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Pulp revascularization in an immature necrotic tooth: a case report
1Department of Endodontics, NOVA Southeastern University, Fort Lauderdale, FL, USA. gelmanrl@gmail.com
Triple antibiotic paste (TAP) successfully revascularized a necrotic immature permanent tooth after trauma. This regenerative endodontic treatment led to complete healing and apexogenesis within 11 months.
Area of Science:
- Endodontics
- Regenerative Dentistry
Background:
- Immature permanent teeth with pulp necrosis pose significant clinical challenges.
- Current treatments for necrotic immature teeth include triple antibiotic paste (TAP) for revascularization attempts.
Observation:
- An 8-year-old male experienced trauma to permanent maxillary incisors, resulting in pulp necrosis of the left central incisor.
- Revascularization therapy was administered over multiple appointments.
Findings:
- Radiographic and clinical follow-up at 11 months demonstrated complete healing of the periapical area.
- Successful apexogenesis was achieved, indicating root development completion.
Implications:
- Regenerative endodontic techniques show promise as a standard treatment for immature necrotic permanent teeth.
- This case supports the efficacy of pulp revascularization in pediatric dentistry.
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