Revascularization of Immature Permanent Tooth with Periapical Lesion using a New Biomaterial - A Case Report

Sarika Chaudhary^1, , Sangeeta Talwar², Ramanathan Ravi¹ and Mahesh Verma¹

¹Maulana Azad Institute of dental sciences

²Penang International Dental College

Cite this paper:
Sarika Chaudhary, Sangeeta Talwar, Ramanathan Ravi and Mahesh Verma. Revascularization of Immature Permanent Tooth with Periapical Lesion using a New Biomaterial - A Case Report. International Journal of Dental Sciences and Research. 2013; 1(1):20-22. doi: 10.12691/ijdsr-1-1-5

Abstract

Aim: To describe a case of a necrotic immature mandibular central incisor with sinus tract and periradicular radiolucency that underwent revascularization using Biodentine as coronal sealing material. Summary: Revascularization procedures provide a more predicable outcome by rendering continued root development of immature apices. This case report describes the successful revascularization procedure on a mandibular incisor in a 15-year-old patient, with the resolution of the associated periapical pathology within 18 months. The tooth was treated using coronal root irrigation by 6% NaOCl and triple antibiotic paste without instrumentation. This conservative treatment approach combined with a coronal seal of a bioactive material like Biodentine can preserve the vitality of the dental pulp stem cells and create a suitable environment for pulp revascularisation, resulting in the completion of root maturation.

Keywords:
immature apex revascularization Biodentine dental pulp stem cells stem cells of the apical papilla

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