KNOWLEDGE ATTITUDE AND PRACTICE SURVEY ON MANAGEMENT OF NECROTIC IMMATURE PERMANENT TEETH
DOI:
https://doi.org/10.61841/c7w6k021Keywords:
Apexification, Regenerative endodontics, Revascularization, Stem cellsAbstract
Necrotic immature permanent tooth presents a distinctive challenge for the endodontist. Various treatment modalities have been employed to create hard tissue barriers at the apex, Regenerative endodontics is a novel modality which involves physiological replacement of the damaged structures of tooth like dentin, root and cells of the pulp-dentin complex. The aim of this survey was to study the level of awareness, current state of knowledge and opinions towards management of immature necrotic permanent teeth amongst the dental students. An online survey was done with the structured questionnaire based on knowledge, attitude, practice and it was distributed among 100 undergraduate students via electronic media. Data entry was done in the Excel sheet and SPSS software was used to analyze the data. The descriptive statistics were used to determine the responses given by the participants. We received 100 responses from the participants; the majority of the participants are interns (50%). The data from this survey revealed inadequate knowledge of dental students towards management of immature necrotic permanent teeth. Moreover, there is a need to conduct more seminars, CDE and workshop programmes to improve knowledge regarding management of necrotic immature permanent teeth.
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1. Chueh L-H, Ho Y-C, Kuo T-C, Lai W-H, Chen Y-HM, Chiang C-P. Regenerative Endodontic Treatment
for Necrotic Immature Permanent Teeth. J Endod. 2009 Feb 1;35(2):160–4.
2. Banchs F, Trope M. Revascularization of Immature Permanent Teeth With Apical Periodontitis: New
Treatment Protocol? J Endod. 2004 Apr 1;30(4):196–200.
3. Petrino JA, Boda KK, Shambarger S, Bowles WR, McClanahan SB. Challenges in Regenerative
Endodontics: A Case Series. J Endod. 2010 Mar 1;36(3):536–41.
4. Al Qahtani SS, Aziz S, Al Garni H, Alaenazi MS, Others. What opinions do Saudi endodontic residents
hold about regenerative endodontics? Saudi Endodontic Journal. 2019;9(1):1.
5. Al Ansary MAD, Day PF, Duggal MS, Brunton PA. Interventions for treating traumatized necrotic
immature permanent anterior teeth: inducing a calcific barrier & root strengthening. Dent Traumatol. 2009
Aug;25(4):367–79.
6. Doyon GE, Dumsha T, von Fraunhofer JA. Fracture Resistance of Human Root Dentin Exposed to
Intracanal Calcium Hydroxide. J Endod. 2005 Dec 1;31(12):895–7.
7. Nosrat A, Seifi A, Asgary S. Regenerative Endodontic Treatment (Revascularization) for Necrotic
Immature Permanent Molars: A Review and Report of Two Cases with a New Biomaterial. J Endod. 2011
Apr 1;37(4):562–7.
8. Kahler SL, Shetty S, Andreasen FM, Kahler B. The Effect of Long-term Dressing with Calcium
Hydroxide on the Fracture Susceptibility of Teeth. J Endod. 2018 Mar 1;44(3):464–9.
9. Cehreli ZC, Isbitiren B, Sara S, Erbas G. Regenerative Endodontic Treatment (Revascularization) of
Immature Necrotic Molars Medicated with Calcium Hydroxide: A Case Series. J Endod. 2011 Sep
1;37(9):1327–30.
10. Mente J, Hage N, Pfefferle T, Koch MJ, Dreyhaupt J, Staehle HJ, et al. Mineral Trioxide Aggregate
Apical Plugs in Teeth with Open Apical Foramina: A Retrospective Analysis of Treatment Outcome. J
Endod. 2009 Oct 1;35(10):1354–8.
11. Yang M. Regenerative endodontics: a new treatment modality for pulp regeneration. JSM Dent.
2013;1(2):10–1.
