Innovative approaches in regenerative endodontics

A review of current literature

https://doi.org/10.53730/ijhs.v8nS1.15031

Authors

  • Bander Khalid Almoharib KSA, National Guard Health Affairs
  • Reem Saleh Alonazi KSA, National Guard Health Affairs
  • Mohammed Ali Alanazi KSA, National Guard Health Affairs
  • ‏Hissah Abdulkarim Alqubaysi KSA, National Guard Health Affairs
  • ‏Abrar Fayadh Alshammari KSA, National Guard Health Affairs
  • ‏Noor Abdulaziz Alzuhair KSA, National Guard Health Affairs
  • ‏Amal Alhumidy Alenizi KSA, National Guard Health Affairs
  • ‏Fatimah Ali Khormi KSA, National Guard Health Affairs
  • ‏Munifah Hamdan Alshammari KSA, National Guard Health Affairs
  • Saleh Zuwayel Alenezi KSA, National Guard Health Affairs
  • Albandari Khudhayr Alshammari KSA, National Guard Health Affairs

Keywords:

regenerative endodontics, biomimicry, cell homing, revascularization, pulp-dentin regeneration, scaffolds, gene therapy

Abstract

Background: Biomimicry or biomimetics refers to developing materials and techniques inspired by natural systems. In dentistry, this approach aims to replicate natural tooth structures and functions, addressing limitations of conventional materials and techniques. Regenerative endodontics, including cell homing and revascularization, represents significant advancements in this field, focusing on pulp-dentin regeneration and tooth vitality restoration. Aim: This review explores innovative biomimetic approaches in regenerative endodontics, including the latest techniques and their clinical implications. It aims to assess the effectiveness and future prospects of these methods in enhancing tooth repair and regeneration. Methods: The review synthesizes current literature on regenerative endodontic procedures, including cell homing, revascularization, scaffold implantation, and gene therapy. It examines experimental studies, clinical trials, and advancements in biomimetic materials and techniques, highlighting their applications and outcomes. Results: The review finds that regenerative endodontics has evolved from traditional apexification to advanced techniques such as cell homing and revascularization. Cell homing, which leverages the body’s natural healing processes without cell transplantation, shows promise in generating pulp-dentin tissue. Revascularization, involving the induction of a blood clot and stem cell recruitment, has demonstrated potential in restoring vitality to necrotic teeth. 

Downloads

Download data is not yet available.

References

Benyus, J.M. Biomimicry: Innovation Inspired by Nature; Morrow: New York, NY, USA, 1997.

Vakili, V.; Shu, L.H. (Eds.) Towards biomimetic concept generation. In International Design Engineering Technical Conferences and Computers and Information in Engineering Conference; American Society of Mechanical Engineers: New York, NY, USA, 2001.

Sonarkar, S.; Purba, R. Bioactive materials in conservative dentistry. Int. J. Contemp. Dent. Med. Rev. 2015, 2015, 340115.

Harkness, J.M. An idea man (the life of Otto Herbert Schmitt). IEEE Eng. Med. Biol. Mag. 2004, 23, 20–41.

Zafar, M.S.; Amin, F.; Fareed, M.A.; Ghabbani, H.; Riaz, S.; Khurshid, Z.; Kumar, N. Biomimetic Aspects of Restorative Dentistry Biomaterials. Biomimetics 2020, 5, 34.

Kottoor, J. Biomimetic endodontics: Barriers and strategies. Health Sci. 2013, 2, 7–12.

About, I. Biodentine: From biochemical and bioactive properties to clinical applications. G. Ital. Endod. 2016, 30, 81–88.

Sharma, V.; Srinivasan, A.; Nikolajeff, F.; Kumar, S. Biomineralization process in hard tissues: The interaction complexity within protein and inorganic counterparts. Acta Biomater. 2021, 120, 20–37.

Bazos, P.; Magne, P. Bio-emulation: Biomimetically emulating nature utilizing a histo-anatomic approach; structural analysis. Eur. J. Esthet. Dent. 2011, 6, 8–19.

