BASICS ABOUT REGENERATIVE ENDODONTICS AND CASE REPORT

1. DR.TINET MARY AUGUSTINE.MDS 1
Dr.Tinet Mary Augustine. BDS,MDS
Pediatric Dentist
Dr.Tinet’s Pedorayz, Pediatric And Early Age Orthodontic Dental Clinic

2. REGENERATIVE ENDODONTICS
BASICS AND CASE REPORT
DR.TINET MARY AUGUSTINE.MDS 2

3. WHAT IS
REVASCULARISATION?
DR.TINET MARY AUGUSTINE.MDS 3

4. HISTORY
NOMENCLATURE
Revascularization
(Iwaya 2001)
Regenerative
endodontic procedure
(AAE 2007)
Guided tissue regeneration
(Anibal Diogenes2017)
Revitalization
(Torabinejad 2011,Wang
2010,ESF2016)
Maturogenesis
(Aggarwal V 2012 )
DR.TINET MARY AUGUSTINE.MDS 4

5. IMPORTANCE IN PEDIATRIC
DENTISTRY
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6. REVASCULARIZATION
VS
REGENERATION
• Self revascularization concept after severe
trauma(Kling M Cvek M 1986)
• Supported by Anderson in series of study in
1995,and 1996
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7. OBJECTIVE
Dental pulp has the capacity to repair and
successfully self-revascularize after infection or
trauma.
Anibal Diogenes, Dds, Ms, Phd, Nikita B. Ruparel, Ms, Dds, Phd: Regenerative Endodontic
Procedures: Clinical Outcomes. Dent Clin N Am 61 (2017) 111–125
DR.TINET MARY AUGUSTINE.MDS 7

8. PROCEDURE
FIRST APPONTMENT
• Objective:disinfection
• Technique:chemical
debridement
• Irrigant:0.5%
NAOCL,17% EDTA,saline
• Antimicrobial:TAP,CAOH
SECOND APPOINTMENT
• Objective:Transport stem
cells into disinfected canal
system
• Technique:induced
bleeding
• Irrigant:17% EDTA
• Capping:MTA/Biodentin
Lin LM, Kahler B. A review of regenerative endodontics: current protocols and future
directions. J Istanb Univ Fac Dent 2017;51(3 Suppl 1):S41-S51.DR.TINET MARY AUGUSTINE.MDS 8

9. MECHANISM
Anibal Diogenes, Nikita B. Ruparel, Regenerative Endodontic Procedures: Clinical
Outcomes:Dent Clin N Am 61 (2017) 111–125
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10. Early
Cell
mobilization
Late
Cell
differentiation
Scaffolds
Collagen
matrix
Microsphere
Shell
microsphere DR.TINET MARY AUGUSTINE.MDS 10

11. GOALS OF REGENERATIVE
ENDODONTIC PROCEDURE
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12. LIMITATION
Sahng G. Kim, Biological Molecules for the Regeneration of the Pulp-Dentin Complex, Dent
Clin N Am 61 (2017) 127–141
DR.TINET MARY AUGUSTINE.MDS 12

13. PROCEDURE
PRE OP
DEBRIDEMENT
WORKING LENGTH DETERMINATION
IRRIGATION USING 1.5% NAOCL
METAPEX DRESSING GIVEN
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14. CASE REPORT
TOOTH-11 21
ELLIS # 4
• Pre op
• Pre op xray
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15. REVIEW AFTER 6 MONTHS
• Pre op • 6 months review
APICAL CLOSURE
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16. • Root closure • Composite restoration
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17. REVIEW PERIOD
REVIEW PROTOCOL EXPECTED OUTCOME
• Resolution of apical
radiolucency(6-12
months)
• Root lengthening by
6months
• Root thickening within
12-24 months
• Asymptomatic nature
• Regaining of pulp vitality
Lin LM, Kahler B. A review of regenerative endodontics: current protocols and future
directions. J Istanb Univ Fac Dent 2017;51(3 Suppl 1):S41-S51.
• For 1year -3months
follow up
• After that 6month
follow up
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18. REFERENCES
• Anibal Diogenes, Dds, Ms, Phd, Nikita B. Ruparel, Ms, Dds,
Phd: Regenerative Endodontic Procedures: Clinical
Outcomes. Dent Clin N Am 61 (2017) 111–125
• Lin LM, Kahler B. A review of regenerative endodontics:
current protocols and future directions. J Istanb Univ Fac
Dent 2017;51(3 Suppl 1):S41-S51.
• Sahng G. Kim, Biological Molecules for the Regeneration of
the Pulp-Dentin Complex, Dent Clin N Am 61 (2017) 127–
141
DR.TINET MARY AUGUSTINE.MDS 18

19. CLEAR THE PATH FOR THE NATURE
TO HEAL
THANK YOUDR.TINET MARY AUGUSTINE.MDS 19