Abstract

CABRAL, Camila Stefani Lofrano et al. Treatment of immature permanent teeth with regenerative procedures or apicification: a systematic literature review. Rev. Bras. Odontol. [online]. 2016, vol.73, n.4, pp. 336-339. ISSN 1984-3747.

Objective: to perform a systematic literature review to evaluate the success rates of treatment of immature permanent teeth with apical periodontitis after traditional procedures like apexification or regeneration/pulp revascularization. Materials and Methods: an electronic search was executed in the PubMed and Cochrane databases using specific medical terms. Articles published between January 2000 and June 2015 were evaluated. Other publications in the reference section of each relevant article were analyzed in a manual search and were added to the selected articles list. Results: at first, a total of 114 titles and resumes was identified after an electronic search in both electronic databases, using a specific combination of terms and keywords. An additional study was identified as being relevant after a reference list search. After the framing in the inclusion/exclusion criteria, only two articles were selected. The included studies demonstrated resolution of clinical signs, symptoms, and periapical radiolucencies to both treatments. On the other hand, these studies were divergent in relation to increased length and root thickness after regenerative therapy; while one of the studies presented more favorable outcomes to regenerative therapy, the other one showed no differences between the two tested therapies. Conclusion: although there are few studies performing a direct comparison between conventional therapies and regenerative therapies, the present systematic review indicates that revascularization protocols offer the potential to treat permanent teeth with incomplete root formation, leading to the disappearance of the signals, symptoms, and an increased possibility of continuing root formation.

Keywords : Endodontics; Regeneration; Tooth apex..