Pulp Regeneration: A new therapeutic option in immature definitive teeth
DOI:
https://doi.org/10.14295/idonline.v17i65.3685Keywords:
Regeneration, Endodontics, Immature Tooth, RevascularizationAbstract
Permanent teeth with open apices present a great challenge in cleaning and shaping root canals; in addition, they have a high probability for the risk of fractures due to the presence of thin or weakened walls in the root portion. Thus, pulp regeneration has emerged as a promising alternative for the treatment of these teeth, in order to control the infection of the root canal system, using minimum action of endodontic instruments as well as the use of abundant irrigation during biomechanical preparation. This technique consists of inducing bleeding in the apical region to form a clot with undifferentiated cells that, associated with growth factors, are capable of inducing tissue repair and neoformation. Therefore, the present work aims to carry out a literature review on pulp regeneration therapy, highlighting its clinical applicability, advantages, disadvantages, and care protocols. For this purpose, bibliographic references indexed on sites such as Google academic, PubMed and Scielo were used. Research indicates that pulp tissue revitalization promotes root development and thickening in immature permanent teeth with pulp necrosis. It is concluded that, although the pulp regeneration technique does not have a protocol considered gold standard, when it is well indicated, it can bring very satisfactory results for the patient. However, further studies still need to be carried out to verify the effectiveness of this new therapeutic proposal.
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Copyright (c) 2023 Maria Larisse Cabral Silva, Ana Beatriz Hermínia Ribeiro Ducati de Sampaio, Eliane Maria Gonçalves Moreira de Vasconcelos, Mario Francisco de Pasquali Leonardi, Cicero Lucas Gomes Ramalho
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