Hristov, M.; Erl, W.; Weber, P.C. Endothelial progenitor cells: Mobilization, differentiation, and homing. Arteriosclerosis, thrombosis, and vascular biology. Arterioscler. Thromb. Vasc. Biol. 2003, 23, 1185–1189

Zafar, M.S.; Fareed, M.A.; Riaz, S.; Latif, M.; Habib, S.R.; Khurshid, Z. Customized Therapeutic Surface Coatings for Dental Implants. Coatings 2020, 10, 568.

Dionysopoulos, D.; Gerasimidou, O. Biomimetic dentistry: Basic principles and protocols. ARC J. Dent. Sci. 2020, 5, 1–3

Tirlet, G.; Crescenzo, H.; Crescenzo, D.; Bazos, P. Ceramic adhesive restorations and biomimetic dentistry: Tissue preservation and adhesion. Int. J. Esthet. Dent. 2014, 9, 354–369.

Dawood, A.E.; Parashos, P.; Wong, R.H.; Reynolds, E.C.; Manton, D.J. Calcium silicate-based cements: Composition, properties, and clinical applications. J. Investig. Clin. Dent. 2017, 8, 12195.

Galler, K.M.; D’Souza, R.N.; Hartgerink, J.D. Biomaterials and their potential applications for dental tissue engineering. J. Mater. Chem. 2010, 20, 8730–8746

Zafar, M.S.; Khurshid, Z.; Almas, K. Oral tissue engineering progress and challenges. Tissue Eng. Regen. Med. 2015, 12, 387–397.

Balla, R.; LoMonaco, C.J.; Skribner, J.; Lin, L.M. Histological study of furcation perforations treated with Tricalcium phosphate, hydroxylapatite, amalgam, and Life. J. Endod. 1991, 17, 234–238.

Soares, D.G.; Bordini, E.A.; Swanson, W.B.; de Souza Costa, C.A.; Bottino, M.C. Platform technologies for regenerative endodontics from multifunctional biomaterials to tooth-on-a-chip strategies. Clin.Oral Invest. 2021, 25(8), 4749–4779.

Andreasen, J.O.; Farik, B.; Munksgaard, E.C. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent. Traumatol. 2002, 18, 134–137.

Hargreaves, K.M.; Diogenes, A.; Teixeira, F.B. Treatment options: Biological basis of regenerative endodontic procedures. Pediatr. Dent. 2013, 35, 129–140.

Huang, G.T. Pulp and dentin tissue engineering and regeneration: Current progress. Regen. Med. 2009, 4, 697–707.

Kim, S.G.; Zheng, Y.; Zhou, J.; Chen, M.; Embree, M.C.; Song, K.; Jiang, N.; Mao, J.J. Dentin and dental pulp regeneration by the patient’s endogenous cells. Restor. Dent. Endod. 2013, 28, 106–117

Mao, J.J.; Kim, S.G.; Zhou, J.; Ye, L.; Cho, S.; Suzuki, T.; Fu, S.Y.; Yang, R.; Zhou, X. Regenerative endodontics: Barriers and strategies for clinical translation. Dent. Clinic. 2012, 56, 639–649.

Smith, J.; Smith, A.; Shelton, R.; Cooper, P. Recruitment of dental pulp cells by dentine and pulp extracellular matrix components. Exp. Cell Res. 2012, 318, 2397–2406.

Torabinejad, M.; Turman, M. Revitalization of Tooth with Necrotic Pulp and Open Apex by Using Platelet-rich Plasma: A Case Report. J. Endod. 2011, 37, 265–268.

Srinivasan, K.; Chitra, S. Emerging trends in oral health profession: The biomimetic-a review. Arch. Dent. Med. Res. 2015, 1, 40–47

Galler, K.M.; Brandl, F.P.; Kirchhof, S.; Widbiller, M.; Eidt, A.; Buchalla, W.; Göpferich, A.; Schmalz, G. Suitability of Different Natural and Synthetic Biomaterials for Dental Pulp Tissue Engineering. Tissue Eng. Part A 2018, 24, 234–244.

Ostby, B.N. The role of the blood clot in endodontic therapy. An experimental histologic study. Acta Odontol. Scand. 1961, 19, 324–353.

