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Management of Immature Permanent Mandibular First Molar Using NeoPutty: A Case Report
Maryam Khorasanchi1, Maryam Gharechahi1, Zahra Azizi2
1Department of Endodontics, Faculty of Dentistry Mashhad University of Medical Sciences Mashhad Iran.
Clinical Case Reports
|October 23, 2025
Summary
A pediatric dental case successfully treated an immature permanent molar
Area of Science:
- Dentistry
- Pediatric Dentistry
- Endodontics
Background:
- Facial cutaneous sinus tracts from odontogenic infections are frequently misdiagnosed.
- Untreated periapical infections in immature permanent teeth can lead to complications.
Purpose of the Study:
- To report a case of successful apexification in an immature permanent mandibular molar with a periapical lesion and facial sinus tract.
- To evaluate the efficacy of NeoPutty in treating a complex endodontic case in a pediatric patient.
Main Methods:
- Apexification using NeoPutty, a bioactive bioceramic cement, was performed on an 8-year-old girl's immature permanent mandibular first molar.
- The material was chosen for its biocompatibility and antibacterial properties, suitable for open apices and infection.
Main Results:
- Complete healing of the periapical lesion and resolution of the extraoral sinus tract were observed within six months.
- The immature permanent molar was successfully preserved, demonstrating the effectiveness of the apexification procedure.
Conclusions:
- NeoPutty is a viable and effective material for apexification in immature permanent teeth with periapical pathology.
- Successful management of odontogenic sinus tracts in pediatric patients is achievable with appropriate endodontic treatment and biomaterials.
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