FREIRAS, A. L. A.; http://lattes.cnpq.br/7526626897568397; FREITAS, Ana Letícia Alcântara.
Resumo:
Teeth with incomplete rhizogenesis and necrotic pulp present adversities to
endodontic treatment, mainly due to fragile root walls and open dental apex. The
standard treatment in these cases is apicification, but this technique does not allow
the increase of wall thickness nor root maturation, and due to successive changes
of intracanal medication are more subject to fracture. With this, pulp regeneration
appears as a promising alternative. This technique proposes root canal disinfection
with minimal instrumentation and abundant irrigation, followed by periapical region
bleed stimulation. The formation of the clot, which fills the interior of the root canal,
stimulates the development of a new tissue inside, thus promoting the end of root
development. The aim of this study was to perform a literature review on pulp
revascularization as an alternative to conventional treatment in teeth with
incomplete rhizogenesis and necrotic pulp. A literature review was conducted with
research on the following databases: Latin American and Caribbean Health
Sciences Literature (LILACS), ScientificElectronic Library Online Electronic Library
(SciELO), PubMed, VHL - Virtual Health Library and books, published in English
and Portuguese, for the period 2001-2019. Exclusion criteria were articles that did
not address the issue in question and did not have within the established restriction
period. In the present study, the effectiveness of the pulp revascularization
technique was observed, but there were divergences in the protocols used,
especially regarding the irrigating solution and intracanal medication. Thus, it is
concluded that this treatment is feasible in cases of incomplete rhizogenesis, but
further studies are needed to standardize a protocol for the analysis of satisfactory
long-term clinical results.