Pulp Revascularization: A Literature Review

Abstract

Reestablishing blood flow and allowing the continuation of root development are some of the objectives of pulp revascularization. This procedure is currently indicated for teeth with incomplete root formation as an alternative to the traditional treatment of apecification, which consists of inserting calcium hydroxide paste into the root canal for a determined time period in order to induce the formation of a calcified barrier. Although it is considered as the most classically employed therapy, the permanence of the paste for long time periods may lead to the weakening of the root due to hygroscopic properties, as well as proteolytic activities of calcium hydroxide. Therefore, there has been a permanent search for alternatives which allow the full development of immature teeth. Revascularization has emerged as such an alternative, and a range of treatment protocols can be found in the scientific literature. The aim of this paper is to accomplish a literature review concerning this issue.

Management of Teeth with Necrotic Pulp and Open Apices - Clinical Practice Guideline

“…Degree of root formation of the immature tooth Age: It is seen in various reports that the patient of a young age has a better success rate of regenerative endodontic procedure compared to older individuals. It was seen that ages of 8-16 years are the more ideal candidates for regenerative endodontic procedure depending on various clinical studies (Banchs and Trope, 2004;araújo et al, 2017). patient cooperation: This is another major factor associated with the treatment selection for management of immature permanent tooth.…”

“…Various authors (Kahler and rossi-Fedele, 2016;austah et al, 2018;Kim et al, 2018), have successfully done the treatment of the immature tooth with open apex one of the factors to be considered is the apical area inflammation which secondary odontoblasts with vital stem cell preservation. For the regenerative endodontic procedure, minimal instrumentation has shown major success in the treatment of tooth because it has shown in various studies that minimal instrumentation better treatment outcome when compared to complete instrumentation due to studies showing that it does not interfere or degrade the scap cells present in the apical papilla region (Galler, 2016).…”

Biomateriais usados na revascularização pulpar: revisão de literatura

“…Na segunda sessão é realizada a indução de um coágulo sanguíneo e feito um selamento cervical com um biomaterial, pois seu mecanismo de ação tem o potencial de interagir com células-tronco devido à sua capacidade osteocondutora (Torabinejad er al., 2010;Kontakiotis et al, 2015;Songtrakul et al, 2020), estimulando assim o desenvolvimento radicular. Um dos exemplos de biomateriais são os cimentos à de silicato de cálcio (Araújo et al, 2017;Ürkmez and Erdem. 2020).…”

Pulp Revascularization/Revitalization of Bilateral Upper Necrotic Immature Permanent Central Incisors with Blood Clot vs Platelet-rich Fibrin Scaffolds—A Split-mouth Double-blind Randomized Controlled Trial

“… 13 Furthermore, a number of authors have reported cases in which it was not possible to produce bleeding in a canal. 14 , 15 The previously stated concerns have urged researchers to look for better scaffolds that can be constructed regardless of whether or not bleeding can be evoked.…”