Treatment of the young permanent tooth with a necrotic root canal system and an incompletely developed root is very difficult and challenging. Few acceptable results have been achieved through apexification but use of long-term calcium hydroxide might alter the mechanical properties of dentin. Thus, one alternative approach is to develop and restore a functional pulp-dentin complex. Procedures attempting to preserve the potentially remaining dental pulp stem cells and mesenchymal stem cells of the apical papilla can result in canal revascularization and the completion of root maturation. There are several advantages of promoting apexogenesis in immature teeth with open apices. It encourages a longer and thicker root to develop thus decreasing the propensity of long term root fracture. So, the present article reviews the recent approach of regeneration of pulp-dentin complex in immature permanent teeth.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.4317/medoral.17187 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Objectives: To evaluate the effect of orthodontic movement on traumatized teeth treated with the regenerative endodontic procedure (REP).
Materials And Methods: The increase of the radiographic root area (RRA) of each REP tooth was measured at each follow-up visit after the end of orthodontic treatment. The study included two experimental groups of patients aged 7-17 with REP-treated teeth.
Clinical efficacy of platelet-rich fibrin, injectable platelet-rich fibrin, and advanced platelet-rich fibrin in regenerative endodontics: A case series.
J Conserv Dent Endod
November 2024
Department of Conservative Dentistry and Endodontics, Inderprastha Dental College and Hospital, Ghaziabad, Uttar Pradesh, India.
Background: This series investigates the efficacy of regenerative endodontic therapy (RET) using various platelet-rich fibrin (PRF) formulations in treating apical periodontitis and necrotic pulp in immature permanent teeth.
Aim: This study aims to evaluate the effectiveness of different PRF formulations in RET.
Materials And Methods: Three cases involving patients aged 15-16 with immature teeth and necrotic pulp were treated with RET using PRF, injectable PRF, and advanced PRF.
Clinical and radiographic evaluation of two different apexification protocols in traumatized immature permanent incisors.
Ulus Travma Acil Cerrahi Derg
January 2025
Department of Pediatric Dentistry, Faculty of Dentistry, Istinye University, Istanbul-Türkiye.
Background: Dental trauma can cause damage to the pulp tissue in immature teeth. Revascularization therapy is a possible option in the treatment of non-vital, immature permanent teeth with a history of trauma. The aim of this prospective study was to evaluate the radiographic and clinical results of immature teeth with a history of trauma treated by regenerative endodontic procedures and mineral trioxide aggregate apexification techniques.
View Article and Find Full Text PDFRetreatment of Failed Regenerative Endodontic Therapy: Outcome and Treatment Considerations.
Cureus
December 2024
Endodontics, Galilee College of Dental Sciences, Nahariya, ISR.
Introduction Regenerative endodontic therapy (RET) has been suggested for treating immature necrotic teeth, and failures after RET may be observed during follow-up examinations, even two years after the initial treatment. The study aimed to examine the outcomes of RET and suggest a decision-making guide for the retreatment of failed cases. Methods Around 414 endodontically treated immature teeth from patients aged six and 17 were screened to identify eight patients who presented with a failed RET.
View Article and Find Full Text PDFEvaluation of Long-Term Clinical and Radiographic Prognosis of Avulsed Teeth: A Retrospective Study.
Dent Traumatol
January 2025
Department of Pediatric Dentistry, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.
Background/aim: Avulsion injuries have an uncertain prognosis. This study aims to evaluate periodontal ligament healing patterns and factors affecting the survival of replanted avulsed teeth.
Materials And Methods: In this retrospective study, data from 204 avulsed teeth in 143 children (mean age: 9.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!