Murray, P.E.; Garcia-Godoy, F.; Hargreaves, K.M. Regenerative endodontics: A review of current status and a call for action. J. Endod. 2007, 33, 377–390.

Garcia-Godoy, F.; Murray, P. Recommendations for using regenerative endodontic procedures in permanent immature traumatized teeth. Dent. Traumatol. 2012, 28, 33–41.

Albuquerque, M.T.P.; Valera, M.C.; Nakashima, M.; Nör, J.E.; Bottino, M.C. Tissue-engineering-based Strategies for Regenerative Endodontics. J. Dent. Res. 2014, 93, 1222–1231.

Yuan, Z.; Nie, H.; Wang, S.; Lee, C.H.; Li, A.; Fu, S.Y.; Zhou, H.; Chen, L.; Mao, J.J. Biomaterial Selection for Tooth Regeneration. Tissue Eng. Part B Rev. 2011, 17, 373–388.

Hargreaves, K.M.; Giesler, T.; Henry, M.; Wang, Y. Regeneration potential of the young permanent tooth: What does the future hold? Pediatr. Dent. 2008, 30, 253–260.

Huang, G.T.-J.; Sonoyama, W.; Liu, Y.; Liu, H.; Wang, S.; Shi, S. The Hidden Treasure in Apical Papilla: The Potential Role in Pulp/Dentin Regeneration and BioRoot Engineering. J. Endod. 2008, 34, 645–651.

American Association of Endodontists. AAE Clinical Considerations for a Regenerative Procedure; American Association of Endodontists: Chicago, IL, USA, 2016.

Sedgley, C.M.; Botero, T.M. Dental Stem Cells and Their Sources. Dent. Clin. N. Am. 2012, 56, 549–561.

Galler, K.; D’Souza, R.; Hartgerink, J.; Schmalz, G. Scaffolds for Dental Pulp Tissue Engineering. Adv. Dent. Res. 2011, 23, 333–339.

Widbiller, M.; Driesen, R.B.; Eidt, A.; Lambrichts, I.; Hiller, K.-A.; Buchalla, W.; Schmalz, G.; Galler, K.M. Cell Homing for Pulp Tissue Engineering with Endogenous Dentin Matrix Proteins. J. Endod. 2018, 44, 956–962.e2.

Torabinejad, M.; Alexander, A.; Vahdati, S.A.; Grandhi, A.; Baylink, D.; Shabahang, S. Effect of Residual Dental Pulp Tissue on Regeneration of Dentin-pulp Complex: An In Vivo Investigation. J. Endod. 2018, 44, 1796–1801.

Iohara, K.; Zheng, L.; Ito, M.; Ishizaka, R.; Nakamura, H.; Into, T.; Matsushita, K.; Nakashima, M. Regeneration of dental pulp after pulpotomy by transplantation of CD31-/CD146-side population cells from a canine tooth. Regen Med. 2009, 4, 377–385.

Souron, J.-B.; Petiet, A.; Decup, F.; Tran, X.V.; Lesieur, J.; Poliard, A.; Le Guludec, D.; Letourneur, D.; Chaussain, C.; Rouzet, F.; et al. Pulp Cell Tracking by Radionuclide Imaging for Dental Tissue Engineering. Tissue Eng. Part C Methods 2014, 20, 188–197.

Jia, W.; Zhao, Y.; Yang, J.; Wang, W.; Wang, X.; Ling, L.; Ge, L. Simvastatin promotes dental pulp stem cell–induced coronal pulp regeneration in pulpotomized teeth. J. Endod. 2016, 42, 1049–1054.

Ito, T.; Kaneko, T.; Sueyama, Y.; Kaneko, R.; Okiji, T. Dental pulp tissue engineering of pulpotomized rat molars with bone marrow mesenchymal stem cells. Odontology 2017, 105, 392–397.

Endodontics, A.R. Endodontics Colleagues for Excellence; AAE: Chicago, IL, USA, 2013; pp. 1–8.

Bose, R.; Nummikoski, P.; Hargreaves, K. A Retrospective Evaluation of Radiographic Outcomes in Immature Teeth with Necrotic Root Canal Systems Treated with Regenerative Endodontic Procedures. J. Endod. 2009, 35, 1343–1349.

