Regenerative endodontics: integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i13.35556

Keywords:

Dental pulp; Autotransplantation; Regeneration; Primary culture; Regenerative endodontics.

Abstract

Endodontics is the branch of dentistry that studies the pulp and its periradicular tissues, with the aim of preventing, diagnosing and treating its various diseases. With the advance in the principles of regenerative endodontics, new protocols have emerged to regenerate and preserve the pulp tissue that was once lost. Among the various techniques studied in regenerative endodontics, we highlight cell therapy, a protocol that has been little studied in the literature. The aim of this review was to investigate the feasibility of pulp regeneration techniques using dental pulp stem cells, highlighting their advantages, disadvantages, clinical efficacy, indications and limitations. An integrative literature review was conducted by searching scientific articles in the electronic databases PubMed, Medline, Scopus and Web of science using the descriptors: pulp, regeneration, transplant, indexed in the period from 2017 to 2022. After the eligibility criteria, 14 studies were selected entirely in the English language. The studies showed the feasibility of cell culture techniques, as well as their excellent clinical results, with thickening of root walls, regression of lesions and positive response to sensitivity tests. However, the techniques have high financial, operational and laboratory costs for their development, and there is a lack of clinical trials to establish a clinical protocol.

Author Biography

Esdras Gabriel Alves-Silva, Universidade Federal do Rio Grande do Norte

Departamento da Odontologia Restauradora, área da Endodontia, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas FOP/UNICAMP

References

Bartols, A., Bormann, C., Werner, L., Schienle, M., Walther, W., & Dörfer, C. E. (2020) A retrospective assessment of different endodontic treatment protocols. PeerJ. 30;8:e8495.

Bartols, A., Reutter, C. A., Robra, B. P., & Walther, W. (2016) Reciproc vs. hand instrumentation in dental practice: a study in routine care. PeerJ. 28;4:e2182

Bottino, M. C., Kamocki, K., Yassen, G. H., Platt, J. A., Vail, M. M., Ehrlich, Y., Spolnik, K. J., & Gregory, R. L. (2013) Bioactive nanofibrous scaffolds for regenerative endodontics. J Dent Res. 92(11):963-9.

Cehreli, Z. C., Unverdi, G. E., & Ballikaya, E. (2022) Deciduous Tooth Pulp Autotransplantation for the Regenerative Endodontic Treatment of Permanent Teeth With Pulp Necrosis: A Case Series. J Endod. 48(5):669-674.

Chen, W. J., Xie, J., Lin, X., Ou, M. H., Zhou, J., Wei, X. L., & Chen, W. X. (2021) The Role of Small Extracellular Vesicles Derived from Lipopolysaccharide-preconditioned Human Dental Pulp Stem Cells in Dental Pulp Regeneration. J Endod. 47(6):961-969.

Eramo, S., Natali, A., Pinna, R., & Milia, E. (2018) Dental pulp regeneration via cell homing. Int Endod J. (4):405-419.

Fawzy El-Sayed, K. M., Ahmed, G. M., Abouauf, E. A., & Schwendicke, F. (2019) Stem/progenitor cell-mediated pulpal tissue regeneration: a systematic review and meta-analysis. Int Endod J. 52(11):1573-1585.

Feitosa, V. P., Mota, M. N. G., Vieira. L. V., De-Paula, D. M., Gomes, L. L. R., Solheiro, L. K. R., Aguiar-Neto, M. A., Carvalho, D. A. L., & Silvestre, F. A. (2021) Dental Pulp Autotransplantation: A New Modality of Endodontic Regenerative Therapy-Follow-Up of 3 Clinical Cases. J Endod. 47(9):1402-1408.

Gomez-Sosa, J. F., Diaz-Solano, D., Wittig, O., & Cardier, J. E. (2022) Dental Pulp Regeneration Induced by Allogenic Mesenchymal Stromal Cell Transplantation in a Mature Tooth: A Case Report. J Endod. 48(6):736-740.

Hu, L., Gao, Z., Xu, J., Zhu, Z., Fan, Z., Zhang, C., Wang, J., & Wang, S. (2017) Decellularized Swine Dental Pulp as a Bioscaffold for Pulp Regeneration. Biomed Res Int. 2017:9342714.

Huang, Y., Tang, X., Cehreli, Z. C., Dai, X., Xu, J., & Zhu, H. (2019) Autologous transplantation of deciduous tooth pulp into necrotic young permanent teeth for pulp regeneration in a dog model. J Int Med Res. 47(10):5094-5105.

Iohara, K., Utsunomiya, S., Kohara, S., & Nakashima, M. (2018) Allogeneic transplantation of mobilized dental pulp stem cells with the mismatched dog leukocyte antigen type is safe and efficacious for total pulp regeneration. Stem Cell Res Ther. 27;9(1):116.

