Advances in Medical Research
Open Access
ISSN: 2564-8942
+44 1478 350008
ISSN: 2564-8942
+44 1478 350008
Firas Mohamad Alia
Magrabi Hospitals and Centers, Saudi Arabia
Scientific Tracks Abstracts: Advances in Medical Research
Regenerative endodontic procedures (REPs) were proposed to overcome the drawbacks related to the clinical management of necrotic immature permanent teeth (NIPT) and are gaining prominence over traditional apexification among researchers and clinicians. The success of pulp revascularization treatment is contingent on three elements: root canal disinfection, the presence of a scaffold (blood clot) and hermetic coronary filling. Although there are no evidence-based guidelines to support a standard protocol to achieve the most favourable outcome in REP, a number of regenerative endodontic treatment protocols have been proposed depending on the type of the irrigant, the irrigation method, the intracanal dressing, the type of scaffold and the blood clot-protecting material. These different protocols are discussed in this overview. There are three clinical outcomes of regenerative endodontics (i) the elimination of symptoms and the evidence of bony healing (ii) further root maturation (iii) positive response to vitality testing.
Histologically, the tissue formed in the canal space after regenerative endodontic treatment (RET) is not pulp-like tissue but periodontal-like tissues (cementum and bone). Therefore, this process should be considered repair rather than regeneration. Among adverse effects of RET, crown discoloration is of particular concern especially for anterior teeth as pleasing aesthetics are patientcentered outcome. Although, treatment of immature permanent teeth with pulp necrosis by either RET or MTA apexification are comparably effective in achieving successful outcomes, further root maturation can only be achieved in teeth treated with RET. Therefore, based on Cvek’s classification of root development, teeth where cessation of root development has occurred early due to pulp-periapical disease leaving the roots short and the canal walls thin, such as in stages 1 to 3 of root development, should be preferentially treated by RET.
Firas Mohamad Alia received his Bachelor Degree in oral and dental surgery from Beirut Arab University in 2009. He was awarded his Diploma in Pediatric Dentistry from Beirut Arab University in 2012. He is a registered pediatric dentist in KSA working in Magrabi Hospitals and Centers and is a member of American Academy of Pediatric Dentistry (AAPD) and the Saudi Dental Society. He has 9 years of clinical experience in dental practice providing care to pediatric dental patients and is interested in dental.
E-mail: firasalya1@hotmail.com