Root maturation and dentin–pulp response to enamel matrix derivative in pulpotomized permanent teeth

The success of pulpotomy of young permanent teeth depends on the proper selection of dressing materials. This study aimed to evaluate the histological and histomorphometric response of dentin–pulp complex to the enamel matrix derivative (Emdogain ® gel) compared to that of calcium hydroxide when use...

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Main Authors: Sherif S Darwish, Shadia H Abd El Meguid, Nadia A Wahba, Ahmed A-R Mohamed, Wojciech Chrzanowski, Ensanya A Abou Neel
Format: Article
Language:English
Published: SAGE Publishing 2014-01-01
Series:Journal of Tissue Engineering
Online Access:https://doi.org/10.1177/2041731414521707
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author Sherif S Darwish
Shadia H Abd El Meguid
Nadia A Wahba
Ahmed A-R Mohamed
Wojciech Chrzanowski
Ensanya A Abou Neel
author_facet Sherif S Darwish
Shadia H Abd El Meguid
Nadia A Wahba
Ahmed A-R Mohamed
Wojciech Chrzanowski
Ensanya A Abou Neel
author_sort Sherif S Darwish
collection DOAJ
description The success of pulpotomy of young permanent teeth depends on the proper selection of dressing materials. This study aimed to evaluate the histological and histomorphometric response of dentin–pulp complex to the enamel matrix derivative (Emdogain ® gel) compared to that of calcium hydroxide when used as a pulp dressing in immature young permanent dogs’ teeth. Dentin-like tissues bridging the full width of the coronal pulp at the interface between the injured and healthy pulp tissues were seen after 1 month in both groups. With time, the dentin bridge increased in thickness for calcium hydroxide but disintegrated and fully disappeared for Emdogain-treated group. Progressive inflammation and total pulp degeneration were only evident with Emdogain-treated group. The root apices of Emdogain-treated teeth became matured and closed by cementum that attached to new alveolar bone by a well-oriented periodontal ligament. In young permanent dentition, Emdogain could be a good candidate for periodontium but not dentino–pulpal complex regeneration.
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spelling doaj.art-408a7475da7048ff9786f15346c28f462022-12-21T22:51:25ZengSAGE PublishingJournal of Tissue Engineering2041-73142014-01-01510.1177/204173141452170710.1177_2041731414521707Root maturation and dentin–pulp response to enamel matrix derivative in pulpotomized permanent teethSherif S Darwish0Shadia H Abd El Meguid1Nadia A Wahba2Ahmed A-R Mohamed3Wojciech Chrzanowski4Ensanya A Abou Neel5Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Pharos University, EgyptOral Biology Department, Faculty of Dentistry, Alexandria University, EgyptPediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Alexandria University, EgyptPediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Alexandria University, EgyptThe Faculty of Pharmacy, The University of Sydney, NSW 2006 AustraliaUCL Eastman Dental Institute, Biomaterials and Tissue Engineering Division, 256 Gray’s Inn Road, London, WC1X 8LDThe success of pulpotomy of young permanent teeth depends on the proper selection of dressing materials. This study aimed to evaluate the histological and histomorphometric response of dentin–pulp complex to the enamel matrix derivative (Emdogain ® gel) compared to that of calcium hydroxide when used as a pulp dressing in immature young permanent dogs’ teeth. Dentin-like tissues bridging the full width of the coronal pulp at the interface between the injured and healthy pulp tissues were seen after 1 month in both groups. With time, the dentin bridge increased in thickness for calcium hydroxide but disintegrated and fully disappeared for Emdogain-treated group. Progressive inflammation and total pulp degeneration were only evident with Emdogain-treated group. The root apices of Emdogain-treated teeth became matured and closed by cementum that attached to new alveolar bone by a well-oriented periodontal ligament. In young permanent dentition, Emdogain could be a good candidate for periodontium but not dentino–pulpal complex regeneration.https://doi.org/10.1177/2041731414521707
spellingShingle Sherif S Darwish
Shadia H Abd El Meguid
Nadia A Wahba
Ahmed A-R Mohamed
Wojciech Chrzanowski
Ensanya A Abou Neel
Root maturation and dentin–pulp response to enamel matrix derivative in pulpotomized permanent teeth
Journal of Tissue Engineering
title Root maturation and dentin–pulp response to enamel matrix derivative in pulpotomized permanent teeth
title_full Root maturation and dentin–pulp response to enamel matrix derivative in pulpotomized permanent teeth
title_fullStr Root maturation and dentin–pulp response to enamel matrix derivative in pulpotomized permanent teeth
title_full_unstemmed Root maturation and dentin–pulp response to enamel matrix derivative in pulpotomized permanent teeth
title_short Root maturation and dentin–pulp response to enamel matrix derivative in pulpotomized permanent teeth
title_sort root maturation and dentin pulp response to enamel matrix derivative in pulpotomized permanent teeth
url https://doi.org/10.1177/2041731414521707
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