Pulp revascularization of immature dog teeth with apical periodontitis

J Endod. 2007 Jun;33(6):680-9. doi: 10.1016/j.joen.2007.03.001. Epub 2007 Apr 24.

Abstract

This study examined the ability of a collagen solution to aid revascularization of necrotic-infected root canals in immature dog teeth. Sixty immature teeth from 6 dogs were infected, disinfected, and randomized into experimental groups: 1: no further treatment; 2: blood in canal; 3: collagen solution in canal, 4: collagen solution + blood, and 5: negative controls (left for natural development). Uncorrected chi-square analysis of radiographic results showed no statistical differences (p >or= 0.05) between experimental groups regarding healing of radiolucencies but a borderline statistical difference (p = 0.058) for group 1 versus group 4 for radicular thickening. Group 2 showed significantly more apical closure than group 1 (p = 0.03) and a borderline statistical difference (p = 0.051) for group 3 versus group 1. Uncorrected chi-square analysis revealed that there were no statistical differences between experimental groups for histological results. However, some roots in each of groups 1 to 4 (previously infected) showed positive histologic outcomes (thickened walls in 43.9%, apical closure in 54.9%, and new luminal tissue in 29.3%). Revascularization of disinfected immature dog root canal systems is possible.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Chi-Square Distribution
  • Collagen Type I / pharmacology*
  • Dental Pulp / blood supply*
  • Dental Pulp Necrosis / physiopathology
  • Dogs
  • Neovascularization, Physiologic / drug effects*
  • Periapical Periodontitis / diagnostic imaging
  • Periapical Periodontitis / physiopathology*
  • Periapical Tissue / blood supply
  • Radiography
  • Tooth Apex / diagnostic imaging
  • Tooth Apex / growth & development*

Substances

  • Collagen Type I