The dental pulp is the only soft tissue structure within the tooth, serving functions such as sensation and nutrition. However, the dental pulp is highly susceptible to necrosis due to external factors. Currently, root canal therapy is the most commonly used treatment for pulp necrosis. Nevertheless, teeth treated with root canal therapy are prone to secondary infections and adverse outcomes like vertical root fractures. Regenerative endodontic therapy has emerged as a solution, aiming to replace damaged tooth structures, including dentin, root structure, and the pulp-dentin complex cells. This approach demonstrates significant advantages in addressing clinical symptoms and achieving regeneration of the root and even the pulp. Since the discovery of dental pulp stem cells, regenerative endodontic therapy has gained new momentum. Advances in cell transplantation and cell homing techniques have rapidly developed, showing promising potential for clinical applications.
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http://dx.doi.org/10.11817/j.issn.1672-7347.2024.240011 | DOI Listing |
Int J Surg Pathol
January 2025
Division of Pathology, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, Saitama, Japan.
Median mandibular cyst is defined as an odontogenic cyst in a rare midline location. In spite of this definition, there have been two reports of a peculiar lesion, so-called "ciliated" median mandibular cyst associated with vital teeth, the origin of which cannot be explained in terms of odontogenic epithelium multipotentiality. We describe a thorough profile of an additional example.
View Article and Find Full Text PDFInt J Clin Pediatr Dent
November 2024
Department of Pediatric and Preventive Dentistry, Shree Guru Gobind Singh Tricentenary Dental College, Hospital and Research Institute, Gurugram, Haryana, India.
Aim: The present case-control study was planned to assess the comparative efficacy of resin-modified calcium silicate, resin-modified glass ionomer, and Dycal as pulp capping agents in indirect pulp therapy for deeply carious young permanent molars.
Materials And Methods: Thirty deeply carious young posterior teeth were treated by indirect pulp therapy. During the treatment, the cavity floor was lined with TheraCal or resin-modified glass ionomer cement (RMGIC) in the study group and with Dycal (control group) followed by GC IX and composite restoration.
Int J Clin Pediatr Dent
November 2024
Department of Pedodontics and Preventive Dentistry, Haldia Institute of Dental Sciences and Research, West Bengal University of Health Sciences, Kolkata, West Bengal, India.
Context: Pulpectomy is recommended for primary teeth when both the coronal and radicular pulp tissues are irreversibly damaged. Biomechanical preparation of root canals is essential for the success of endodontic treatment. Achieving the optimal length during obturation while minimizing voids and ensuring a hermetic seal is crucial for the success of pulpectomy procedures.
View Article and Find Full Text PDFJ Transl Med
January 2025
Dental School, The University of Western Australia, 17 Monash Avenue, Nedlands, WA, 6009, Australia.
Background: Treatment of deep carious lesions poses significant challenges in dentistry, as complete lesion removal risks compromising pulp vitality, while selective removal often reduces the longevity of restorations. Herein, we propose a minimally invasive approach using High-Intensity Focused Ultrasound (HIFU) for microscale removal of carious dentine. Concurrently, HIFU's antimicrobial effects against associated cariogenic biofilms and the corresponding thermal and biological impacts on surrounding tissues were investigated.
View Article and Find Full Text PDFJ Dent
January 2025
The department of pediatric dentistry and dental public health, faculty of dentistry, Ain Shams university. Organization of African Unity St. Abbasia - Cairo, Egypt, Post No. 11566. Electronic address:
Objectives: This study aims to compare the clinical performance of 3D printed endocrowns (ECs) and prefabricated zirconia crowns (PZRCs) in restoring pulpotomized primary molars, over 3, 6, and 12 months.
Methods: Thirty pulpotomized mandibular primary molars in 16 children aged 4-8 years were randomized with a 1:1 allocation ratio into two groups: group (A), PZRCs, and group (B), 3D-printed ECs. All restorations were evaluated for esthetic, functional, and biological properties using FDI criteria at 3-, 6-, and 12-month intervals.
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