Nygaard-Östby, B.; Hjortdal, O. Tissue formation in the root canal following pulp removal. Eur. J. Oral Sci. 1971, 79, 333–349

Banchs, F.; Trope, M. Revascularization of immature permanent teeth with apical periodontitis: New treatment protocol? J. Endod. 2004, 30, 196–200.

Iwaya, S.; Ikawa, M.; Kubota, M. Revascularization of an immature permanent tooth with apical periodontitis and sinus tract. Dent. Traumat. 2001, 17, 185–187

Kubasad, G.C.; Ghivari, S.B. Apexification with apical plug of MTA-report of cases. Arch. Oral Sci. Res. 2011, 1, 104–107.

Vojinović, J.; Čupić, S.; Dolić, O.; Mirjanić, Đ.; Sukara, S.; Obradović, M. Success rate of the endodontic treatment of young permanent teeth with calcium hydroxide. Growth Contemp. 2010, 4, 8.

Nagaveni, N.; Umashankara, K.; Radhika, N.; Manjunath, S. Successful closure of the root apex in non-vital permanent incisors with wide open apices using single calcium hydroxide (caoh) dressing—Report of 2 cases. J. Clin. Exp. Dent. 2010, 1, 165–167.

Bucal, M.O. Apexification, Apexogenesis and Pulpal Revascularization: Literature Review and Clinical Applications. St. Vincent Char. Med. Cent. J. 2018, 40, 8.

Ford, T.P.; Shabahang, S. Management of incompletely formed roots. In Principles and Practice of Endodontics; Saunders: Philadelphia, PA, USA, 2003; pp. 388–404.

Lovelace, T.W.; Henry, M.A.; Hargreaves, K.M.; Diogenes, A. Evaluation of the Delivery of Mesenchymal Stem Cells into the Root Canal Space of Necrotic Immature Teeth after Clinical Regenerative Endodontic Procedure. J. Endod. 2011, 37, 133–138

Thibodeau, B.; Teixeira, F.; Yamauchi, M.; Caplan, D.J.; Trope, M. Pulp Revascularization of Immature Dog Teeth with Apical Periodontitis. J. Endod. 2007, 33, 680–689.

Wang, X.; Thibodeau, B.; Trope, M.; Lin, L.M.; Huang, G.T.-J. Histologic Characterization of Regenerated Tissues in Canal Space after the Revitalization/Revascularization Procedure of Immature Dog Teeth with Apical Periodontitis. J. Endod. 2010, 36, 56–63.

Jeeruphan, T.; Jantarat, J.; Yanpiset, K.; Suwannapan, L.; Khewsawai, P.; Hargreaves, K.M. Mahidol Study 1: Comparison of Radiographic and Survival Outcomes of Immature Teeth Treated with Either Regenerative Endodontic or Apexification Methods: A Retrospective Study. J. Endod. 2012, 38, 1330–1336.

Wigler, R.; Kaufman, A.Y.; Lin, S.; Steinbock, N.; Hazan-Molina, H.; Torneck, C.D. Revascularization: A Treatment for Permanent Teeth with Necrotic Pulp and Incomplete Root Development. J. Endod. 2013, 39, 319–326.

Kahler, B.; Mistry, S.; Moule, A.; Ringsmuth, A.K.; Case, P.; Thomson, A.; Holcombe, T. Revascularization Outcomes: A Prospective Analysis of 16 Consecutive Cases. J. Endod. 2013, 40, 333–338.

Gomes-Filho, J.E.; Duarte, P.; Ervolino, E.; Bomfim, S.R.M.; Abimussi, C.; Santos, L.M.D.S.; Lodi, C.S.; Oliveira, S.; Dezan, E.; Cintra, L. Histologic Characterization of Engineered Tissues in the Canal Space of Closed-apex Teeth with Apical Periodontitis. J. Endod. 2013, 39, 1549–1556.

Nagy, M.M.; Tawfik, H.E.; Hashem, A.A.R.; Abu-Seida, A.M. Regenerative Potential of Immature Permanent Teeth with Necrotic Pulps after Different Regenerative Protocols. J. Endod. 2014, 40, 192–198.

