IADR Abstract Archives
Key factors in pulp revascularization of necrotic immature permanent teeth: A systematic review.
Objectives: The management of pulpal necrosis in immature permanent teeth constitute a real clinical challenge; usual apexification procedure with calcium hydroxide paste is performed in order to induce the formation of a calcified barrier. However, as apexification may lead to the weakening of the root, many authors introduce a new technique of Regenerative Endodontic Therapy which has been defined as “biologically based procedures designed to replace damaged structures, including dentin and root structures, as well as cells of the pulp-dentin complex’’.
This paper aimed to look for the main Considerations for Clinical Pulp Revascularization Procedures, through a systematic review of literature.
Methods: The methodology was based on systematic search of scientific papers by screening the main databases such as Pubmed (Medline), Sciencedirect and Cochrane Library, including manual searches for the references. The following Specific “MeSH terms” were used for the literature search: « Immature Permanent Tooth », « Pulp Revascularization», « Dental Pulp Necrosis », « Therapeutics », « Tissu Regeneration » and « Stem Cells ».
Results: From the systematic search, 1624 articles were identified including 52 papers from hand search; Preliminary analysis and exclusion of duplicates excluded 1589 papers. From the remained 35 studies, exclusion criteria also eliminated 26; nine remained for evaluation. These nine papers formed the basis of this review.
Conclusions: The analysis of selected papers revealed that despite successful published clinical cases, some aspects remain unknown, like the key factors of this positive outcome. It also revealed that there is no single recommended protocol; some features of cases with successful clinical outcomes were underlined like Young patient, Minimal instrumentation of the canal, Placement of an intracanal medicament, Inducing bleeding into the canal and Effective coronal seal.
This paper aimed to look for the main Considerations for Clinical Pulp Revascularization Procedures, through a systematic review of literature.
Methods: The methodology was based on systematic search of scientific papers by screening the main databases such as Pubmed (Medline), Sciencedirect and Cochrane Library, including manual searches for the references. The following Specific “MeSH terms” were used for the literature search: « Immature Permanent Tooth », « Pulp Revascularization», « Dental Pulp Necrosis », « Therapeutics », « Tissu Regeneration » and « Stem Cells ».
Results: From the systematic search, 1624 articles were identified including 52 papers from hand search; Preliminary analysis and exclusion of duplicates excluded 1589 papers. From the remained 35 studies, exclusion criteria also eliminated 26; nine remained for evaluation. These nine papers formed the basis of this review.
Conclusions: The analysis of selected papers revealed that despite successful published clinical cases, some aspects remain unknown, like the key factors of this positive outcome. It also revealed that there is no single recommended protocol; some features of cases with successful clinical outcomes were underlined like Young patient, Minimal instrumentation of the canal, Placement of an intracanal medicament, Inducing bleeding into the canal and Effective coronal seal.