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Prevention of tooth discoloration associated with triple antibiotics


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Prevention of tooth discoloration associated with triple antibiotics

Article information

Restor Dent Endod. 2012;37(2):119-122
Publication date (electronic) : 2012 May 18
doi : https://doi.org/10.5395/rde.2012.37.2.119
Bona Kim, DDS, Min-Ju Song, DDS, MS, Su-Jung Shin, DDS, PhD, Jeong-Won Park, DDS, PhD
Department of Conservative Dentistry, Gangnam Severance Dental Hospital, Yonsei University College of Dentisty, Seoul, Korea.
Correspondence to Jeong-Won Park, DDS, PhD. Professor, Department of Conservative Dentistry, Yonsei University College of Dentistry, 712 Unjuro Dogok-dong Gangnam-gu, Seoul, Korea 135-720. TEL, +82-2-2019-1350; FAX, +82-2-3463-4052; pjw@yuhs.ac
Received 2011 December 29; Revised 2012 March 07; Accepted 2012 March 15.

Abstract

Regenerative endodontics has a potential to heal a partially necrotic pulp, which can be beneficial for the continued root development and strengthening of immature teeth. For this purpose, triple antibiotic mixture of ciprofloxacin, metronidazole, and minocycline was recommended as intracanal medicament in an attempt to disinfect the root canal system for revascularization of a tooth with a necrotic pulp. However, discoloration of the tooth was reported after applying this. This case shows the idea for preventing the tooth discoloration using a delivery syringe (SW-O-01, Shinwoo dental) to avoid the contact between the clinical crown and the antibiotics.

Keywords: Delivery syringe; Discoloration; Minocycline; Regenerative endodontics; Triple antibiotics

Notes

No potential conflict of interest relevant to this article was reported.

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Article information Continued

©Copyights 2012. The Korean Academy of Conservative Dentistry.
(open-access) :

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figure 1

Figure 1

Intraoral photographs. (a) Initial visit. Fracture of dens evaginatus was seen; (b) After triple antibiotics application; (c) 4 month follow-up after completion of the treatment. No discoloration was observed; (d) 1 year follow-up.

Figure 2

Figure 2

Periapical radiographs. (a) Initial visit. Periapical radiolucency and dens evaginatus was seen on #35; (b) After MTA filling and resin core;. (c) 4 month follow-up. Apical radiolucency was decreased and also the apical root growing is observed; (d) 8 month follow-up. Apical dentin was thickened and continuous lamina dura is observed; (e) 1 year follow-up. Apical bone regeneration was completed and apical closure is observed. MTA, mineral trioxide aggregate.

Figure 3

Figure 3

Metal tip delivery system filled with triple antibiotics. The rubber stop was used as a reference marker for applying the medicament under the clinical crown. The length of the needle was set 2 mm longer than the clinical crown.