Modalidades de tratamento da terapia regenerativa da polpa
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A endodontia regenerativa marca um grande avan�o na medicina dent�ria moderna ao passar da remo��o convencional da polpa para procedimentos de base biol�gica que visam a restaura��o do complexo dentino-pulpar. Esta disserta��o rev� os princ�pios e aplica��es cl�nicas da terapia endod�ntica regenerativa, com �nfase na revasculariza��o pulpar em dentes permanentes imaturos com polpa necr�tica. As abordagens tradicionais, como a apicifica��o, conseguem o fechamento apical, mas n�o promovem a continuidade do desenvolvimento radicular ou o espessamento da parede dentin�ria. Os procedimentos regenerativos, baseados em conceitos de engenharia de tecidos que envolvem c�lulas estaminais, suportes e mol�culas de sinaliza��o, oferecem o potencial para a maturog�nese, o encerramento apical e a cicatriza��o periapical. A disserta��o rev� criticamente as c�lulas estaminais dent�rias, os scaffolds naturais e sint�ticos, os factores de crescimento, os protocolos cl�nicos, os resultados, as limita��es e as perspectivas futuras, destacando a endodontia regenerativa como uma abordagem promissora e conservadora em odontopediatria.
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