Seguimiento de procedimientos endodónticos regenerativos (PER) posgrado de endodoncia de la universidad santo tomas, periodo 2010-2019

Abstract

Regenerative endodontic procedures (PER) are defined as biologically based procedures that aim to induce the replacement of affected structures, including dentin, root tissues, and cells of the dentin-pulp complex. Objectives: To describe the clinical and radiographic findings in regenerative endodontic procedures (PER), in the postgraduate endodontics clinic of the Santo Tomás University - Bogotá. Period 2010 - 2019. Method: A retrospective descriptive study of a series of cases was carried out. 10 patients met the selection criteria with 11 treated teeth. Results: 60% of the PER were performed in girls, the average age was 11.8 years; 72.7% of the cases had a history of dentoalveolar trauma and 27.3% caries, the most frequent diagnoses were pulpal necrosis and chronic apical abscess with 27.2% each. Pulpal revascularization was performed on 10 teeth. The most used irrigation protocol was 1% NaOCl and 17% EDTA. The most used intracanal medication was Hoshino's triantibiotic paste; The most widely used bioceramic was MTA. All 11 teeth were present in the mouth, 3 teeth had coronal pigmentation. Percussion, palpation, thermal and electrical sensitivity tests were negative; 8 teeth presented root elongation and thickening of the root canal walls, 9 teeth presented apical sealing, periapical scarring was observed in all teeth. Conclusions: The application of PER techniques improves the long-term prognosis of immature permanent teeth affected as a consequence of dentoalveolar trauma and pulpal and periapical pathologies.