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European Society of Endodontology Position Statement Revitalization Procedure

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European Society of Endodontology

position statement: Revitalization


procedures
K. M. Galler,G. Krastl,S. Simon,G.
Van Gorp,N. Meschi,B. Vahedi, P.
Lambrecht
IEJ, Volume 49, Issue 8 Pages 717723
The goal is to provide suitably trained dentists
with a protocol including procedural details for
the treatment of immature teeth with pulp
necrosis as well as a patient consent form.
Revitalization is a biologically based treatment as
an alternative to apexification in properly
selected cases
clinical trials are lacking and new evidence is still
emerging, this position statement will be updated
at appropriate intervals. This might lead to
changes to the protocol provided here.

REFFERENCE :
Journal of Endodontics, 39, 2013, S30; Journal of Endodontics, 39, 2013, 319; Journal of
Endodontics, 40, 2014, 1045; Dental Traumatology, 31, 2015, 267; International Endodontic
Journal, 2015, doi: 10.1111/iej.12606
Pulp necrosis in immature teeth challenges
Short roots, thin, fracture-prone dentine
walls and wide root canals and apices do
not present ideal conditions for conventional
root canal treatment.
classic apexification long-term intracanal
medication with calcium hydroxide to
stimulate the formation of a calcified barrier
at the apical foramen weakening effect of
calcium hydroxide on the thin dentine walls
and the resulting high incidence of root
fracture
Current treatment protocols placement of an
MTA plug to close the apical foramen followed by
filling of the root canal with gutta-percha
Although MTA induces a mineralized barrier
apically, further root formation cannot be
expected, and susceptibility to root fractures due
to thin canal walls and poor root-crown ratio
remains . Adhesive materials may be used for
intraradicular reinforcement NO LONG TERM
CLINICAL EVIDENCE Revitalization procedures

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