Journal article
Dental Pulp Autotransplantation: A New Modality of Endodontic Regenerative Therapy - Follow-Up of 3 Clinical Cases
Journal of endodontics, Vol.47(9), pp.1402-1408
09/01/2021
DOI: 10.1016/j.joen.2021.06.014
PMID: 34175322
Abstract
The aim of this study was to develop a novel method of endodontic therapy, which we refer to as dental pulp autotransplantation. Three patients (2 males and 1 female) were selected for endodontic treatment of a uniradicular premolar and extraction of a third molar (without odontosection). Electric assessment of pulp vitality and computed tomographic imaging were undertaken followed by endodontic access and instrumentation using triantibiotic solution for irrigation in the host tooth. A few minutes before the transplant procedure, the third molar was extracted, the tooth was sectioned with a diamond blade in a low-speed handpiece, and the pulp was carefully removed. After premolar instrumentation, the harvested and preserved pulp tissue was reinserted into the root canal followed by direct pulp capping performed using Biodentine (Septodont, Saint-Maur-des-Fosses, France), a liner of resin-modified glass ionomer cement and composite resin restoration. The teeth were followed up for at least 12 months after the procedures and were analyzed using computed tomographic imaging, electric pulp vitality testing, and Doppler ultrasound examination. At the 3- and 6-month follow-ups, positive pulp vitality and regression of periapical lesions were verified. After 9-12 months, all teeth were revascularized as determined by Doppler imaging, and the tooth vitality was reestablished with no signs of endodontic/periodontal radiolucency or complications. Within the limitations of the study, considering that it was a case series with only 3 patients, we described a highly innovative procedure of pulp autotransplantation, which appears to be feasible, highlighting the potential for clinical application of pulp regeneration using this new modality of endodontic therapy.
Details
- Title: Subtitle
- Dental Pulp Autotransplantation: A New Modality of Endodontic Regenerative Therapy - Follow-Up of 3 Clinical Cases
- Creators
- Victor Pinheiro Feitosa - Paulo Picanco Sch Dent, Res Div, 900 Joaquim Sa St, BR-60135218 Fortaleza, Ceara, BrazilMara Natiere Goncalves Mota - Paulo Picanco Sch Dent, Res Div, 900 Joaquim Sa St, BR-60135218 Fortaleza, Ceara, BrazilLorena Vasconcelos Vieira - Paulo Picanco Sch Dent, Res Div, 900 Joaquim Sa St, BR-60135218 Fortaleza, Ceara, BrazilDiego Martins de Paula - Paulo Picanco Sch Dent, Res Div, 900 Joaquim Sa St, BR-60135218 Fortaleza, Ceara, BrazilLivia Lisboa Ribeiro Gomes - Paulo Picanco Sch Dent, Res Div, 900 Joaquim Sa St, BR-60135218 Fortaleza, Ceara, BrazilLuzia Kelly Rios Solheiro - Paulo Picanco Sch Dent, Res Div, 900 Joaquim Sa St, BR-60135218 Fortaleza, Ceara, BrazilManoel Asciton de Aguiar Neto - Paulo Picanco Sch Dent, Res Div, 900 Joaquim Sa St, BR-60135218 Fortaleza, Ceara, BrazilDiego Armando Leite Carvalho - Paulo Picanco Sch Dent, Res Div, 900 Joaquim Sa St, BR-60135218 Fortaleza, Ceara, BrazilFrancisbenia Alves Silvestre - Paulo Picanco Sch Dent, Res Div, 900 Joaquim Sa St, BR-60135218 Fortaleza, Ceara, Brazil
- Resource Type
- Journal article
- Publication Details
- Journal of endodontics, Vol.47(9), pp.1402-1408
- Publisher
- Elsevier
- DOI
- 10.1016/j.joen.2021.06.014
- PMID
- 34175322
- ISSN
- 0099-2399
- eISSN
- 1878-3554
- Number of pages
- 7
- Grant note
- 23038.006958/2014-96 / Brazilian Ministry of Education (Coordenacao de Aperfeicoamento de Pessoal do Nivel Superior); Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)
- Language
- English
- Date published
- 09/01/2021
- Academic Unit
- Operative Dentistry
- Record Identifier
- 9984654472102771
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