TREATMENT OF TOOTH DISCOLORATION ASSOCIATED WITH TRIPLE ANTIBIOTIC THERAPY: CASE REPORTS (미성숙영구치의 복합항생제 적용에 의한 변색의 처치: 증례보고)

박소연; Kim, Young J (김영재); Kim, JungWook (김정욱); Jang, KiTaeg (장기택); Sang-Hoon Lee (이상훈); 김종철; 한세현; Hong-Keun Hyun (현홍근)

TREATMENT OF TOOTH DISCOLORATION ASSOCIATED WITH TRIPLE ANTIBIOTIC THERAPY: CASE REPORTS

Journal of the Korean academy of pediatric dentistry
Abbr : J Korean Acad Pediatr Dent
2012, 39(1), pp.43-50
Publisher : The Korean Academy Of Pediatric Dentistry
Research Area : Medicine and Pharmacy > Dentistry

박소연 ¹, Kim, Young J ¹, Kim, JungWook ¹, Jang, KiTaeg ¹, Sang-Hoon Lee ¹, 김종철 ¹, 한세현 ¹, Hong-Keun Hyun ¹

¹서울대학교

Accredited

ABSTRACT

The concept of revascularization of necrotic pulps regained interest and became an alternative conservative treatment option for young permanent teeth with immature roots. Revascularization of immature teeth with apical periodontitis depends mainly on disinfection of the canal. Since the infection of the root canal system is considered to be polymicrobial, a combination of drugs would be needed to treat the diverse flora. A triple antibiotic mixture of metronidazole, ciprofloxacin, and minocycline was used as an intracanal medicament. However, discoloration was developed after applying the triple antibiotic mixture. It is believed that the marked discoloration is related to the use of minocycline. The aim of this article was to present cases of coronal discoloration after triple antibiotic therapy in immature tooth and was treated with bleaching technique to control coronal discoloration. In conclusion, revascularization by using triple antibiotics promotes a paradigm shift in treating endodontically involved permanent teeth. However, we should understand that triple antibiotics containing minocycline induces tooth discoloration. Further research to prevent coronal discoloration should be investigated and suggested for the safe use of triple antibiotics.

KEYWORDS

Triple antibiotics, Metronidazole, Minocycline, Ciprofloxacin, Crown discoloration, Bleaching

Citation status

* References for papers published after 2023 are currently being built.

[journal] Huang GT / 2008 / A paradigm shift in endodontic management of immature teeth: Conservation of stem cells for regeneration / J Dent 36 : 379~386

[journal] Iwaya SI / 2001 / Revascularization of an immature permanent tooth with apical periodontitis and sinus tract / Dent Traumatol 17 : 185~187

[journal] Banchs F / 2004 / Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol? / J Endod 30 : 196~200

[journal] 김소정 / 2011 / TREATMENT OF IMMATURE TEETH WITH A 3-MIX PASTE: CASE REPORT / 대한소아치과학회지 / 대한소아치과학회 38(1) : 44~50

[journal] 윤영미 / 2011 / CONSERVATIVE ENDODONTIC TREATMENT OF PERMANENT TEETH WITH PERIAPICAL LESIONS : CASE REPORTS / 대한소아치과학회지 / 대한소아치과학회 38(3) : 276~283

[journal] Windley W / 2005 / Disinfection of immature teeth with a triple antibiotic paste / J Endod 31 : 439~443

[journal] Hoshino E / 1996 / In-vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin, metronidazole and minocycline / Int Endod J 29 : 125~130

[journal] Sato I / 1996 / Sterilization of infected root-canal dentine by topical application of a mixture of ciprofloxacin, metronidazole and minocycline in situ / Int Endod J 29 : 118~124

[journal] Trope M / 2010 / Treatment of the immature tooth with a non-vital pulp and apical periodontitis / Dent Clin N Am 54 : 313~324

[journal] Hattab FN / 1999 / Dental discoloration: An overview / J Esthet Dent 11 : 291~310

[journal] Cheek CC / 1999 / Dental and oral discolorations associated with minocycline and other tetracycline analogs / J Esthet Dent 11 : 43~48

[journal] McKenna BE / 1999 / Minocycline-induced staining of the adult permanent dentition: a review of the literature and report of a case / Dent Update 26 : 160~162

[journal] redwin CJ / 2005 / Druginduced disorders of teeth / J Dent Res 84 : 596~602

[journal] Kim ST / 2000 / The effects of Ledermix paste on discolouration of mature teeth / Int Endod J 33 : 227~232

[journal] Kim JH / 2010 / Tooth Discoloration of immature permanent incisor associated with triple antibiotic therapy: A case report / J Endod 36 : 1086~1091

[book] 권소란 / 2002 / 치아미백과 심미수복 / 지성출판사 : 159~163

[book] Sheets CG / 2002 / Tooth-whitening modalities for pulpless and discolored teeth, In Pathway of the pulp. 8th ed / St.Louis, Missouri : 749~764

[journal] Brown G / 1965 / Factors influencing successful bleaching of the discolored root-filled tooth / Oral Surg Oral Med Oral Pathol 20 : 238~244

[journal] Reynolds K / 2009 / Pulp revascularization of necrotic bilateral bicuspids using a modified novel technique to eliminate potential coronal discolouration: a case report / Int Endod J 42 : 84~92

[book] 須田英明 / 2008 / テクニックのコンビネ一ション- / デンタルダイヤモンド社 : 20~35

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Journal of the Korean academy of pediatric dentistry 2023 KCI Impact Factor : 0.48