Regenerative endodontic procedures

Prosedur endodontik regeneratif

Abstract

Regenerative endodontic treatment (RET) has emerged as a transformative approach in the treatment of necrotic pulp in perma-nent teeth, aiming to regenerate the entire pulp-dentin complex to improve tooth vitality, function, and longevity. The core of re-generative endodontics lies in biologically based management strategies. Recent innovations in RET revolve around two main concepts: the implementation of tissue engineering technologies to promote pulp-dentin regeneration and revascularisation pro-cesses that induce the formation of new living tissue from existing dental tissue to continue root development. Clinical guide-lines and protocols continue to evolve, encompassing various approaches such as revascularisation, the use of autologous pla-telet-rich plasma and scaffolds to trigger host stem cell migration and tissue formation. Literature searches were conducted via Google Scholar. It is concluded that RET is one of the treatment options for teeth diagnosed with necrosis accompanied by an open apex. The success of RET depends on case selection criteria, meticulous implementation of the treatment protocol, and careful monitoring of outcomes.