Galler KM (2022)
Publication Type: Authored book
Publication year: 2022
Publisher: John Wiley and Sons Ltd
ISBN: 9781119553939
DOI: 10.1002/9781119553939.ch29
Revitalization or regenerative endodontic procedures in immature teeth with necrotic pulps are now part of the therapeutic endodontic spectrum and should be considered as an alternative treatment to mineral trioxide aggregate (MTA) apexification. Evidence from clinical as well as laboratory studies has led to the publication of recommendations from several endodontic societies. In contrast to MTA apexification, revitalization may support healing of apical periodontitis after induction of a blood clot inside the root canal to generate a biological 'root filling'. Whereas previous expectations of true pulp regeneration have to be reconsidered, revitalization procedures still offer benefits for the patient. Besides the resolution of pain and inflammation, the formation of an immunocompetent tissue inside the root canal with potential mineralization capacities might at least partially reconstitute the biological structures and functions of pulp tissue. The procedural details regarding instrumentation, disinfection, and the use of various materials during the procedure might have a greater impact on outcome compared to conventional root canal treatment, as revitalization requires a thorough understanding of its biological basis. In terms of the future, revitalization is an interesting approach because it capitalises on tissue responses and healing capacities, and new insights from this treatment might take us a step closer to the goal of true dental pulp regeneration.
APA:
Galler, K.M. (2022). Revitalization procedures. John Wiley and Sons Ltd.
MLA:
Galler, Kerstin Martina. Revitalization procedures. John Wiley and Sons Ltd, 2022.
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