Clinical, histological, and molecular perspective on regenerating nonvital immature teeth

Autor: García-Guerrero Claudia, Mora-Pinza Tania, Quijano-Guauque Sara, Leal-Fernández Carolina, Baldión-Elorza Paula
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Contemporary Clinical Dentistry, Vol 14, Iss 3, Pp 220-226 (2023)
Druh dokumentu: article
ISSN: 0976-237X
0976-2361
47530405
DOI: 10.4103/ccd.ccd_44_23
Popis: Background: Disinfection and dentin conditioning promote a favorable scenario for regenerative endodontic treatment. Clinical reports have confirmed periapical normality with high variability in disinfection protocols; nevertheless, the nature of neoformed tissue varied between them. Thus, this study aimed to present the impact of disinfection protocols on the clinical, histological, and molecular outcomes of regenerative endodontics procedures in permanent teeth with incomplete root formation. Materials and Methods: Eighteen teeth with incomplete root formation which required endodontic regenerative treatment were treated with different disinfection and conditioning agents and followed under clinical control. One case was evaluated under histological and immunohistochemical analyses. Results: Clinical outcomes revealed periapical repair in 17/18 cases. Histological and immunohistochemical analyses confirmed the neoformation of the dentinal matrix and its mineralization. Conclusions: Chemical conditioning could impact the outcome of regenerative endodontic procedures. The histological and immunohistochemical analysis showed the nature of the newly formed tissue that correlates with the clinical outcome.
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