Técnicas innovadoras para el tratamiento de dientes permanentes inmaduros - Revascularización

Autores/as

DOI:

https://doi.org/10.33448/rsd-v11i2.25546

Palabras clave:

Endodoncia; Endodoncia regenerativa; Necrosis pulpar.

Resumen

El tratamiento de dientes con rizogénesis incompleta y necrosis pulpar representa un gran desafío para la terapia endodóntica, principalmente debido a la fragilidad de las paredes radiculares de estos dientes. Una terapia que se puede realizar es la revascularización pulpar para reemplazar las estructuras dañadas, incluidas la dentina y las estructuras radiculares, así como las células del complejo dentino-pulpar, con tejido que permita la continuación de la formación radicular en grosor y tamaño. Se ha demostrado que estos procedimientos pueden promover el desarrollo continuo de las raíces, aumentando así el grosor y la resistencia de las raíces que antes eran delgadas y propensas a fracturas. Este trabajo tiene como objetivo realizar, a través de una revisión de la literatura, un estudio sobre la revascularización pulpar y su importancia clínica en el tratamiento de dientes afectados por necrosis pulpar y cuya formación apical aún no se ha completado. Para este estudio se realizó una encuesta en la plataforma PubMed, que incluyó artículos publicados entre 2004 y 2021. La revascularización pulpar puede considerarse una alternativa prometedora como tratamiento para dientes con conductos radiculares incompletos y necrosis pulpar, con posibles ventajas sobre el proceso tradicional de apicificación.

Citas

Al Ansary, M. A. D., Day, P. F., Duggal, M. S., & Brunton, P. A. (2009). Interventions for treating traumatized necrotic immature permanent anterior teeth: inducing a calcific barrier & root strengthening. Dental Traumatology. 25, 367-379.

American Association of Endodontists (AAE). (2016). Clinical Considerations for a Regenerative Procedure [acesso em outubro, 2017]. Disponível em http://www.aae.org/uploadedfiles/publications_and_research/research/currentregener ativeendodonticconsiderations.pdf.

Aldakak, M. M. N., Capar, I. D., Rekab, M. S., & Abboud, S. (2016). Single-Visit Pulp Revascularization of Nonvital Immature Permanent Tooth Using Biodentine. Iranian Endodontic Journal. 11 (3), 246-249.

Banchs, F., & Trope, M. (2004). Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol? Journal of Endodontics. 30(4), 196-200.

Botero, T. M., Tang, X., Gardner, R., Hu, J. C. C., Boynton, J. R., & Holland, G. R. (2017). Clinical Evidence for Regenerative Endodontic Procedures: Immediate versus Delayed Induction?. Journal of Endodontics. 43, 75-81.

Cehreli, Z. C., Isbitiren, B., Sara, S., & Erbas, G. (2011). Regenerative Endodontic Treatment (Revascularization) of Immature Necrotic Molars Medicated with Calcium Hydroxide: A Case Series. Journal of Endodontics. 37(9), 1327-1330.

Conde, M. C. M., Chisini, L.A., Sarkis-Onofre, R., Schuch, H. S., Nör, J. E., & Demarco, F. F. (2016) A Scoping review of Root Canal Revascularization: Relevant Aspects for Clinical Success and Tissue Formation. International Endodontic Journal. 50(9), 860-874.

Chen, Y., Jovani-Sancho, M. D. M., & Sheth, C. C. (2015). Is revascularization of immature permanent teeth an effective and reproducible technique?. Dental Traumatology. 31, 429-436.

Ding, R. Y., Cheung, S., Chen, J., Yin, X. Y., Wang, Q. Q., & Zhang, C. F. (2009). Pulp Revascularization of Immature Teeth With Apical Periodontitis: A Clinical Study. Journal of Endodontics. 35(5), 745-749.

Eramo, S., Natali, A., Pinna, R., & Milia, E. (2018). Dental pulp regeneration via cell homing. International Journal Endodontic. 51(4), 405-419.

Galler, K. M., D’Souza, R. N., Federlin, M., Cavender, A. C., Hartgenrink, J. D., Hecker, S., & Schmalz, G. (2011). Dentin conditioning codetermines cell fate in regenerative endodontics. J Endod . 37, 1536-41.

Galler, K. M. (2016). Clinical Procedures for Revitalization: Current Knowledge and Considerations. International Endodontic Journal. 49, 926-936.

He, L., Kim, S. G., Gong, Q., Zhong, J., Wang, S., Zhou, X., Ye, L., Ling, J., & Mao, J. J. (2017). Regenerative endodontics for adults patients. Journal of Endodontics. 43 (9S), 57-64.

Jadhav, G., Shah, N., & Logani, A. (2012). Revascularization with and without Platelet-rich Plasma in Nonvital, Immature, Anterior Teeth: A Pilot Clinical Study. Journal of Endodontics. 38(12), 1581-1587

Jeeruphan, T., Jantarat, J., Yanpiset, K., Suwannapan, L., Khewsawai, P., Hargreaves, K. M. (2012). Mahidol study 1: comparison of radiographic and survival outcomes of immature teeth treated with either regenerative endodontic or apexification methods: a retrospective study. Journal of Endodontics. 38(10), 1330-6.

JO, Farik, B., & Munksgaard, E. C. (2002). Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dental Traumatology. 18, 134-137.

