Regenerative endodontics is opening doors for treating children at
risk for tooth loss, and now, a major study is being launched to examine different
approaches in the field.
The goal of regenerative endodontics treatment is to save
developing teeth with pulpal necrosis, a term used to describe disease of the
pulp, the material found inside of the teeth. When pulpal necrosis isn't
treated, the affected teeth die and must be extracted. With regenerative
endodontics, the dental pulp can be rehabilitated, so that the teeth can
continue to develop normally.
Loma Linda University, the University of Texas Health Science
Center at San Antonio, and the University of Maryland School of Dentistry are
teaming up to study novel methods of regenerative endodontics treatment and
compare their benefits with the treatment that is currently used most often to
regenerate dental pulp. Here is a look at what’s factors are being studied:
1. Currently, pediatric patients with pulpal necrosis are usually
treated with what is known as mineral trioxide aggregate (MTA) apexification.
With this procedure, MTA, an FDA-approved material, is placed on the end of a
root, and a crown is placed over the affected tooth.
2. One of the new treatment methods that will
be investigated in the study involves engineering tissue using human growth
factors. With this type of treatment, engineered tissues in the root canal encourage the development of healthy pulp.
This treatment method is called REGENDO.
3. The second novel treatment approach that will be evaluated is
REVASC. With this treatment, the root canal area is cleaned and antibiotics are
used to fight the infection. A blood clot is then made inside of the tooth to
encourage the body to grow new tissue inside of the canal.
The study will begin in spring 2014 and will include 120 female
and male patients between the ages of 6 and 20. The American Association of
Endodontists Foundation has given the team of researchers a $1.7 million grant
to fund the research.
At RCT Endodontics, we currently offer regenerative endodontics
treatments for pediatric patients, using the latest research as a guide for
developing our treatment protocols. If your child is facing tooth loss due to
diseased pulp, contact us for a consultation to see if regenerative endodontics
could pose a viable treatment solution to the problem.