12. Cordeiro MM, Dong Z, Kaneko T, Zhang Z, Miyazawa M, Shi S, et al. Dental Pulp Tissue Engineering
with Stem Cells from Exfoliated Deciduous Teeth. J Endod. 2008 Aug 1;34(8):962–9.
13. Kim SG, Zhou J, Solomon C, Zheng Y, Suzuki T, Chen M, et al. Effects of Growth Factors on Dental Stem/Progenitor Cells. Dent Clin North Am. 2012 Jul 1;56(3):563–75.
14. Goodis HE, Kinaia BM, Kinaia AM, Chogle SMA. Regenerative Endodontics and Tissue Engineering:
What the Future Holds? Dent Clin North Am. 2012 Jul 1;56(3):677–89.
15. Torabinejad M, Turman M. Revitalization of Tooth with Necrotic Pulp and Open Apex by Using Plateletrich Plasma: A Case Report. J Endod. 2011 Feb 1;37(2):265–8.
16. Ramanathan S, Solete P. Cone-beam Computed Tomography Evaluation of Root Canal Preparation using
Various Rotary Instruments: An in vitro Study. J Contemp Dent Pract. 2015;16(11):869–72.
17. Siddique R, Sureshbabu NM, Somasundaram J, Jacob B, Selvam D. Qualitative and quantitative analysis
of precipitate formation following interaction of chlorhexidine with sodium hypochlorite, neem, and tulsi.
J Conserv Dent. 2019;22(1):40.
18. Rajendran R, Kunjusankaran RN, Sandhya R, Anilkumar A, Santhosh R, Patil SR. Comparative
Evaluation of Remineralizing Potential of a Paste Containing Bioactive Glass and a Topical Cream
Containing Casein Phosphopeptide-Amorphous Calcium Phosphate: An in Vitro Study. Pesqui Bras
Odontopediatria Clin Integr [Internet]. 2019;19. Available from:
http://www.scielo.br/scielo.php?pid=S1983-46322019000100364&script=sci_arttext
19. Noor S, Others. Chlorhexidine: Its properties and effects. Research Journal of Pharmacy and Technology.
2016;9(10):1755–60.
20. Teja KV, Ramesh S, Priya V. Regulation of matrix metalloproteinase-3 gene expression in inflammation:
A molecular study. J Conserv Dent. 2018;21(6):592.
21. Mahalakshmi Nandakumar IN. Comparative evaluation of grape seed and cranberry extracts in preventing
enamel erosion: An optical emission spectrometric analysis. J Conserv Dent. 2018;21(5):516.
22. Rajakeerthi R, Ms N. Natural Product as the Storage medium for an avulsed tooth--A Systematic Review.
Cumhuriyet Dental Journal. 2019;22(2):249–56.
23. Kumar D, Antony S. Calcified Canal and Negotiation-A Review. Research Journal of Pharmacy and
Technology. 2018;11(8):3727–30.
24. Teja KV, Ramesh S. Shape optimal and clean more. Saudi Endodontic Journal. 2019 Sep 1;9(3):235.
25. Ravinthar K, Others. Recent Advancements in Laminates and Veneers in Dentistry. Research Journal of
Pharmacy and Technology. 2018;11(2):785–7.
26. Jose J, Subbaiyan H. Different Treatment Modalities followed by Dental Practitioners for Ellis Class 2
Fracture–A Questionnaire-based Survey. Open Dent J [Internet]. 2020; Available from:
https://opendentistryjournal.com/VOLUME/14/PAGE/59/FULLTEXT/
27. Manohar MP, Sharma S. A survey of the knowledge, attitude, and awareness about the principal choice of
intracanal medicaments among the general dental practitioners and nonendodontic specialists. Indian J
Dent Res. 2018 Nov 1;29(6):716.
28. Ramamoorthi S, Nivedhitha MS, Divyanand MJ. Comparative evaluation of postoperative pain after using
endodontic needle and EndoActivator during root canal irrigation: a randomised controlled trial. Aust
Endod J. 2015;41(2):78–87.
