Pulp canal calcification in young permanent teeth that have undergone vital pulp therapy: A review

IF 0.6 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pediatric Dental Journal Pub Date : 2023-12-01 DOI:10.1016/j.pdj.2023.05.003

Akarapong Boontankun, Chanika Manmontri, Nattakan Chaipattanawan, Papimon Chompu-inwai

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Abstract

Background

Studies have demonstrated high success rates of vital pulp therapy (VPT) in young patients; however, pulp canal calcification (PCC) is one of the most concerning complications in teeth that have undergone VPT. Currently, there is limited evidence regarding PCC in VPT-treated teeth.

Objective

This paper aimed to review the incidence of PCC and its associated complications, the factors that may influence PCC, and describe the clinical management of PCC in teeth that have undergone VPT.

Results

Previous studies have reported PCC incidences of 0%–45.0%, and factors that may be associated with the incidence and magnitude of PCC include preoperative diagnosis of the tooth, stage of root development, type of VPT, pulp dressing material, and follow-up period. However, the evidence on the complications of PCC in VPT-treated teeth is insufficient, and there is debate regarding PCC management.

Conclusions

Further research in this area will aid in the development of appropriate management strategies for PCC in VPT-treated teeth.

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经过重要牙髓治疗的年轻恒牙的牙髓管钙化：综述

背景研究表明，年轻患者接受活髓治疗（VPT）的成功率很高；然而，牙髓管钙化（PCC）是接受 VPT 治疗的牙齿最令人担忧的并发症之一。本文旨在回顾 PCC 及其相关并发症的发生率、可能影响 PCC 的因素，并描述接受过 VPT 治疗的牙齿出现 PCC 时的临床处理方法。结果之前的研究报道 PCC 的发生率为 0%-45.0%，可能与 PCC 的发生率和程度相关的因素包括术前对牙齿的诊断、牙根发育阶段、VPT 的类型、牙髓敷料材料和随访时间。结论在这一领域的进一步研究将有助于为 VPT 治疗牙的 PCC 制定适当的管理策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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