Expert consensus on regenerative endodontic procedures

Regenerative endodontic procedures (REPs) is a biologic-based treatment modality for immature permanent teeth diagnosed with pulp necrosis. The ultimate objective of REPs is to regenerate the pulp-dentin complex, extend the tooth longevity and restore the normal function. Scientific evidence has dem...

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Published inInternational journal of oral science Vol. 14; no. 1; pp. 55 - 13
Main Authors Wei, Xi, Yang, Maobin, Yue, Lin, Huang, Dingming, Zhou, Xuedong, Wang, Xiaoyan, Zhang, Qi, Qiu, Lihong, Huang, Zhengwei, Wang, Hanguo, Meng, Liuyan, Li, Hong, Chen, Wenxia, Zou, Xiaoying, Ling, Junqi
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 01.12.2022
Springer Nature B.V
Nature Publishing Group
Subjects
692/700/3032
692/700/3032/3123
Blood clots
Case reports
Consensus
Dental Care
Dental pulp
Dental Pulp Necrosis - therapy
Dentin
Dentistry
Dentists
Endodontics
Fractures
Growth factors
Hospitals
Humans
Laboratories
Medicine
Necrosis
Oral and Maxillofacial Surgery
Oral diseases
Orthopedics
Professional Role
Recovery of function
Regenerative Endodontics
Research centers
Review
Review Article
Stem cell transplantation
Surgical Orthopedics
Teeth
Tissue engineering
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Abstract Regenerative endodontic procedures (REPs) is a biologic-based treatment modality for immature permanent teeth diagnosed with pulp necrosis. The ultimate objective of REPs is to regenerate the pulp-dentin complex, extend the tooth longevity and restore the normal function. Scientific evidence has demonstrated the efficacy of REPs in promotion of root development through case reports, case series, cohort studies, and randomized controlled studies. However, variations in clinical protocols for REPs exist due to the empirical nature of the original protocols and rapid advancements in the research field of regenerative endodontics. The heterogeneity in protocols may cause confusion among dental practitioners, thus guidelines and considerations of REPs should be explicated. This expert consensus mainly discusses the biological foundation, the available clinical protocols and current status of REPs in treating immature teeth with pulp necrosis, as well as the main complications of this treatment, aiming at refining the clinical management of REPs in accordance with the progress of basic researches and clinical studies, suggesting REPs may become a more consistently evidence-based option in dental treatment.
AbstractList Regenerative endodontic procedures (REPs) is a biologic-based treatment modality for immature permanent teeth diagnosed with pulp necrosis. The ultimate objective of REPs is to regenerate the pulp-dentin complex, extend the tooth longevity and restore the normal function. Scientific evidence has demonstrated the efficacy of REPs in promotion of root development through case reports, case series, cohort studies, and randomized controlled studies. However, variations in clinical protocols for REPs exist due to the empirical nature of the original protocols and rapid advancements in the research field of regenerative endodontics. The heterogeneity in protocols may cause confusion among dental practitioners, thus guidelines and considerations of REPs should be explicated. This expert consensus mainly discusses the biological foundation, the available clinical protocols and current status of REPs in treating immature teeth with pulp necrosis, as well as the main complications of this treatment, aiming at refining the clinical management of REPs in accordance with the progress of basic researches and clinical studies, suggesting REPs may become a more consistently evidence-based option in dental treatment.Regenerative endodontic procedures (REPs) is a biologic-based treatment modality for immature permanent teeth diagnosed with pulp necrosis. The ultimate objective of REPs is to regenerate the pulp-dentin complex, extend the tooth longevity and restore the normal function. Scientific evidence has demonstrated the efficacy of REPs in promotion of root development through case reports, case series, cohort studies, and randomized controlled studies. However, variations in clinical protocols for REPs exist due to the empirical nature of the original protocols and rapid advancements in the research field of regenerative endodontics. The heterogeneity in protocols may cause confusion among dental practitioners, thus guidelines and considerations of REPs should be explicated. This expert consensus mainly discusses the biological foundation, the available clinical protocols and current status of REPs in treating immature teeth with pulp necrosis, as well as the main complications of this treatment, aiming at refining the clinical management of REPs in accordance with the progress of basic researches and clinical studies, suggesting REPs may become a more consistently evidence-based option in dental treatment.
Abstract Regenerative endodontic procedures (REPs) is a biologic-based treatment modality for immature permanent teeth diagnosed with pulp necrosis. The ultimate objective of REPs is to regenerate the pulp-dentin complex, extend the tooth longevity and restore the normal function. Scientific evidence has demonstrated the efficacy of REPs in promotion of root development through case reports, case series, cohort studies, and randomized controlled studies. However, variations in clinical protocols for REPs exist due to the empirical nature of the original protocols and rapid advancements in the research field of regenerative endodontics. The heterogeneity in protocols may cause confusion among dental practitioners, thus guidelines and considerations of REPs should be explicated. This expert consensus mainly discusses the biological foundation, the available clinical protocols and current status of REPs in treating immature teeth with pulp necrosis, as well as the main complications of this treatment, aiming at refining the clinical management of REPs in accordance with the progress of basic researches and clinical studies, suggesting REPs may become a more consistently evidence-based option in dental treatment.
