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

J Endod. 2024 May;50(5):596-601. doi: 10.1016/j.joen.2024.02.012. Epub 2024 Feb 20.

Abstract

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.

Keywords: Apical periodontitis; mature teeth; mesenchymal stem cell transplantation; platelet-poor plasma; regenerative medicine.

Publication types

  • Case Reports

MeSH terms

  • Dental Pulp Necrosis* / therapy
  • Humans
  • Mesenchymal Stem Cell Transplantation / methods
  • Periapical Periodontitis* / therapy
  • Regenerative Endodontics* / methods
  • Root Canal Therapy / methods
  • Tissue Engineering / methods
  • Tissue Scaffolds
  • Tooth Apex