Revolutionizing Endodontics: Innovative Approaches for Treating Mature Teeth With Closed Apices and Apical Lesions: A Report of Two Cases

被引:3
作者
Brizuela, Claudia [1 ,3 ]
Meza, Gaston [1 ]
Khoury, Maroun [2 ]
机构
[1] Univ Los Andes, Fac Dent, Ctr Act Biosilicate Technol TM Invest Biol & Regen, Santiago, Chile
[2] Univ Los Andes, Fac Med, Lab Nanoregenerat Med, Santiago, Chile
[3] Univ Los Andes, Fac Dent, Alvaro del Portillo 12 455, Santiago 7620001, Chile
关键词
Apical periodontitis; mature teeth; mesenchymal stem cell transplantation; platelet-poor plasma; regenerative medicine; MESENCHYMAL STEM-CELLS; PERIODONTITIS; PULPITIS; THERAPY; TISSUE; TOOTH;
D O I
10.1016/j.joen.2024.02.012
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Introduction: Modern tissue engineering strategies have elucidated the potential of regenerative endodontic treatment (RET) as an alternative for treating mature teeth. Methods: Here, we report two cases in which cell-based RET (CB-RET) using encapsulated allogeneic umbilical cord mesenchymal stem cells (UC-MSCs) in a platelet-poor plasma (PPP)-based scaffold was used in two mature teeth with pulp necrosis and apical periodontitis. Results: After 5 years of follow-up, the healing response was satisfactory in both cases, with evidence of pulp revitalization. Conclusions: This is the first study to report the success of an extended, 5-year follow-up for allogeneic CB-RET. This report presents an innovative and sustainable solution to challenging endodontic scenarios. (J Endod 2024;50:596-601.)
引用
收藏
页码:596 / 601
页数:6
相关论文
共 27 条
[1]   Tissue-engineering-based Strategies for Regenerative Endodontics [J].
Albuquerque, M. T. P. ;
Valera, M. C. ;
Nakashima, M. ;
Nor, J. E. ;
Bottino, M. C. .
JOURNAL OF DENTAL RESEARCH, 2014, 93 (12) :1222-1231
[2]   Delivery of affordable and scalable encapsulated allogenic/autologous mesenchymal stem cells in coagulated platelet poor plasma for dental pulp regeneration [J].
Angelopoulos, Ioannis ;
Trigo, Cesar ;
Ortuzar, Maria-Ignacia ;
Cuenca, Jimena ;
Brizuela, Claudia ;
Khoury, Maroun .
SCIENTIFIC REPORTS, 2022, 12 (01)
[3]   Regenerative Endodontic Procedures in Necrotic Mature Teeth with Periapical Radiolucencies: A Preliminary Randomized Clinical Study [J].
Arslan, Hakan ;
Ahmed, Hany Mohamed Aly ;
Sahin, Yavuz ;
Yildiz, Ezgi Doganay ;
Gundogdu, Eyup Candas ;
Guven, Yahya ;
Khalilov, Ruslan .
JOURNAL OF ENDODONTICS, 2019, 45 (07) :863-872
[4]   Histologic Study of a Human Immature Permanent Premolar with Chronic Apical Abscess after Revascularization/Revitalization [J].
Becerra, Patricia ;
Ricucci, Domenico ;
Loghin, Simona ;
Gibbs, Jennifer L. ;
Lin, Louis M. .
JOURNAL OF ENDODONTICS, 2014, 40 (01) :133-139
[5]   The Four Pillars for Successful Regenerative Therapy in Endodontics: Stem Cells, Biomaterials, Growth Factors, and Their Synergistic Interactions [J].
Brizuela, C. ;
Huang, George T. -J. ;
Diogenes, A. ;
Botero, T. ;
Khoury, M. .
STEM CELLS INTERNATIONAL, 2022, 2022
[6]   Cell-Based Regenerative Endodontics for Treatment of Periapical Lesions: A Randomized, Controlled Phase I/II Clinical Trial [J].
Brizuela, C. ;
Meza, G. ;
Urrejola, D. ;
Quezada, M. A. ;
Concha, G. ;
Ramirez, V. ;
Angelopoulos, I. ;
Cadiz, M. I. ;
Tapia-Limonchi, R. ;
Khoury, M. .
JOURNAL OF DENTAL RESEARCH, 2020, 99 (05) :523-529
[7]   Allogeneic Cellular Therapy in a Mature Tooth with Apical Periodontitis and Accidental Root Perforation: A Case Report [J].
Brizuela Cordero, Claudia ;
Meza Santander, Gaston ;
Urrejola Gonzalez, Denisse ;
Quezada, Andrea ;
Inostroza Silva, Carolina ;
Vasquez, Camila ;
Jara, Richard ;
Jara, Daniel ;
Khoury, Maroun .
JOURNAL OF ENDODONTICS, 2020, 46 (12) :1920-+
[8]   Delivery of Apical Mesenchymal Stem Cells into Root Canals of Mature Teeth [J].
Chrepa, V. ;
Henry, M. A. ;
Daniel, B. J. ;
Diogenes, A. .
JOURNAL OF DENTAL RESEARCH, 2015, 94 (12) :1653-1659
[9]   Effects of platelet-rich plasma and platelet-poor plasma on human dermal fibroblasts [J].
Devereaux, Jeannie ;
Nurgali, Kulmira ;
Kiatos, Dimitrios ;
Sakkal, Samy ;
Apostolopoulos, Vasso .
MATURITAS, 2018, 117 :34-44
[10]  
Diogenes A., 2013, Endod Top, V28, P2, DOI [DOI 10.1111/ETP.12040, 10.1038/sj.bdj.2013.906, DOI 10.1038/SJ.BDJ.2013.906]