Regenerative endodontic procedures (REPs) is a biologic-based treatment modality for immature permanent teeth diagnosed with pulp necrosis. The ultimate objective of REPs is to regenerate the pulp-dentin complex, extend the tooth longevity and restore the normal function. Scientific evidence has demonstrated the efficacy of REPs in promotion of root development through case reports, case series, cohort studies, and randomized controlled studies. However, variations in clinical protocols for REPs exist due to the empirical nature of the original protocols and rapid advancements in the research field of regenerative endodontics. The heterogeneity in protocols may cause confusion among dental practitioners, thus guidelines and considerations of REPs should be explicated. This expert consensus mainly discusses the biological foundation, the available clinical protocols and current status of REPs in treating immature teeth with pulp necrosis, as well as the main complications of this treatment, aiming at refining the clinical management of REPs in accordance with the progress of basic researches and clinical studies, suggesting REPs may become a more consistently evidence-based option in dental treatment.
ArticleNumber 55
Author Yue, Lin
Zhang, Qi
Wang, Hanguo
Huang, Dingming
Huang, Zhengwei
Zou, Xiaoying
Qiu, Lihong
Zhou, Xuedong
Yang, Maobin
Ling, Junqi
Chen, Wenxia
Wei, Xi
Li, Hong
Meng, Liuyan
Wang, Xiaoyan
Author_xml – sequence: 1
  givenname: Xi
  orcidid: 0000-0002-5749-2910
  surname: Wei
  fullname: Wei, Xi
  organization: Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University & Guangdong Provincial Key Laboratory of Stomatology
– sequence: 2
  givenname: Maobin
  surname: Yang
  fullname: Yang, Maobin
  organization: Department of Endodontology, Maurice H Kornberg School of Dentistry, Temple University
– sequence: 3
  givenname: Lin
  surname: Yue
  fullname: Yue, Lin
  organization: Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials
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  organization: State Key Laboratory of Oral Diseases & Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, National Center of Stomatology, National Clinical Research Centre for Oral Diseases, Sichuan University
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  givenname: Xuedong
  surname: Zhou
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  organization: State Key Laboratory of Oral Diseases & Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, National Center of Stomatology, National Clinical Research Centre for Oral Diseases, Sichuan University
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  givenname: Xiaoyan
  surname: Wang
  fullname: Wang, Xiaoyan
  organization: Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials
– sequence: 7
  givenname: Qi
  surname: Zhang
  fullname: Zhang, Qi
  organization: Department of Endodontics, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration
– sequence: 8
  givenname: Lihong
  surname: Qiu
  fullname: Qiu, Lihong
  organization: Department of Endodontics, School of Stomatology, China Medical University
– sequence: 9
  givenname: Zhengwei
  surname: Huang
  fullname: Huang, Zhengwei
  organization: Department of Endodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Clinical Research Center for Oral Diseases; National Center for Stomatology; Shanghai Key Laboratory of Stomatology
– sequence: 10
  givenname: Hanguo
  surname: Wang
  fullname: Wang, Hanguo
  organization: Department of Operative Dentistry & Endodontics, School of Stomatology, The Fourth Military Medical University
– sequence: 11
  givenname: Liuyan
  surname: Meng
  fullname: Meng, Liuyan
  organization: The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University
– sequence: 12
  givenname: Hong
  surname: Li
  fullname: Li, Hong
  organization: Department of Endodontics, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University
– sequence: 13
  givenname: Wenxia
  surname: Chen
  fullname: Chen, Wenxia
  organization: College of Stomatology, Hospital of Stomatology, Guangxi Medical University
– sequence: 14
  givenname: Xiaoying
  surname: Zou
  fullname: Zou, Xiaoying
  organization: Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials
– sequence: 15
  givenname: Junqi
  surname: Ling
  fullname: Ling, Junqi
  email: lingjq@mail.sysu.edu.cn
  organization: Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University & Guangdong Provincial Key Laboratory of Stomatology
BackLink https://www.ncbi.nlm.nih.gov/pubmed/36450715$$D View this record in MEDLINE/PubMed
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Snippet Regenerative endodontic procedures (REPs) is a biologic-based treatment modality for immature permanent teeth diagnosed with pulp necrosis. The ultimate...
Abstract Regenerative endodontic procedures (REPs) is a biologic-based treatment modality for immature permanent teeth diagnosed with pulp necrosis. The...
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SubjectTerms 692/700/3032
692/700/3032/3123
Blood clots
Case reports
Consensus
Dental Care
Dental pulp
Dental Pulp Necrosis - therapy
Dentin
Dentistry
Dentists
Endodontics
Fractures
Growth factors
Hospitals
Humans
Laboratories
Medicine
Necrosis
Oral and Maxillofacial Surgery
Oral diseases
Orthopedics
Professional Role
Recovery of function
Regenerative Endodontics
Research centers
Review
Review Article
Stem cell transplantation
Surgical Orthopedics
Teeth
Tissue engineering
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Title Expert consensus on regenerative endodontic procedures
URI https://link.springer.com/article/10.1038/s41368-022-00206-z
https://www.ncbi.nlm.nih.gov/pubmed/36450715
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https://doaj.org/article/77a9ac937a1940b49e5cbdfadde4f381
Volume 14
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