensive periapical lesions (trauma or dens evaginatus fracture) underwent revitalization.
- An unusual segmental root development was noted, where the apical root segment detached and developed independently.
Findings:
- The detached apical segments showed normal root tip morphology and structure.
- Main root body development ceased in all cases, but teeth remained functional and asymptomatic.
- Positive responses to electrical pulp tests were observed in two cases during follow-up.
Implications:
- Severe trauma or periapical lesions can displace Hertwig's epithelial root sheath and apical papilla, leading to segmental root development.
- This condition precludes normal root maturation; clinicians must consider this possibility in cases of severe dental trauma.
- Gentle revitalization techniques are crucial to protect apical structures and prevent iatrogenic abnormal root development.
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