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...
Main Authors: | , , , , |
---|---|
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 |