Regenerative endodontics-Creating new horizons

Trauma to the dental pulp, physical or microbiologic, can lead to inflammation of the pulp followed by necrosis. The current treatment modality for such cases is non-surgical root canal treatment. The damaged tissue is extirpated and the root canal system prepared. It is then obturated with an inert...

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Veröffentlicht in:Journal of biomedical materials research. Part B, Applied biomaterials Applied biomaterials, 2016-05, Vol.104 (4), p.676-685
Hauptverfasser: Dhillon, Harnoor, Kaushik, Mamta, Sharma, Roshni
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container_title Journal of biomedical materials research. Part B, Applied biomaterials
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creator Dhillon, Harnoor
Kaushik, Mamta
Sharma, Roshni
description Trauma to the dental pulp, physical or microbiologic, can lead to inflammation of the pulp followed by necrosis. The current treatment modality for such cases is non-surgical root canal treatment. The damaged tissue is extirpated and the root canal system prepared. It is then obturated with an inert material such a gutta percha. In spite of advances in techniques and materials, 10%-15% of the cases may end in failure of treatment. Regenerative endodontics combines principles of endodontics, cell biology, and tissue engineering to provide an ideal treatment for inflamed and necrotic pulp. It utilizes mesenchymal stem cells, growth factors, and organ tissue culture to provide treatment. Potential treatment modalities include induction of blood clot for pulp revascularization, scaffold aided regeneration, and pulp implantation. Although in its infancy, successful treatment of damaged pulp tissue has been performed using principles of regenerative endodontics. This field is dynamic and exciting with the ability to shape the future of endodontics. This article highlights the fundamental concepts, protocol for treatment, and possible avenues for research in regenerative endodontics.
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subjects Animals
Biomedical materials
Dental Pulp - injuries
Dental Pulp Diseases - metabolism
Dental Pulp Diseases - therapy
dentin formation
endodontics
Endodontics - instrumentation
Endodontics - methods
Humans
Materials research
Materials science
pulp regeneration
Regenerative Medicine - instrumentation
Regenerative Medicine - methods
revascularization
tissue engineering
Tissue Engineering - instrumentation
Tissue Engineering - methods
title Regenerative endodontics-Creating new horizons
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