Regenerative Endodontics for Management of Non-vital Immature Permanent Tooth: A Case Report
Regenerative Endodontics for Non-vital Immature Permanent Tooth
Keywords:
immature permanent tooth, regenerative endodontics, mineral trioxide aggregate (MTA), 3 MixAbstract
Endodontic management of necrotic permanent immature teeth is a challenge for the dentist. An open apex, an unusually wide foramen, a tooth with thin root dentin and large canal lumen make the tooth prone to fracture. This report presents a case of regenerative endodontics treatment of permanent immature tooth with pulpal necrosis and symptomatic apical periodontitis and immature root development in 9-year- old patient. The treatment involved disinfecting the root canal system, followed by application of triple antibiotic paste to create a space for blood clot to form, allowing cells to grow. Finally, the access was sealed with mineral trioxide aggregate (MTA) placed apically to the cementoenamel junction, followed by glass-ionomer and resin boned cement over the MTA. After 24 and 36 months of follow-up, the patient was asymptomatic, with no abnormal mobility, and radiographic examination showed root development, lateral thickening, and apical closure. The outcome of this treatment indicates that regenerative endodontics therapy can be successfully performed in non-vital immature permanent teeth and can provide favorable long-term results
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