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Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
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Clinical considerations for regenerative endodontic procedures.

Todd M Geisler1

  • 1BioMatRx, LLC, 5775 Wayzata Boulevard, Suite 700, Minneapolis, MN 55416, USA. geislerendo@me.com

Dental Clinics of North America
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Summary
This summary is machine-generated.

Managing immature teeth with necrotic pulp is challenging. Regenerative endodontic procedures show promise for tissue regeneration and root development, offering advantages over traditional apexification methods.

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Area of Science:

  • Endodontics
  • Regenerative Dentistry
  • Dental Traumatology

Background:

  • Managing immature teeth with necrotic pulp presents significant endodontic and restorative challenges.
  • Traditional apexification procedures can result in weakened root structures, increasing susceptibility to reinfection.
  • Regenerative endodontic procedures (REPs) offer a potential alternative for continued root development and hard tissue deposition.

Purpose of the Study:

  • To review historical, current, and future approaches to regenerative endodontic procedures for immature teeth with necrotic pulps.
  • To highlight the potential advantages of REPs over conventional apexification.
  • To discuss the current limitations and future directions in regenerative endodontics.

Main Methods:

  • Literature review of historical, current, and emerging regenerative endodontic techniques.
  • Analysis of case studies reporting in vivo regeneration of pulplike tissues.
  • Summary of treatment protocols and outcomes.

Main Results:

  • Case studies demonstrate the potential for in vivo regeneration of human pulplike tissues.
  • Regenerative endodontics may facilitate hard tissue deposition and continued root maturation.
  • No universally reliable protocol currently exists for regenerating pulplike tissue.

Conclusions:

  • Regenerative endodontic procedures hold promise for treating immature teeth with necrotic pulps.
  • Further research is needed to develop reliable protocols for consistent pulplike tissue regeneration.
  • REPs may offer a superior alternative to apexification by promoting root development and structural integrity.