Regenerative Endodontics

The management of immature permanent teeth with pulpal necrosis is challenging because the root canal system is often difficult to debride and the thin dentinal walls are at an increased risk of a subsequent cervical fracture. When a cervical root fracture occurs, this results in a restorative dilemma, since implants are generally contraindicated in young patients with a growing craniofacial skeleton. Therefore, alternative treatment approaches have evolved that that build on the principles of regenerative medicine and tissue engineering, which aim to successfully treat these challenging cases by attempting to regenerate functional pulpal tissue. These protocols are referred to as regenerative endodontic procedures (REPs).