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[Pulp revascularization procedure for external inflammatory dental root resorption treatment]
M V Korolenkova1,2, L Yu Kharkova1, M S Rakhmanova2
1Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
Stomatologiia
|May 14, 2024
Summary
Pulp revascularization effectively treats external inflammatory root resorption (EIRR) in children, halting resorption and promoting bone regeneration. This procedure preserves tooth function and alveolar bone volume long-term.
Area of Science:
- Pediatric Dentistry
- Endodontics
- Dental Traumatology
Context:
- External inflammatory root resorption (EIRR) is a serious complication of dental trauma in children.
- Conventional treatments for EIRR have limitations in preserving tooth vitality and function.
- Pulp revascularization offers a regenerative approach for immature teeth with necrotic pulps.
Purpose:
- To evaluate the efficacy of pulp revascularization in managing EIRR in pediatric patients.
- To assess the impact of the procedure on root development, bone regeneration, and tooth survival.
Summary:
- The study included 17 children (aged 6-10) with 19 teeth diagnosed with EIRR following dental trauma.
- Pulp revascularization was performed on all affected teeth, with diagnosis confirmed by radiographs and CBCT.
- Results showed no progression of resorption; EIRR sites were replaced by bone, with tissue ingrowth observed in 10 teeth.
Impact:
- Pulp revascularization is a successful treatment for EIRR, preserving teeth and maintaining alveolar bone volume.
- The procedure demonstrated a high success rate (94.7% functional teeth) over a mean follow-up of 38 months.
- This regenerative endodontic technique facilitates healing of bone lesions and supports long-term tooth retention.
