[Retrospective analysis of pulp revascularization in immature permanent teeth with diffuse pulpitis]

Area of Science:

• Dentistry
• Regenerative Endodontics

Background:

• Immature permanent teeth with diffuse pulpitis present a treatment challenge.
• Pulp revascularization offers a potential regenerative approach.

Purpose of the Study:

• To assess the effectiveness of pulp revascularization in immature permanent teeth with diffuse pulpitis.
• To compare root development outcomes with contralateral control teeth.

Main Methods:

• 17 immature permanent teeth with diffuse pulpitis underwent pulp revascularization.
• Clinical and radiographic assessments were performed over an average follow-up of 25.8 months.
• Root length and dentin wall thickness changes were compared to contralateral teeth.

Main Results:

• 13 of 17 teeth showed successful outcomes with increased root length and dentin thickness.
• 4 teeth experienced periapical inflammation during follow-up, indicating treatment failure.
• No significant difference in root development was observed between revascularized and control teeth (P>0.05).

Conclusions:

• Pulp revascularization is a viable treatment for immature permanent teeth with diffuse pulpitis, promoting root development.
• Outcomes regarding root development and dentin formation are comparable to natural root maturation.
• Long-term monitoring is crucial due to the risk of reinfection.