Treatment Outcomes of Revascularization and Cervical Pulpotomy in Immature Traumatized Maxillary Incisors: A Case...

This report compares regenerative endodontic procedures (REPs) and vital pulp therapies (VPTs) in traumatized immature maxillary incisors of a 7-year-old patient. Following a bicycle accident, teeth #9 and #8 presented with crown fractures, subluxation, and negative pulp tests. Tooth #9, which had undergone discoloration, was treated 13 days after dental trauma using a revascularization procedure with a calcium-enriched mixture of cement, whereas tooth #8 underwent cervical pulpotomy with zinc oxide-eugenol after 43 days. Both were restored with composite resin. After 24 months, both teeth remained symptom-free, vital, and showed continued root development; tooth #9 achieved a complete dentinal bridge and apical closure, and tooth #8 exhibited apical narrowing and dentinal-wall thickening. Both methods were effective, but revascularization resulted in faster and more substantial root maturation. The findings of this study indicate that both treatment modalities, when applied within their respective indications, are effective options with a high likelihood of success.