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Regenerative Endodontic Procedures Using Contemporary Endodontic Materials.

Simone Staffoli1, Gianluca Plotino2, Barbara G Nunez Torrijos3

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Summary
This summary is machine-generated.

Regenerative endodontic procedures (REP) offer a new approach for immature teeth, promoting complete root development. This method contrasts with traditional apexification techniques, aiming for better long-term tooth survival.

Keywords:
Immature permanent toothnecrotic pulpregenerative endodonticsrevascularizationrevitalization

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Area of Science:

  • Dentistry
  • Endodontics
  • Regenerative Medicine

Background:

  • Traditional apexification with calcium hydroxide or Mineral Trioxide Aggregate (MTA) for necrotic immature teeth has limitations.
  • These methods interrupt root development, leading to fragile teeth and poor long-term prognosis.
  • MTA apexification presents challenges in material handling and potential overfilling.

Purpose of the Study:

  • To review the literature on regenerative endodontic procedures (REP) for immature permanent teeth.
  • To describe the clinical protocol for REP, including variations and applications.
  • To highlight advancements beyond traditional apexification methods.

Main Methods:

  • REP involves antimicrobial agents, no canal instrumentation, and induced apical bleeding for clot formation.
  • A coronal seal is crucial for healing, with updated guidelines favoring bioactive cements over MTA.
  • Review of current scientific literature and clinical procedural protocols.

Main Results:

  • REP facilitates complete root development in necrotic immature permanent teeth.
  • Newer bioactive cements offer advantages over MTA in handling and aesthetics.
  • The procedure aims to improve root structure, crown-to-root ratio, and reduce fracture risk.

Conclusions:

  • Regenerative endodontic procedures represent a significant advancement in treating necrotic immature permanent teeth.
  • These techniques promote natural root maturation, enhancing the tooth's long-term viability.
  • Updated bioactive materials offer improved clinical outcomes compared to traditional apexification.