Joseph, E. J., Karuna, M. Y., Rao, A., Rao, A., & Nayak, A. P. (2021) A novel regenerative endodontic procedure in a traumatized immature tooth using amniotic membrane. Dent Res J (Isfahan). 2021 Apr 6;18:28.

Ling, L., Zhao, Y. M., Wang, X. T., Wen, Q., & Ge, L. H. (2020) Regeneration of Dental Pulp Tissue by Autologous Grafting Stem Cells Derived from Inflammatory Dental Pulp Tissue in Immature Premolars in a Beagle Dog. Chin J Dent Res. 23(2):143-150.

Luke, A. M., Patnaik, R., Kuriadom, S., Abu-Fanas, S., Mathew, S., & Shetty, K. P. (2020) Human dental pulp stem cells differentiation to neural cells, osteocytes and adipocytes-An in vitro study. Heliyon. 2020 6(1):03054.

Meza, G., Urrejola, D., Saint-Jean, N., Inostroza, C., López, V., Khoury, M., & Brizuela, C. (2019) Personalized Cell Therapy for Pulpitis Using Autologous Dental Pulp Stem Cells and Leukocyte Platelet-rich Fibrin: A Case Report. J Endod. 45(2):144-149.

Miura, M., Gronthos, S., Zhao, M., Lu, B., Fisher, L. W., Robey, P. G., & Shi, S. (2003) SHED: stem cells from human exfoliated deciduous teeth. Proc Natl Acad Sci U S A. 100(10):5807-12.

Nakashima, M., & Iohara, K. (2014) Mobilized dental pulp stem cells for pulp regeneration: initiation of clinical trial. J Endod. 40(4):26-32.

Nakashima, M., Iohara, K., Murakami, M., Nakamura, H., Sato, Y., Ariji, Y., & Matsushita, K. (2017) Pulp regeneration by transplantation of dental pulp stem cells in pulpitis: a pilot clinical study. Stem Cell Res Ther. 9;8(1):61.

Moreno, A. G. U. T., Bezerra, A. G. B., Alves-Silva E. G., Melo, E. L., Gerbi, M. E. M., Bispo M. E. A., Sá, R. A. G., & Menezes, M. R. A. (2021). Influência do estrógeno na modulação da dor na disfunção temporomandibular e sua prevalência no sexo feminino: revisão integrativa. Research, Society and Development. 10;(2)e38510212453.

Patriota, E. C. R., Amorim, V. S. C. M., Arruda-Vasconcelos R., Louzada, L. M., Menezes, M. R. A., Gomes, B. P. F. A., & Alves-Silva E. G. (2020) Eficácia da endodontia guiada no tratamento de dentes com calcificação radicular: revisão integrativa. Research, Society and Development. 9(8):e655986066.

Ng, Y. L., Mann, V., & Gulabivala, K. (2010) Tooth survival following non-surgical root canal treatment: a systematic review of the literature. Int Endod J. 43(3):171-89.

Pelissari, C., Paris, A. F. C., Mantesso, A., & Trierveiler, M. (2018) Apical Papilla Cells Are Capable of Forming a Pulplike Tissue with Odontoblastlike Cells without the Use of Exogenous Growth Factors. J Endod. 44(11):1671-1676.

Collart-Dutilleul, P. Y., Chaubron, F., De-Vos, J., & Cuisinier, F. J. (2015) Allogenic banking of dental pulp stem cells for innovative therapeutics. World J Stem Cells. 26;7(7):1010-21.

Verma, P., Nosrat, A., Kim, J. R., Price, J. B., Wang, P., Bair, E., Xu, H. H., & Fouad, A. F. (2017) Effect of Residual Bacteria on the Outcome of Pulp Regeneration In Vivo. J Dent Res. 96(1):100-106.

Xuan, K., Li, B., Guo, H., Sun, W., Kou, X., He, X., Zhang, Y., Sun, J., Liu, A., Liao, L., Liu, S., Liu, W., Hu, C., Shi, S., & Jin, Y. (2018) Deciduous autologous tooth stem cells regenerate dental pulp after implantation into injured teeth. Sci Transl Med. 10(455):3227.

Yamaguchi, M., Noiri, Y., Itoh, Y., Komichi, S., Yagi, K., Uemura, R., Naruse, H., Matsui, S, Kuriki, N., Hayashi, M., & Ebisu, S. (2018) Factors that cause endodontic failures in general practices in Japan. BMC Oral Health. 27;18(1):70.

Published

14/10/2022

How to Cite

ASSIS, . A. V. de A. .; ALVES-SILVA, E. G.; DAMETTO, F. R. . Regenerative endodontics: integrative review . Research, Society and Development, [S. l.], v. 11, n. 13, p. e534111335556, 2022. DOI: 10.33448/rsd-v11i13.35556. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/35556. Acesso em: 18 apr. 2024.

Issue

Section

Health Sciences