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Pulp revascularization of immature maxillary first premolar
Nuha S Al-Ghamdi1, Saad Al-Nazhan2
1Department of Restorative, Dental Sciences, Collage of Dentistry, King Khalid University, Abha, Saudi Arabia.
Journal of Conservative Dentistry : JCD
|January 12, 2016
Summary
Regenerative endodontic treatment successfully repaired an immature maxillary first premolar in an 8-year-old. The approach led to significant root development and complete apical closure within three years.
Area of Science:
- Dentistry
- Regenerative Endodontics
- Pediatric Dentistry
Background:
- Immature permanent teeth present unique challenges in endodontic treatment.
- Regenerative endodontics offers a promising approach for immature teeth with vital pulps.
Observation:
- A minimally invasive regenerative technique was employed on an immature maxillary first premolar.
- The treatment involved irrigation with sodium hypochlorite, calcium hydroxide (Ca[OH]2) medication, and induction of a blood clot.
- Mineral trioxide aggregate was used to seal the canal over the blood clot.
Findings:
- Radiographic evidence showed increased root length and width at 6 months.
- Cone beam computed tomography (CBCT) at 3 years confirmed the development of three roots with complete apical closure.
- The regenerative treatment facilitated significant root maturation and apexification.
Implications:
- This regenerative approach offers a viable treatment option for immature permanent teeth, promoting continued root development.
- The findings suggest that minimally invasive regenerative endodontics can lead to favorable long-term outcomes in pediatric dental patients.
- CBCT is a valuable tool for assessing treatment success in regenerative endodontic cases.
