Is revascularization of immature permanent teeth an effective and reproducible technique?

Results: Ninety-seven of 101 teeth (96.0%) were successfully treated with the revascularization technique. The range of technique variations available for irrigation, disinfection and blood clot induction have a negligible impact on the clinical outcome variables tested in our analysis.

What is tooth revascularization?

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.

What is the best long term treatment modality for immature permanent teeth with pulp necrosis and apical periodontitis?

A widely accepted endodontic approach in the treatment of immature teeth with pulp necrosis and apical periodontitis is the apexification technique. This technique consists of multiple and long-term applications of calcium hydroxide (CaOH2) (Petti et al. 2018).

When is apexification done?

Apexification is most often performed in incisors that lost vitality because of traumatic injury, after carious exposures, and in teeth with anatomic variations such as dens invaginatus with an immature root.

What is pulp regeneration?

Pulp regeneration is used to restore diseased or damaged dental pulp and to assist in healing. This should encourage dentin repair with the use of tooth regeneration scaffolding, a biodegradable substance that will encourage the tooth to repair itself.

What is an immature permanent tooth?

Immature permanent teeth, also known as young permanent teeth, are used to describe teeth with incomplete root formation. Immature permanent teeth are prone to caries and trauma which can cause exposure and degeneration of pulp. Pulp degeneration stops root formation, leaving teeth with open apex.

What happens in a revascularization?

In a direct revascularization, two blood vessels are surgically linked. Often, a blood vessel from outside the skull is connected to a blood vessel inside the skull, in a procedure called an EC-IC bypass. Sometimes a blood vessel taken from the arm or leg is used to connect the target vessels.

What does the word revascularization mean?

Definition of revascularization : a surgical procedure for the provision of a new, additional, or augmented blood supply to a body part or organ.

What is open apex and closed apex?

Most teeth have cone shaped root canals that taper from the crown to the root end of the tooth. When a tooth does not close at the root end of the tooth it is called an “open apex”. Apexification forms a hard tissue barrier at the end of the root, allowing the root canal to be sealed in a more normal manner.

How do you regenerate dental pulp?

Your endodontist will use stem cells derived from your own pulp or bone marrow combined with nanofiber-based material that will create the scaffolding upon which the tooth can regenerate. This is different from a root canal, which replaces the pulp with a filler.

Can we evaluate the Revas-cularization procedure in mature and immature teeth?

Aim:The aim of this in vivo study was to evaluate the revas- cularization procedure both in immature and mature teeth with necrotic pulp and open apices, disinfected with triple antibiotic paste followed by inducing blood clot in the root canal.

What is MTA revascularization of teeth?

Revascularization of Teeth with Necrotic Pulp JCDP The Journal of Contemporary Dental Practice, November 2018;19(11):1394-1400 1397 apexification. MTA is a biocompatible material, has osteoinductive properties, and can even set in the

Does revascularization work in teeth with necrotic pulp?

Revascularization in Immature and Mature Teeth with Necrotic Pulp: A Clinical Study 1394 Padmaraj S Neelamurthy et al C ABSTRACT Aim:The aim of this in vivo study was to evaluate the revas- cularization procedure both in immature and mature teeth with necrotic pulp and open apices, disinfected with triple antibiotic

What is the effect of treatment modality of revascularization on root development?

treatment modality of revascularization can result in the radiographically visible normal matured tooth which had previously immature open apex. 3 It is a well-established fact that the development of root takes place from Hertwig’s epithelial root sheath.