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PEDIATRIC DENTISTRY SECTION

of optimally filled canals in deciduous teeth. Despite this, endodontic CONCLUSION
treatments in primary teeth have shown limited longevity. Bruna Pediatric dentistry is at a pivotal stage where past research is shaping
Soares da Silva et al.⁷, in a retrospective study, highlighted that treatment modalities, leading to the adoption of new, evidence-
endodontic re-treatment is a more conservative alternative for failed based approaches. Many clinicians may have already performed
endodontically treated primary teeth, significantly increasing tooth partial or full re-treatment pulp therapy or pulpectomies but have
retention. The physiological process of root resorption in primary not documented these cases. This clinical report represents the first
teeth, which facilitates natural exfoliation, adds complexity to both documented attempt at evaluating the prospective outcomes of Re-
initial treatments and potential re-treatments. Treatment Pulp Therapy, as well as the use of Flowable Nano-Cluster
Additionally, the use of Nano-Cluster flowable composites for Composite for restoration—offering a paradigm shift. We hope this
restoring endodontically treated deciduous teeth not only reduces paves the way for further large-scale studies to establish the efficacy of
treatment time but also enhances composite adaptation to tooth Re-Treatment Pulp Therapy in pediatric dentistry. n
structures due to their inherent properties.

Some of the above Clinical Photographs and follow-ups have been published in the Textbook of Pediatric Dentistry – Dr. Shobha Tandon- 3rd
Edition, Paras Medical Publishing House, and some of the others have been accepted for the forthcoming next Edition: Textbook of Clinical Pediatric
Dentistry – Dr. Shobha Tandon – 4th Edition (to be published shortly).
References:
1. Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: Part 1: Periapical
Health. Int Endod J 2011;44:583–609.
2. Torabinejad M, Corr R, Handysides R, Shabahang S. Outcomes of nonsurgical retreatment and endodontic surgery: A Systematic Review. J
Endod 2009;35:930–7.
3. Ng YL, Mann V, Gulabivala K. Outcome of secondary root canal treatment: A systematic review of the literature. Int Endod J
2008;41:1026–46.
4. Tabassum S, Khan FR. Failure of endodontic treatment: The usual suspects. Eur J Dent 2016;10:144-7.
5. Ye L, Cao L, Song W, Yang C, Tang Q, Yuan Z. Interaction between apical periodontitis and systemic disease (Review). Int J Mol Med. 2023
Jul;52(1):60.
6. Faghihian, Reyhaneh; Amini, Kiana; Tahririan, Dana,. Rotary versus Manual Instrumentation for Root Canal Preparation in Primary Teeth:
A Systematic Review and Meta-Analysis of Clinical Trials. Contemporary Clinical Dentistry 13(3): Pg. 197-204, Jul–Sep 2022.
7. Bruna Soares da Silva, Gabriel Ferreira Nicoloso, Luciana Fantinel Ruiz, Tiago André Fontoura de Melo, Luciano Casagrande. Does
Endodontic Re-Treatment in Primary Teeth Increase the Functional Tooth Retention? A Clinical, Retrospective, University-Based Study.
Pesquisa Brasileira em Odontopediatria e Clínica Integrada 2019, 19(1):e3902
8. Hajime Sasaki, Kimito Hirai, Christine Men Martins, Hisako Furusho, Ricardo Battaglino, and Koshi Hashimoto. Interrelationship between
Periapical Lesion and Systemic Metabolic Disorders.
9. 3MESPE: Material Data Safety Sheet.
ABOUT THE AUTHORS

Prof. Rajesh Ahal has done his Bachelor’s from College of Dental Surgery, Manipal under Mangalore
University in 1993. He was awarded Master’s in Pediatric Dentistry under M.A.H.E. University in 1996. He is
the recipient of Best Outgoing Student Award by the International College of Dentists’ in 1993 and was also
awarded a Merit Master’s program in Pediatric Dentistry. He was a Senior Resident at Dr. Ram Manohar Lohia
Hospital, New Delhi. He has been the Professor & Head of Department of Pediatric Dentistry from 2009 to
2017 at a private dental college at Jammu. He has been into Clinical Practice for 32 years now. He is also a
cycling enthusiast and also has many long-distance cycling events to his credit.

Dr. Ritu Ahal finished her Bachelor’s from Kurukshetra University and Master’s from Karaikudi University.
She has been practicing clinical dentistry since 27 years. She has previously contributed for dental related
textbooks and has been presenting at the local and national fora from time to time. She has also to her credit
many long distance cycling at the National level.
Both the Authors can be followed on FB, Instagram handles as well as their clinic handles.

ARTICLE CITATION
Rajesh Ahal, Ritu Ahal (2025). Re-treatment pulp therapy: An alternative therapy in pediatric dentistry. Dental Practice, 21(1), 20-28
28 Dental Practice I January-February 2025 I Vol 21 No 1