29. Hussainy SN, Nasim I, Thomas T, Ranjan M. Clinical performance of resin-modified glass ionomer
cement, flowable composite, and polyacid-modified resin composite in Non carious cervical lesions: One year follow-up. J Conserv Dent. 2018;21(5):510.
30. Janani K, Palanivelu A, Sandhya R. Diagnostic accuracy of dental pulse oximeter with customized sensor holder, thermal test and electric pulp test for the evaluation of pulp vitality: an in vivo study. Brazilian Dental Science. 2020;23(1):8.
31. Bose R, Nummikoski P, Hargreaves K. A Retrospective Evaluation of Radiographic Outcomes in
Immature Teeth With Necrotic Root Canal Systems Treated With Regenerative Endodontic Procedures. J
Endod. 2009 Oct 1;35(10):1343–9.
32. Jeeruphan T, Jantarat J, Yanpiset K, Suwannapan L, Khewsawai P, Hargreaves KM. Mahidol Study 1:
Comparison of Radiographic and Survival Outcomes of Immature Teeth Treated with Either Regenerative
Endodontic or Apexification Methods: A Retrospective Study. J Endod. 2012 Oct 1;38(10):1330–6.
33. Ohazama A, Modino SAC, Miletich I, Sharpe PT. Stem-cell-based Tissue Engineering of Murine Teeth. J
Dent Res. 2004 Jul 1;83(7):518–22.
34. Young CS, Abukawa H, Asrican R, Ravens M, Troulis MJ, Kaban LB, et al. Tissue-Engineered Hybrid
Tooth and Bone. Tissue Eng. 2005 Sep 1;11(9-10):1599–610.
35. Iwaya S-I, Ikawa M, Kubota M. Revascularization of an immature permanent tooth with apical
periodontitis and sinus tract. Dent Traumatol. 2001 Aug;17(4):185–7.
36. Friedman S, Mor C. The success of endodontic therapy healing and functionality. CDA J.
2004;32(6):493–503.
37. Saoud TMA, Zaazou A, Nabil A, Moussa S, Lin LM, Gibbs JL. Clinical and Radiographic Outcomes of
Traumatized Immature Permanent Necrotic Teeth after Revascularization/Revitalization Therapy. J
Endod. 2014 Dec 1;40(12):1946–52.
38. Sharma S, Mittal N. A comparative evaluation of natural and artificial scaffolds in regenerative
endodontics: A clinical study. Saudi Endodontic Journal. 2016 Jan 1;6(1):9.
39. Manguno C, Murray PE, Howard C, Madras J, Mangan S, Namerow KN. A survey of dental residents’
expectations for regenerative endodontics. J Endod. 2012;38(2):137–43.
40. Bukhari S, Kohli MR, Setzer F, Karabucak B. Outcome of Revascularization Procedure: A Retrospective
Case Series. J Endod. 2016 Dec 1;42(12):1752–9.
41. Almutairi W, Yassen GH, Aminoshariae A, Williams KA, Mickel A. Regenerative Endodontics: A
Systematic Analysis of the Failed Cases. J Endod. 2019 May 1;45(5):567–77.
42. Utneja S, Nawal RR, Ansari MI, Talwar S, Verma M. A survey of attitude and opinions of endodontic
residents towards regenerative endodontics. J Conserv Dent. 2013 Jul;16(4):314–8.
43. Farhat Yaasmeen Sadique Basha, Rajeshkumar S, Lakshmi T, Anti-inflammatory activity of Myristica
fragrans extract. Int. J. Res. Pharm. Sci., 2019 ;10(4), 3118-3120 DOI:
https://doi.org/10.26452/ijrps.v10i4.1607
44. Ng Y-L, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment:
systematic review of the literature--Part 2. Influence of clinical factors. Int Endod J. 2008;41(1):6–31.
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