| Abstrakt: |
Featured Application: Regarding the promising future of regenerative endodontic techniques, this review gathers the evidence available on these procedures performed in chronologically adult teeth, and proposes a clinical protocol, taking into account the evidence published (protocols carried out in the randomized clinical trials analyzed), age considerations, and the protocols published by The American Association of Endodontists and The European Society of Endodontology for immature teeth, also taking into consideration the protocols followed by the majority of the clinicians included in the review. There have been published regenerative endodontic protocols for treating immature teeth in young patients, but there are no clinical considerations for the adult teeth. The goal of the present review is to propose a specific clinical protocol for both mature and immature adult teeth with necrotic pulps. Research was performed from January to April of 2021. From the 539 studies identified through the initial search, 23 studies were qualified for the final analysis (3 randomized controlled trials and 20 case reports). The results in mature adult teeth indicate a success rate of 96.35 and 100% in bone healing through the randomized controlled trials and case reports, respectively; 100% in absence of clinical symptoms, and 58 and 62.5% in positive response to sensibility tests. The success rate in the case reports in teeth with open apex reported a 61.5% of root development, 100% of bone healing, 96.15% of absence of clinical symptoms, and 43.7% of positive response to sensibility tests. The current evidence is scarce but emerging, so REPs may be a promising alternative for treating adult necrotic teeth. The clinical protocol proposed is based on the evidence available and age considerations, and should be updated in the future. [ABSTRACT FROM AUTHOR] |
