Revascularização pulpar comparada a apicificação em dentes com rizogênese incompleta e necrose pulpar

Abstract

The treatment of permanent teeth with pulp necrosis and incomplete rhizogenesis presents a challenge for endodontics, since there is fragility in the “root” wall for these teeth, as well as their open and wide apex. Given this, efforts have been made to develop new techniques, different from apexification, that stimulate the formation of new mineralized tissue for these dental elements. Thus, a promising technique has stood out in the treatment of teeth with pulp necrosis and incomplete rhizogenesis: pulp revascularization, which in turn seeks to replace the necrotic dental pulp, through the induction, development and formation of new pulp tissue. The main objective of this work, through a literature review, is to compare apexification and pulp revascularization in teeth with pulp necrosis and incomplete rhizogenesis, as well as to review the literature on different protocols and materials used. For this study, a survey was carried out in the electronic databases, Pubmed and SciELO. A total of 25 articles were selected between the years 2014 and 2024. Pulp revascularization has proven to be a promising alternative for the treatment of immature teeth with pulp necrosis, offering the advantages of apical closure and regeneration of pulp tissue compared to apexification.