Iwaya, S.; Ikawa, M.; Kubota, M. Revascularization of an immature permanent tooth with periradicular abscess after luxation. Dent. Traumat. 2011, 27, 55–58.

Huang, G.-J.; Garcia-Godoy, F. Missing Concepts in de novo Pulp Regeneration. J. Dent. Res. 2014, 93, 717–724.

Llames, S.G.; Del Rio, M.; Larcher, F.; García, E.; García, M.; Escámez, M.J.; Jorcano, J.L.; Holguín, P.; Meana, A. Human plasma as a dermal scaffold for the generation of a completely autologous bioengineered skin. Transplantation 2004, 77, 350–355.

Frye, C.A.; Wu, X.; Patrick, C.W. Microvascular endothelial cells sustain preadipocyte viability under hypoxic conditions. Cell. Dev. Biol. Anim. 2005, 41, 160–164.

Hofer, S.; Mitchell, G.; Penington, A.; Morrison, W.; RomeoMeeuw, R.; Keramidaris, E.; Palmer, J.; Knight, K. The use of pimonidazole to characterise hypoxia in the internal environment of an in vivo tissue engineering chamber. Br. J. Plast. Surg. 2005, 58, 1104–1114.

Lembert, N.; Wesche, J.; Petersen, P.; Doser, M.; Zschocke, P.; Becker, H.D.; Ammon, H.P.T. Encapsulation of Islets in Rough Surface, Hydroxymethylated Polysulfone Capillaries Stimulates VEGF Release and Promotes Vascularization after Transplantation. Cell Transplant. 2005, 14, 97–108.

Chueh, L.-H.; Huang, G.T.-J. Immature Teeth with Periradicular Periodontitis or Abscess Undergoing Apexogenesis: A Paradigm Shift. J. Endod. 2006, 32, 1205–1213.

Shah, N.; Logani, A.; Bhaskar, U.; Aggarwal, V. Efficacy of Revascularization to Induce Apexification/Apexogensis in Infected, Nonvital, Immature Teeth: A Pilot Clinical Study. J. Endod. 2008, 34, 919–925.

Petrino, J.A.; Boda, K.; Shambarger, S.; Bowles, W.R.; McClanahan, S.B. Challenges in Regenerative Endodontics: A Case Series. J. Endod. 2010, 36, 536–541.

Yang, J.; Yuan, G.; Chen, Z. Pulp Regeneration: Current Approaches and Future Challenges. Front. Physiol. 2016, 7, 58.

Kindler, V. Postnatal stem cell survival: Does the niche, a rare harbor where to resist the ebb tide of differentiation, also provide lineage-specific instructions? J. Leukol. Biol. 2005, 78, 836–844.

Nakashima, M.; Akamine, A. The Application of Tissue Engineering to Regeneration of Pulp and Dentin in Endodontics. J. Endod. 2005, 31, 711–718.

Brazelton, T.R.; Blau, H.M. Optimizing Techniques for Tracking Transplanted Stem Cells In Vivo. Stem Cells 2005, 23, 1251–1265

Nakashima, M. Bone morphogenetic proteins in dentin regeneration for potential use in endodontic therapy. Cytokine Growth Factor Rev. 2005, 16, 369–376.

Fukuda, J.; Khademhosseini, A.; Yeh, J.; Eng, G.; Cheng, J.; Farokhzad, O.C.; Langer, R. Micropatterned cell co-cultures using layer-by-layer deposition of extracellular matrix components. Biomaterials 2006, 27, 1479–1486.

Huang, G.T.-J.; Sonoyama, W.; Chen, J.; Park, S.H. In vitro characterization of human dental pulp cells: Various isolation methods and culturing environments. Cell Tissue Res. 2006, 324, 225–236.

Helmlinger, G.; Yuan, F.; Dellian, M.; Jain, R.K. Interstitial pH and pO2 gradients in solid tumors in vivo: High-resolution measurements reveal a lack of correlation. Nat. Med. 1997, 3, 177–182.

Nakashima, M. Tissue Engineering in Endodontics. Aust. Dent. J. 2005, 31, 111–113.

