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Root Canal Filling after Revascularization/Revitalization
The Journal of Clinical Pediatric Dentistry
|November 3, 2016
Summary
Revascularization (or revitalization) therapy for immature teeth can be finalized with root canal filling once healing is confirmed. This case shows a successful 20-month follow-up after filling a previously revascularized tooth.
Area of Science:
- Endodontics
- Regenerative dentistry
Background:
- Revascularization/revitalization therapy is an alternative for immature teeth with necrotic pulp.
- Root development interruption necessitates advanced endodontic approaches.
Observation:
- A maxillary central incisor with prior successful revascularization was intentionally filled.
- This was due to the patient's non-adherence to follow-up protocols.
Findings:
- A 20-month follow-up revealed no clinical, radiological, or tomographic signs of re-infection.
- The tooth showed increased canal wall thickening, root length, and apical closure.
Implications:
- Teeth previously treated with revascularization can undergo final root canal filling.
- This is feasible once signs of healing and root maturation are evident.
