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A controlled, biologically based treatment is applied, aiming to regenerate damaged pulp tissue.
Regenerative endodontic treatment involves a biological approach that supports root development and tooth vitality in teeth with damaged pulp tissue. The goal is to ensure long-term health by preserving the tooth's natural function and structure as much as possible.
During the clinical process, the tooth's developmental status, pulp vitality, and infection risk are evaluated together. In accordance with current scientific protocols, controlled applications that support tissue regeneration are planned, and the patient is monitored throughout the process.
Regenerative endodontic treatment is planned taking into account the developmental stage of the tooth and pulp health. The procedure is determined individually for each patient.
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Frequently Asked Questions About Regenerative Endodontic Treatment
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Regenerative Endodontic Treatment is a modern endodontic approach aimed at biological healing in young permanent teeth with incomplete root development and lost pulp vitality. Unlike traditional root canal treatment, Regenerative Endodontic Treatment aims not only to eliminate infection but also to support the continuation of root development and the thickening of dentin walls.
In recent years, thanks to advances in biomaterial science, stem cell research, and tissue engineering, Regenerative Endodontic Treatment has become a promising option, especially for pediatric and young patients.
Regenerative Endodontic Treatment is a procedure aimed at encouraging new tissue formation by creating a biological healing environment after disinfection is achieved in the infected root canal system. This approach differs from classic apexification methods because the goal is not only to close the root tip but to support the continuation of root development.
In teeth with incomplete root development, dentin walls can be thin and fragile. Regenerative Endodontic Treatment aims to increase root length and strengthen wall thickness in these teeth. Thus, the long-term prognosis of the tooth can be improved. On a biological basis, Regenerative Endodontic Treatment utilizes the regenerative potential of mesenchymal stem cells in the root canal and surrounding tissues.
Regenerative Endodontic Treatment is generally evaluated in young permanent teeth where pulp necrosis has developed due to trauma or deep caries, but root development is not yet complete.
Primary indications include:
The literature reports that an increase in root length and apical closure can be observed in teeth treated with Regenerative Endodontic Treatment with appropriate case selection. However, the same level of regeneration may not be expected in every case. Clinical evaluation, radiographic analysis, and the patient's age are decisive elements in the treatment plan.
Regenerative Endodontic Treatment is generally performed in two or more sessions. In the first stage, the root canal is cleaned with minimal mechanical preparation, and disinfection is provided with strong irrigation solutions. In the second stage, a blood clot is created inside the canal by inducing controlled bleeding from the root tip. This clot acts as a biological scaffold for stem cells to migrate. Then, a biocompatible material is placed, and the tooth is sealed with a permanent restoration.
During Regenerative Endodontic Treatment, excessive mechanical enlargement is avoided. This is because the goal is to preserve the existing root structure.
Regenerative Endodontic Treatment offers a different biological approach than classic apexification methods. While the root tip is artificially closed in apexification, a significant increase in root length is not expected. Regenerative Endodontic Treatment, however, aims for the continuation of root development. Therefore, it can be more advantageous in young patients. Additionally, increasing dentin wall thickness can reduce the risk of fracture.
Research shows that healing rates in teeth treated with Regenerative Endodontic Treatment are promising. However, the degree of regeneration can vary from case to case. Success is related not only to radiographic findings but also to long-term functional stability.
Regenerative Endodontic Treatment is based on the three fundamental components of tissue engineering: stem cells, growth factors, and a biological scaffold. The blood clot formed within the canal provides a natural environment for this triple interaction. The apical papilla region at the root tip contains cells with regenerative potential. The use of bioceramic materials can also create a biocompatible environment while providing a seal.
Regular clinical and radiographic follow-up is important after Regenerative Endodontic Treatment. In the first months, lesion healing and symptom control are evaluated. In the long term, root development is monitored. Some aesthetic conditions, such as discolouration, may be seen; such effects may depend on the materials used. The follow-up process generally continues for several years.
Regenerative Endodontic Treatment is an innovative approach aimed at biological healing in necrotic teeth with incomplete root development. Correct indication, careful disinfection, and appropriate biomaterial selection are the fundamental factors affecting success. Offering a more biological solution compared to traditional methods, this treatment is one of the evolving fields of modern endodontics.
Using international scientific techniques and a conservative, aesthetic, and ethical approach, the entire team strives to provide solutions that exceed the expectations of its patients.
Main Clinic: Kocatepe, Sehirparki Ave. No:209/A Bayrampasa/Istanbul
Branch: Kocatepe, Kocatepe Ave. 32nd Street No:34/C Bayrampasa/Istanbul
Phone:
+90 542 331 38 39
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+90 549 640 38 39
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