Chen YP, Jovani-Sancho Mdel M, Sheth CC
Clinical revascularization cases conducted on human subjects were selected, reviewed and organized into two charts including patient information, diagnostic information, treatment and results in follow-up visits. Results: Ninety-seven of 101 teeth (96.0%) were successfully treated with the revascularization technique. The range of technique variations available for irrigation, disinfection and blood clot induction have a negligible impact on the clinical outcome variables tested in our analysis. During the follow-up visits, apical closure was detected in fewer cases (55.4%) as compared to the other apexogenesis phenomena (increased root length, 76.2%; increased root width, 79.2%). Conclusions: The review shows that the revascularization technique showed marked increase in the root length, width and apical closure in the cases that were reported independently of clinical variables such as operator and material selection and individual differences in protocols. See full abstract.
JOA & EL: The authors should be complimented on a very detailed review of the present literature on pulpal revascularization. This review is to a large extent based on case reports and only three studies with more than 10 cases included. The great variety in methodology and follow-up plus various healing criteria strongly indicate that larger studies are urgently needed.
Jens Ove Andreasen (JOA) & Eva Lauridsen (EL)