Pulp revascularization of immature permanent teeth: a review of the literature and a proposal of a new clinical protocol

ScientificWorldJournal. 2014:2014:737503. doi: 10.1155/2014/737503. Epub 2014 Oct 14.

Abstract

Tissue engineering is a growing field. In the near future, it will probably be possible to generate a complete vital tooth from a single stem cell. Pulp revascularization is dependent on the ability of residual pulp and apical and periodontal stem cells to differentiate. These cells have the ability to generate a highly vascularized and a conjunctive rich living tissue. This one is able to colonize the available pulp space. Revascularization is a new treatment method for immature necrotic permanent teeth. Up to now, apexification procedures were applied for these teeth, using calcium dihydroxide or MTA to produce an artificial apical barrier. However, the pulp revascularization allows the stimulation of the apical development and the root maturation of immature teeth. Two pulp revascularization techniques are used in the literature, one using calcium dihydroxide and the second using a triple antibiotic paste. Based on these two different pulp revascularization protocols, which obtain the desired therapeutic success, the literature will be reviewed and analyzed according to the relevance of their choice of materials. Based on the literature, we propose a new relevant protocol and a new mixture of antibiotics.

Publication types

  • Review

MeSH terms

  • Apexification
  • Calcium Hydroxide / therapeutic use*
  • Clinical Protocols
  • Dental Pulp / blood supply
  • Dental Pulp / drug effects*
  • Dental Pulp / pathology
  • Humans
  • Root Canal Filling Materials / therapeutic use*
  • Root Canal Therapy*
  • Tissue Engineering
  • Tooth / blood supply
  • Tooth / drug effects

Substances

  • Root Canal Filling Materials
  • Calcium Hydroxide