export_jvd 2010 winter abs 248 endolaureys deos removal of the original pulp tissue before autotransplantatino influence the growth of new tissue in the pulp

Question 1

JVD 2010 Winter Abs 248 endo
Does removal of the original pulp tissue before autotransplantation influence ingrowth of new tissue in the pulp chamber?: Laurels W, Dermaut L, Cuvelier D, De Pauw G

Answer 1

Dent traumatol 2010 OCT;26(5):301-5

similar concept to da Silva JVD 2010 Sum Abs p 108 - Endovac study

Question 2

2) aim of study

Answer 2

to find out if revascularization and ingrowth of new pulp tissue is influenced by removal of original pulp tissue before autotransplantation?

Question 3

3. Background:

when autotransplanting teeth:

Answer 3

• you might enlarge the apical foramen
• you might cryopreserve the teeth
• pulp doesn’t survive the cryo process when it’s kept in the tooth
• it has been demonstrated previously that revascularization and ingrowth of new tissue can occur in an empty pulp chamber

Question 4

4. Results:

Answer 4

• in the group with pulp left in situ, 80% of teeth had 1/3 - 2/3 chamber filled with live pulp 90 days later
• in the group with pulp removed, 80% had little or no vital tissue in pulp chamber
• the necrotic masses that develop in the original pulp tissue after transplantation may stimulate repair of the pulp.

Question 5

5. Conclusion

Answer 5

in case of autotransplantation of teeth, it is advisable to leave the pulp tissue in situ to stimulate the revascularization and ingrowth of new tissue after transplantation