Review Article

Regenerative Endodontic Therapy in the Management of Immature Necrotic Permanent Dentition: A Systematic Review

Table 2

Summary of the included animal studies in this systematic review according to PRISMA guidelines.

Authors (year)No. of subjects (teeth)Animal speciesIntracanal medicationsScaffoldsPulpal space/barrier usedFollow-up durationRoot maturation stage (Cvek’s classification)Main outcomes

Bakhtiar et al. [32] (2017)(n = 32)DogsCiprofloxacin + metronidazole + cefaclorTreated dentine matrix (TDM) + tricalcium phosphate (TCP)MTA1 yearsStage V (closed apical foramen and completed root development)Root development/Apical closure
Altaii et al. [33] (2017)(n = 4)SheepTAPBlood clotMTA6 monthsStage V (closed apical foramen and completed root development)Root development/Apical closure
Saoud et al. [34] (2015)(n = 16)DogsTAPBlood clotMTA3 monthsNot reportedNot reported in regards to the root development and apical closure, but there are significant results of thickening of the dentinal walls and periapical healing
Torabinejad et al. [36] (2015)(n = 24)FerretsTAPBlood clot/Gelfoam + PRP + empty negative controlMTA3 monthsStage IV (wide opening apical foramen and nearly completed root length)Significantly more apical narrowing and hard tissue deposition in two scaffold groups compared with not using a scaffold
Londero Cde et al. [37] (2015)(n = 30)DogsTAPBlood clot + blood clot with gelfoam + empty negative controlMTA7 monthsStage V (closed apical foramen and completed root development)Apical root development
Rodríguez-Benítez et al. [38] (2015)(n = 40)DogsModified triantibiotic paste (mTAP)Blood clot + PRPNot report6 monthsStage V (closed apical foramen and completed root development)Root thickening/Apical closure
Khademi et al. [41] (2014)(n = 36)DogsTAPBlood clotMTA3–6 monthsStage V (closed apical foramen and completed root development)Apical closure, dentinal wall thickening, and periapical healing
Yoo et al. [42] (2014)(n = 30)DogsNo reportBlood clotMTA12 weeksStage V (closed apical foramen and completed root development)Apical closure and dentinal wall thickening
Zhang et al. [43] (2014)(n = 27)DogsTAPBlood clot + PRPMTA3 monthsStage V (closed apical foramen and completed root development)Apical closure and root wall thickening
Tawfik et al. [48] (2013)(n = 108)DogsTAPBlood clot + blood clot with bFGF + empty negative controlMTA1 week, 3 weeks, and 3 monthsStage I (<1/2 root length with open apex)Negative results in this study. Root lengthening/thickness did not change.
Zhu et al. [49] (2013)(n = 56)DogsTAPBlood clot + blood clot with DPCs + PRP + PRP with DPCsMTA3 monthsStage II (1/2 root length with open apex)Root thickening only, and does not report about the apical closure
Petrović et al. [54] (2013)(n = 24)MonkeysNot reportPRP with hydroxyapatite (HAP)Glass ionomer cement (GIC) and amalgam6 monthsStage I (<1/2 root length with open apex)Retardation of root development and nonsignificant differences among the samples.
Yamauchi et al. [58] (2011)(n = 64)DogsTAPBlood clotMTA3.5 monthsStage III (2/3 root length with open apex)Periapical healing and root wall thickening
Zuong et al. [61] (2010)(n = 6)DogsTAPBlood clotMTA8 weeksStage V (closed apical foramen and completed root development)Apical closure/Root thickening
Da Silva et al. [62] (2010)(n = 40)Dogs(TAP)Empty scaffoldMTA3 monthsStage IV (wide opening apical foramen and nearly completed root length)Hard tissue barrier and increase of apical periodontal ligament thickness

Ca(OH)2: calcium hydroxide; TAP: triple-antibiotics paste; BAP: bi-antibiotics paste; CH: chlorhexidine; MTA: mineral trioxide aggregate; blood clot with bFGF: blood clot with basic fibroblast growth factor; PRP: platelet-rich plasma; PRF: platelet-rich fibrin; blood clot with FGF: blood clot with fibroblast growth factor; and DPCs: dental pulp cells. Gelfoam (Pfizer, New York, NY, USA).