Tabata, Y. Nanomaterials of Drug Delivery Systems for Tissue Regeneration. Methods Mol. Biol. 2005, 300, 81–100.

Boccaccini, A.R.; Blaker, J. Bioactive composite materials for tissue engineering scaffolds. Expert Rev. Med. Devices 2005, 2, 303–317.

Kitasako, Y.; Shibata, S.; Pereira, P.N.; Tagami, J. Short-term dentin bridging of mechanically-exposed pulps capped with adhesive resin systems. Oper. Dent. 2000, 25, 155–162.

Mjor, I.A.; Dah, E.; Cox, C.F. Healing of pulp exposures: An ultrastructural study. J. Oral Pathol. Med. 1991, 20, 496–501.

Silva, T.; Rosa, A.; Lara, V. Dentin matrix proteins and soluble factors: Intrinsic regulatory signals for healing and resorption of dental and periodontal tissues? Oral Dis. 2004, 10, 63–74.

Elisseeff, J.; Puleo, C.; Yang, F.; Sharma, B. Advances in skeletal tissue engineering with hydrogels. Orthod. Craniofac. Res. 2005, 8, 150–161.

Trojani, C.; Weiss, P.; Michiels, J.-F.; Vinatier, C.; Guicheux, J.; Daculsi, G.; Gaudray, P.; Carle, G.F.; Rochet, N. Three-dimensional culture and differentiation of human osteogenic cells in an injectable hydroxypropylmethylcellulose hydrogel. Biomaterials 2005, 26, 5509–5517.

Alhadlaq, A.; Mao, J.J. Tissue-engineered osteochondral constructs in the shape of an articular condyle. J. Bone Jt. Surg. Am. 2005, 87, 936–944.

Desgrandchamps, F. Biomaterials in functional reconstruction. Curr. Opin. Urol. 2000, 10, 201–206.

Luo, Y.; Shoichet, M.S. A photolabile hydrogel for guided three-dimensional cell growth and migration. Nat. Mater. 2004, 3, 249–253.

Dusseiller, M.R.; Schlaepfer, D.; Koch, M.; Kroschewski, R.; Textor, M. An inverted microcontact printing method on topographically structured polystyrene chips for arrayed micro-3-D culturing of single cells. Biomaterials 2005, 26, 5917–5925.

Barron, J.A.; Krizman, D.B.; Ringeisen, B.R. Laser Printing of Single Cells: Statistical Analysis, Cell Viability, and Stress. Ann. Biomed. Eng. 2005, 33, 121–130.

Barron, J.; Wu, P.; Ladouceur, H.; Ringeisen, B. Biological Laser Printing: A Novel Technique for Creating Heterogeneous 3-dimensional Cell Patterns. Biomed. Microdevices 2004, 6, 139–147.

Rutherford, R.B. BMP-7 gene transfer to inflamed ferret dental pulps. Eur. J. Oral Sci. 2001, 109, 422–424.

Jüllig, M.; Zhang, W.V.; Stott, N.S. Gene therapy in orthopaedic surgery: The current status. ANZ J. Surg. 2004, 74, 46–54.

Stolberg, S.G. Trials are halted on a gene therapy. The New York Times, 2002; p. 4.

Nakashima, M.; Reddi, A.H. The application of bone morphogenetic proteins to dental tissue engineering. Nat. Biotechnol. 2003, 21, 1025–1032.

Kimura, H.; Esumi, H. Reciprocal regulation between nitric oxide and vascular endothelial growth factor in angiogenesis. Acta Biochim. Pol. 2003, 50, 49–59.

Sun, B.; Slomberg, D.L.; Chudasama, S.L.; Lu, Y.; Schoenfisch, M.H. Nitric Oxide-Releasing Dendrimers as Antibacterial Agents. Biomacromolecules 2012, 13, 3343–3354.

Backlund, C.J.; Worley, B.V.; Schoenfisch, M.H. Anti-biofilm action of nitric oxide-releasing alkyl-modified poly(amidoamine) dendrimers against Streptococcus mutans. Acta Biomater. 2016, 29, 198–205

Moon, C.-Y.; Nam, O.H.; Kim, M.; Lee, H.-S.; Kaushik, S.N.; Walma, D.A.C.; Jun, H.-W.; Cheon, K.; Choi, S.C. Effects of the nitric oxide releasing biomimetic nanomatrix gel on pulp-dentin regeneration: Pilot study. PLoS ONE 2018, 13, e0205534.

