The effect on the pulp-dentin system by chlorhexidine 0.2% in comparison to the physiological sodium chloride solution was investigated in animal experiments. The methods of tests were based on the requirements of FDI 1980. After 3, 21, 70 and 90 days the teeth were extracted and prepared for histological studies. The evaluation of the histological preparations including measurement on the residual dentin layer was achieved by light microscopy. Differences in the pulp reaction after treatment of the teeth with chlorhexidine or sodium chloride solution could not be observed. The changes of pulp tissue were slight to moderate and depended on the residual dentin layer. The cavity cleaning with chlorhexidine 0.2% did not cause any additional damage in the pulp.
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Cureus
November 2024
Endodontics, Private Clinic, Khobar, SAU.
Regenerative endodontics is a rapidly evolving discipline focused on biologically restoring the pulp-dentin complex to revive vitality in non-vital teeth. Unlike traditional endodontic therapies that rely on inert materials to preserve structure, regenerative techniques aim to re-establish natural structure and function by harnessing advancements in tissue engineering. This narrative review examines recent progress in stem cell applications, scaffold development, signaling molecules, and clinical protocols that contribute to successful regenerative outcomes.
View Article and Find Full Text PDFJ Dent Res
April 2024
Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.
The quest for finding a suitable scaffold system that supports cell survival and function and, ultimately, the regeneration of the pulp-dentin complex remains challenging. Herein, we hypothesized that dental pulp stem cells (DPSCs) encapsulated in a collagen-based hydrogel with varying stiffness would regenerate functional dental pulp and dentin when concentrically injected into the tooth slices. Collagen hydrogels with concentrations of 3 mg/mL (Col3) and 10 mg/mL (Col10) were prepared, and their stiffness and microstructure were assessed using a rheometer and scanning electron microscopy, respectively.
View Article and Find Full Text PDFStem Cell Res Ther
January 2024
Section of Regenerative Dental Medicine, National Center for Geriatrics and Gerontology, Research Institute, Geroscience Research Center, 7-430 Morioka, Obu, Aichi, 474-8511, Japan.
Background: Application of pulp regenerative cell therapy for mature teeth with periapical lesions is a critical clinical challenge. The bacterial infection in inaccessible location within the root canal system and in the periapical lesions could cause resistance and impediment, leading to limitations in successful therapy. Thus, the aim of this study was to examine the effect of residual bacteria on the outcome of pulp regeneration in mature teeth with apical periodontitis in dogs.
View Article and Find Full Text PDFJ Biomater Appl
August 2023
Interdisciplinary Research Centre in Biomedical Materials (IRCBM), COMSATS University Islamabad, Lahore Campus, Lahore, Pakistan.
Pulp-Dentin regeneration is a key aspect of maintain tooth vitality and enabling good oral-systemic health. This study aimed to investigate a nanofibrous scaffold loaded with a small molecule i.e.
View Article and Find Full Text PDFIndian J Dent Res
July 2023
Department of Pediatric and Preventive Dentistry, Meghna Dental College, Nizamabad, Telangana, India.
Background: The success of pulpectomy depends on complete eradication of microbial load by cleaning and shaping the primary root canals that is difficult to achieve because of anatomical intricacy of primary pulp dentin complex. Numerous instruments were tried, however, they proved to be inadequate. Selfadjusting file (SAF) is a newer file system that facilitates less dentin removal with maximal cleansing of root canals.
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