Jung, I. Y., Lee, S. J., & Hargreaves, K. M. (2008). Biologically Based Treatment of Immature Permanent Teeth with Pulpal Necrosis: A Case Series. J Endod. 34(7), 876-887.

Koç, S., & Del Fabbro, M. (2020). Does the Etiology of Pulp Necrosis Affect Regenerative Endodontic Treatment Outcomes? A Systematic Review and Meta-analyses. J Evid Based Dent Pract. 20(1),101-400.

Lin, L. M., Shimizu, E., Gibbs, J. L., Loghin, S., & Ricucci, D. (2014). Histologic and histobacteriologic observations of failed revascularization/revitalization therapy: a case report. Journal of Endodontics. 40(2), 291-5.

Martin, D. E., De Almeida, J. F. A, Henry, M. A., Teixeira, F. B., & Diogenes, A. (2014). Concentrationdependent effect of sodium hypochlorite on stem cells of apical papilla survival and differentiation. J Endod. 40, 51-5.

Montero-Miralles, P., Martín-González, J., Alonso-Ezpeleta, O., Jiménez-Sánchez, M. C., Velasco-Ortega, E., & Segura-Egea, J. J. (2018). Effectiveness and clinical implications of the use of topical antibiotics in regenerative endodontic procedures: a review. International Journal Endodontic. 51(9), 981-988.

Moradi, S., Talati, A., Forghani, M., Jafarian, A. H., Naseri, M., & Shojaeian, S. H. (2016). Immunohistological evaluation of revascularized immature permanent necrotic teeth treated by platelet-rich plasma: an animal investigation. Cell Journal. 18(3), 389-396.

Nosrat, A., Kolahdouzan, A., Khatibi, A. H., Verma, P., Jamshidi, D., Nevins, A. J., & Torabinejad, M. (2019). Clinical, radiographic and histologic outcome of regenerartive treatment in human teeth using a novel collagen-hydroxyapatite scaffolds. Journal of Endodontics. 45:13-143.

Saoud, T. M. A, Zaazou, A., Nabil, A., Moussa, S., Lin, L. M., & Gibbs, J. L. (2014). Clinical and Radiographic Outcomes of Traumatized Immature Permanent Necrotic Teeth after Revascularization/Revitalization Therapy. Journal of Endodontics. 40(12), 1946-1952.

Soares, A. J., Lins, F. F., Nagata, J. Y., Gomes, B. P. F. A., Zaia, A. A., Ferraz, C. C. R., et al. (2013). Pulp Revascularization after Root Canal Decontamination with Calcium Hydroxide and 2% Chlorhexidine Gel. Journal of Endodontics. 39(3), 417-420.

Seghi, R. R., Nasrin, S., Draney, J., & Katsube, N. (2013) Root Fortification. Journal of Endodontics. 39(3S), S57-S62.

Silujjai, J., & Linswanont, P. (2017). Treatment Outcomes of Apexification or Revascularization in Nonvital Immature Permanent Teeth: A Retrospective Study. Journal of Endodontics. 43(2), 238-245.

Shah, N., Logani, A., Bhaskar, U., & Aggarwal, V. (2008). Efficacy of Revascularization to Induce Apexification/Apexogensis in Infected, Nonvital, Immature Teeth: A Pilot Clinical Study. Journal of Endodontics. 34(8), 919-925.

Shin, S.Y., Albert, J. S., & Mortman, R. E. (2009). One step pulp revascularization treatment of an immature permanent tooth with chronic apical abscess: a case report. International Endodontic Journal. 42, 1118–1126.

Timmerman, A., & Parashos, P. (2018). Bleaching of a Discolored Tooth with Retrieval of Remnants after Successful Regenerative Endodontics. Journal of Endodontics. 44(1), 93- 97.

Torabinejad, M., Faras, H., Corr, R., Wright, K. R., & Shabahang, S. (2014). Histologic Examinations of Teeth Treated with 2 Scaffolds: A Pilot Animal Investigation. Journal of Endodontics. 40(4), 515-520.

Verma, P., Nosrat, A., Kim, J. R., Price, J. B., Wang, P., Bair, E., et al. (2016). Effect of Residual Bacteria on the Outcome of Pulp Regeneration In Vivo. Journal of Dental Research. 96(1), 100-106.

Wigler, R., Kaufman, A. Y., Lin, S., Steinbock, N., Molina-Hazan, H., & Torneck, C. D. (2013). Revascularization: A Treatment for Permanent Teeth with Necrotic Pulp and Incomplete Root Development. Journal of Endodontics. 39(3), 319-326.

Wikström, A., Brundin, M., Lopes, M. F., El Sayed, M., & Tsilingaridis, G (2021). What is the best long-term treatment modality for immature permanent teeth with pulp necrosis and apical periodontitis? Eur Arch Paediatr Dent. 22(3), 311-340.

Publicado

21/01/2022

Cómo citar

SILVA, N. A. da .; LIMA, A. A. .; PEREIRA, P. L. R. .; BUENO, C. S. P. .; OLIVEIRA, D. P. de .; SILVA, L. C. .; ESPÍNDOLA, L. C. P. .; NEVES, W. K. F. .; FAGUNDES, D. dos S. . Técnicas innovadoras para el tratamiento de dientes permanentes inmaduros - Revascularización . Research, Society and Development, [S. l.], v. 11, n. 2, p. e14111225546, 2022. DOI: 10.33448/rsd-v11i2.25546. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/25546. Acesso em: 30 jun. 2024.

Número

Sección

Ciencias de la salud