Ding, R.Y.; Cheung, G.S.-P.; Chen, J.; Yin, X.; Wang, Q.Q.; Zhang, C. Pulp Revascularization of Immature Teeth with Apical Periodontitis: A Clinical Study. J. Endod. 2009, 35, 745–749.

Anitua, E.; Sánchez, M.; Nurden, A.T.; Nurden, P.; Orive, G.; Andía, I. New insights into and novel applications for platelet-rich fibrin therapies. Trends Biotechnol. 2006, 24, 227–234.

Ogino, Y.; Ayukawa, Y.; Kukita, T.; Koyano, K. The contribution of platelet-derived growth factor, transforming growth factor-β1, and insulin-like growth factor-I in platelet-rich plasma to the proliferation of osteoblast-like cells. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endodontol. 2006, 101, 724–729.

Marx, R.E. Platelet-rich plasma (PRP): What is PRP and what is not PRP? Implant Dent. 2001, 10, 225–228

Samadi, P.; Sheykhhasan, M.; Khoshinani, H.M. The Use of Platelet-Rich Plasma in Aesthetic and Regenerative Medicine: A Comprehensive Review. Aesthetic Plast. Surg. 2019, 43, 803–814.

Whitman, D.H.; Berry, R.L.; Green, D.M. Platelet gel: An autologous alternative to fibrin glue with applications in oral and maxillofacial surgery. J. Oral Maxillofac. Surg. 1997, 55, 1294–1299.

Lee, U.-L.; Jeon, S.H.; Park, J.-Y.; Choung, P.-H. Effect of platelet-rich plasma on dental stem cells derived from human impacted third molars. Regen. Med. 2011, 6, 67–79.

Torabinejad, M.; Faras, H. A Clinical and Histological Report of a Tooth with an Open Apex Treated with Regenerative Endodontics Using Platelet-rich Plasma. J. Endod. 2012, 38, 864–868.

Zhu, W.; Zhu, X.; Huang, G.T.-J.; Cheung, G.S.P.; Dissanayaka, W.; Zhang, C. Regeneration of dental pulp tissue in immature teeth with apical periodontitis using platelet-rich plasma and dental pulp cells. Int. Endod. J. 2013, 46, 962–970.

Torabinejad, M.; Milan, M.; Shabahang, S.; Wright, K.R.; Faras, H. Histologic Examination of Teeth with Necrotic Pulps and Periapical Lesions Treated with 2 Scaffolds: An Animal Investigation. J. Endod. 2015, 41, 846–852.

Wang, Y.; Zhu, X.; Zhang, C. Pulp Revascularization on Permanent Teeth with Open Apices in a Middle-aged Patient. J. Endod. 2015, 41, 1571–1575.

DeLong, J.M.; Russell, R.P.; Mazzocca, A.D. Platelet-Rich Plasma: The PAW Classification System. Arthrosc. J. Arthrosc. Relat. Surg. 2012, 28, 998–1009.

Kumar, N., Maher, N., Amin, F., Ghabbani, H., Zafar, M. S., Rodríguez-Lozano, F. J., & Oñate-Sánchez, R. E. (2022). Biomimetic approaches in clinical endodontics. Biomimetics, 7(4), 229.

Published

15-01-2022

How to Cite

Almoharib, B. K., Alonazi, R. S., Alanazi, M. A., Alqubaysi, ‏Hissah A., Alshammari, ‏Abrar F., Alzuhair, ‏Noor A., Alenizi, ‏Amal A., Khormi, ‏Fatimah A., Alshammari, ‏Munifah H., Alenezi, S. Z., & Alshammari, A. K. (2022). Innovative approaches in regenerative endodontics: A review of current literature. International Journal of Health Sciences, 6(S10), 1684–1700. https://doi.org/10.53730/ijhs.v8nS1.15031

Issue

Section

Peer Review Articles

Most read articles by the same author(s)