Up to about twenty years ago, a practicable method for the treatment of the severe pathological hard tissue resorptions peculiar to primary teeth, such as internal root resorptions (IR) and the alveolar bone resorptions (BR) of periapical and interradicular lesions, had been unknown as an untouchable field, and therefore extraction had been obligatory. In order to solve the problem, established was the novel endodontic therapy, namely FC-CV therapy, which fell into three types treatments: typeI, typeII and typeIII.
The typeI treatment originally established is effective against the IR localized within a root canal and the IR perforating to cause the largely extended BR with abscess formation. The typeIItreatment is a kind of vital pulpotomy to which the typeIis applied. This type is effective against chronic coronal pulpitis and the acute, chronic apical periodontitis accompanied with largely extended BR due to abscesses in spite of root pulps remaining vital. The typeIII treatment is the root canal treatment based on the EBM of the typeIand II treatments and is effective against the acute, chronic apical periodontitis (resulting in necrotic pulps) complicated with largely extended BR caused by an abscess, a granuloma or a cyst. Surprisingly, these three treatments using formocresol (FC: containing 40% formalin, etc.) and Calvital
® (CV: containing 78.5% Ca(OH)
2 and 20.0% iodoform, etc.), can frequently bring about the rapid, complete regeneration of reparative hard tissues (e.g., reparative dentin and alveolar bone) in the resorbed and nonresorbed areas of the above-mentioned lesions, and so biologically desirable healing.
On the present therapy as introduced in this review, the procedures, techniques, radiographic findings and evaluations by means of clinico-radiographic follow-up examinations for 6 to 75 months postoperatively were shown. Moreover, the healing mechanism on the present lesions and the clinical significance were discussed. These results suggest that the present therapy enables many clinicians to relieve a lot of primary teeth requiring some sort of endodontic therapy from the premature loss of them.
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