Hargreaves Kenneth M, Giesler Todd, Henry Michael, Wang Yan
Department of Endodontics, University of Texas Health Science Center, San Antonio, Texas 78229-3900, USA.
J Endod. 2008 Jul;34(7 Suppl):S51-6. doi: 10.1016/j.joen.2008.02.032.
During the last 10-15 years, there has been a tremendous increase in our clinical "tools" (ie, materials, instruments, and medications) and knowledge from the trauma and tissue engineering fields that can be applied to regeneration of a functional pulp-dentin complex. In addition, recent case reports indicate that biologically based endodontic therapies can result in continued root development, increased dentinal wall thickness, and apical closure when treating cases of necrotic immature permanent teeth. The purpose of this review was to summarize these findings and illustrate a path forward for the development and evaluation of regenerative endodontic therapies.
在过去10至15年中,我们从创伤和组织工程领域获得的可应用于功能性牙髓-牙本质复合体再生的临床“工具”(即材料、器械和药物)及知识有了极大增长。此外,近期的病例报告表明,在治疗坏死未成熟恒牙病例时,基于生物学的牙髓治疗可导致牙根持续发育、牙本质壁增厚和根尖闭合。本综述的目的是总结这些发现,并阐明再生性牙髓治疗的发展和评估方向。