What is revascularization in dentistry?
Revascularization may be defined as the invagination of undifferentiated periodontal cells from the apical region in immature teeth29-30. Tissue ingrowth is directed towards the root canal space after passive decontamination that removes, partially or totally, pulp tissue and/or its necrotic remnants.
What is pulp revascularization?
Pulp revascularization is dependent on the ability of residual pulp and apical and periodontal stem cells to differentiate. These cells have the ability to generate a highly vascularized and a conjunctive rich living tissue. This one is able to colonize the available pulp space.
Why do we Apexify?
Apexification is indicated for immature permanent teeth that are non-vital with incompletely formed roots. The objective of this procedure is to induce root end closure (apexification) at the apices of immature roots through the formation of mineralized tissue.
What is Apexogenesis?
Apexification is a method of inducing a calcified barrier at the apex of a nonvital tooth with incomplete root formation. Apexogenesis refers to a vital pulp therapy procedure performed to encourage physiological development and formation of the root end.
What is pulp regeneration?
Pulp regeneration is used to restore diseased or damaged dental pulp and to assist in healing. This should encourage dentin repair with the use of tooth regeneration scaffolding, a biodegradable substance that will encourage the tooth to repair itself. The scaffolding could be collagen, fibrin, or man-made polymers.
What is triple antibiotic paste?
A mixture of ciprofloxacin, metronidazole, and minocycline, known as the triple antibiotic paste (TAP), has been shown to be very effective in eliminating endodontic pathogens in vitro and in situ [1,3-5]. However, TAP has an adverse effect on stem cell survival [6].
What is Pulpal regeneration?
Pulp regeneration is used to restore diseased or damaged dental pulp and to assist in healing. This should encourage dentin repair with the use of tooth regeneration scaffolding, a biodegradable substance that will encourage the tooth to repair itself.
What is root canal of teeth?
A root canal is a dental procedure involving the removal of the soft center of the tooth, the pulp. The pulp is made up of nerves, connective tissue, and blood vessels that help the tooth grow. In the majority of cases, a general dentist or endodontist will perform a root canal while you’re under local anesthesia.
What is used for apexification?
The most commonly advocated medicament is calcium hydroxide, although recently considerable interest has been expressed in the use of mineral trioxide aggregate (MTA). We report a case series wherein calcium hydroxide and MTA were used successfully for one step apexification in teeth with open apex.
What is Metapex?
A temporary root canal filling material with excellent radiopacity, Metapex is an antibacterial, premixed paste composed of calcium hydroxide with iodoform. Priced at less than half the cost of leading brands, Metapex is ideal for many applications: Exposed pulp in capping and pulpotomy.
What is Apexification Recalcification?
Apexification/Recalcification Apexification/Recalcification is indicated for the following: Incomplete apical closure in a permanent tooth root. External root resorption or when the possibility of external root resorption exists.
Does dentin regenerate?
Hard tissue is difficult to repair especially dental structures. Tooth enamel is incapable of self-repairing whereas dentin and cememtum can regenerate with limited capacity. Enamel and dentin are commonly under the attack by caries.
