Different techniques for the treatment of teeth with an incomplete root development and pulp necrosis: a systematic review

Introduction: The objective of this systematic review was to compare the apexification techniques of calcium hydroxide (Ca(OH)2), or mineral trioxide aggregate (MTA), with the pulp regeneration technique, using cohort studies, and non-randomized and randomized clinical trials. Methods: The methodolo...

Full description

Bibliographic Details
Main Authors: Camila Borba, Cíntia Jacobsen, Guilherme Pauletto, Carina Michelon, Mariana De Carlo Bello
Format: Article
Language:English
Published: Universidade Federal do Rio Grande do Sul. Faculdade de Odontologia 2021-08-01
Series:Revista da Faculdade de Odontologia de Porto Alegre
Subjects:
Online Access:https://seer.ufrgs.br/RevistadaFaculdadeOdontologia/article/view/101686
_version_ 1818738345384083456
author Camila Borba
Cíntia Jacobsen
Guilherme Pauletto
Carina Michelon
Mariana De Carlo Bello
author_facet Camila Borba
Cíntia Jacobsen
Guilherme Pauletto
Carina Michelon
Mariana De Carlo Bello
author_sort Camila Borba
collection DOAJ
description Introduction: The objective of this systematic review was to compare the apexification techniques of calcium hydroxide (Ca(OH)2), or mineral trioxide aggregate (MTA), with the pulp regeneration technique, using cohort studies, and non-randomized and randomized clinical trials. Methods: The methodology was based on electronic research in the following databases: PubMed, MEDLINE, Google Scholar, SciELO, and LILACS. In addition, a manual search was carried out using the references that were listed in the articles found. Results: A total of 403 potentially eligible studies were found, with seven being included in the inclusion criteria of this systematic review. The seven studies involved a total of 312 teeth. The minimum time of a follow-up period was 12 months. The irrigation solution most used was sodium hypochlorite, for both of the apexification and revascularization techniques. The medication commonly chosen in the apexification groups was Ca(OH)2, with antibiotic triple paste in the revascularization groups. The clinical rate of success in the groups treated with revascularization varied from 76% to 100%, while in the groups treated with apexification, it ranged from 68% to 100%. Only two studies reached a success rate equal to 100%. Conclusions: Variable levels of evidence were observed in relation to the treatments. However, it was confirmed that revascularization is an excellent option since its outcomes produced a greater gain of thickness and root length, besides developing a decrease in the apical foramen.
first_indexed 2024-12-18T01:07:28Z
format Article
id doaj.art-6a0c7e5d78944e1ea52ae07548334ac7
institution Directory Open Access Journal
issn 0566-1854
2177-0018
language English
last_indexed 2024-12-18T01:07:28Z
publishDate 2021-08-01
publisher Universidade Federal do Rio Grande do Sul. Faculdade de Odontologia
record_format Article
series Revista da Faculdade de Odontologia de Porto Alegre
spelling doaj.art-6a0c7e5d78944e1ea52ae07548334ac72022-12-21T21:26:12ZengUniversidade Federal do Rio Grande do Sul. Faculdade de OdontologiaRevista da Faculdade de Odontologia de Porto Alegre0566-18542177-00182021-08-0162112915010.22456/2177-0018.10168646642Different techniques for the treatment of teeth with an incomplete root development and pulp necrosis: a systematic reviewCamila BorbaCíntia JacobsenGuilherme PaulettoCarina MichelonMariana De Carlo BelloIntroduction: The objective of this systematic review was to compare the apexification techniques of calcium hydroxide (Ca(OH)2), or mineral trioxide aggregate (MTA), with the pulp regeneration technique, using cohort studies, and non-randomized and randomized clinical trials. Methods: The methodology was based on electronic research in the following databases: PubMed, MEDLINE, Google Scholar, SciELO, and LILACS. In addition, a manual search was carried out using the references that were listed in the articles found. Results: A total of 403 potentially eligible studies were found, with seven being included in the inclusion criteria of this systematic review. The seven studies involved a total of 312 teeth. The minimum time of a follow-up period was 12 months. The irrigation solution most used was sodium hypochlorite, for both of the apexification and revascularization techniques. The medication commonly chosen in the apexification groups was Ca(OH)2, with antibiotic triple paste in the revascularization groups. The clinical rate of success in the groups treated with revascularization varied from 76% to 100%, while in the groups treated with apexification, it ranged from 68% to 100%. Only two studies reached a success rate equal to 100%. Conclusions: Variable levels of evidence were observed in relation to the treatments. However, it was confirmed that revascularization is an excellent option since its outcomes produced a greater gain of thickness and root length, besides developing a decrease in the apical foramen.https://seer.ufrgs.br/RevistadaFaculdadeOdontologia/article/view/101686endodontia regenerativanecrose da polpa dentáriaapexificaçãoápice dentárioperiodontite periapical
spellingShingle Camila Borba
Cíntia Jacobsen
Guilherme Pauletto
Carina Michelon
Mariana De Carlo Bello
Different techniques for the treatment of teeth with an incomplete root development and pulp necrosis: a systematic review
Revista da Faculdade de Odontologia de Porto Alegre
endodontia regenerativa
necrose da polpa dentária
apexificação
ápice dentário
periodontite periapical
title Different techniques for the treatment of teeth with an incomplete root development and pulp necrosis: a systematic review
title_full Different techniques for the treatment of teeth with an incomplete root development and pulp necrosis: a systematic review
title_fullStr Different techniques for the treatment of teeth with an incomplete root development and pulp necrosis: a systematic review
title_full_unstemmed Different techniques for the treatment of teeth with an incomplete root development and pulp necrosis: a systematic review
title_short Different techniques for the treatment of teeth with an incomplete root development and pulp necrosis: a systematic review
title_sort different techniques for the treatment of teeth with an incomplete root development and pulp necrosis a systematic review
topic endodontia regenerativa
necrose da polpa dentária
apexificação
ápice dentário
periodontite periapical
url https://seer.ufrgs.br/RevistadaFaculdadeOdontologia/article/view/101686
work_keys_str_mv AT camilaborba differenttechniquesforthetreatmentofteethwithanincompleterootdevelopmentandpulpnecrosisasystematicreview
AT cintiajacobsen differenttechniquesforthetreatmentofteethwithanincompleterootdevelopmentandpulpnecrosisasystematicreview
AT guilhermepauletto differenttechniquesforthetreatmentofteethwithanincompleterootdevelopmentandpulpnecrosisasystematicreview
AT carinamichelon differenttechniquesforthetreatmentofteethwithanincompleterootdevelopmentandpulpnecrosisasystematicreview
AT marianadecarlobello differenttechniquesforthetreatmentofteethwithanincompleterootdevelopmentandpulpnecrosisasystematicreview