A Case Report on Revascularization of a Non-vital Immature Tooth (original) (raw)

Revascularization: A New Hope for Necrotic Permanent Teeth with Immature Apex-A Review

2018

Root development commences after the completion of enamel formation. Irritation of pulp tissue results in major changes in pulp microcirculation that can lead to pulp necrosis and arrest root formation. The treatment of necrotic young permanent tooth with an immature open apex still presents multiple challenges in pediatric and endodontic dentistry. Conventionally, tooth that has lost its vitality is being treated by apexification. Through this technique, the formation of an apical barrier to close the open apex is promoted so that the filling materials can be confined to the root canal but it involves long-term periodic exchanges of calcium hydroxide paste into canal which may lead to weakening of the canal and tooth fracture. Furthermore, tissue regeneration cannot be achieved with apexification. Recently, revascularization is introduced as a new treatment modality for immature non-vital teeth. Revascularization not only provides apical closure but also increases the dentine wall ...

KEEP ME ALIVE: REVASCULARIZATION IN IMMATURE PERMANENT MOLAR.

Necrotic immature teeth present a challenge to dentists because the techniques used in apexification leave the tooth susceptible to fracture, since the root does not continue to grow in length and the canal walls are thin. Revascularization has emerged as an alternative to resolve these deficiencies, enabling apical closure, continued development of the roots, and thickening of the dentinal walls. Case report: clinically and radiographically diagnosed necrotic immature permanent tooth was treated via revascularization treatment. The therapeutic protocol involved accessing the pulp chamber; irrigating copiously with saline; applying a double antibiotic paste as intracanal dressing; then provisionally sealing it. After 3 weeks, the canal was cleaned and the apex irritated with a size 15 K-file to induce blood that would serve as a scaffold for pulp revascularization. MTA was used as a coronal plug. Follow up of 3, 6 and 9 months presented.

Pulp Revascularisation of Necrotic Immature Permanent Teeth: A Review

2021

As the importance attributed to conservative endodontic treatment increases manifold, pulp revascularization represents a recent and promising therapy for immature teeth, highly recommended as an alternative to apexification in cases of endodontic treatment of irreversible pulpitis and pulp necrosis, whether or not associated with periapical lesion. This review is an attempt towards the recommendation of revascularization as an alternative to apexification.

Long-term follow-ups of revascularized immature necrotic teeth: three case reports

Int J Oral Sci, 2012

Revascularization of immature necrotic teeth is a reliable treatment alternative to conventional apexogenesis or apexification. In case 1, a 12-year-old boy had his necrotic, immature mandibular left second premolar treated with a revascularization technique. At a 24-month follow-up, periapical radiolucency had disappeared and thickening of the root wall was observed. In cases 2 and 3, a 10-year-old boy had his necrotic, immature, bilateral mandibular second premolars treated with the same modality. At 48-month (in case 2) and 42-month (in case 3) follow-ups, loss of periapical radiolucencies and increases in the root wall thickness were also observed.

Revasularization of Necrotic Immature Lower Premolar : A Case Report

Journal of the Royal Medical Services, 2017

Regenerative dentistry is a rapidly growing field, this progress is based on the principles of tissue engineering-namely, the spatial delivery of appropriate cells, scaffolds, and growth factors. Revascularization technique applies the principles of regenerative dentistry to regain the vitality of immature necrotic teeth. Revascularization represents a new treatment modality in dealing with immature necrotic teeth, replacing the traditional procedures .In this new treatment modality the problem of thin wall roots with open apex is overcome by maturation of the root. In this case report, we applied the principles of revascularization to treat a necrotic immature lower premolar , and after one year of follow up the treatment was successful , as the root continued to grow and the apex was closed.

Pulp Revascularisation of a Non-Vital Immature Young Permanent Tooth - A Case Report and Literature Review

Journal of Evolution of Medical and Dental Sciences, 2021

Traumatic injuries to an immature permanent tooth may result in cessation of dentin deposition and root maturation. Novel revascularisation endodontic procedure (REP) has been considered as an option for treatment of immature teeth with damaged pulp tissue. The continuous development of the root and the root canal has been recognised as a major advantage of this technique over traditional apexification approach. Traditional apexification procedures may resolve pathology but have not been able to prove tooth survival due to absence of continued root development and risk of root fracture. A successful REP results in resolution of signs and symptoms of pathology, radiographic signs of healing, proof of continued root development as well as presence of pulp vitality due to the regeneration of pulp tissue in the root canal. Currently, repair rather than true regeneration of the ‘pulp-dentine complex’ is achieved and further root maturation is variable. According to Glossary of Endodontic...

[Revascularization: a new treatment method in endodontics]

Refuʾat ha-peh ṿeha-shinayim (1993), 2012

Recently a number of published articles concerning a new treatment method in traumatized young permanent teeth with a wide open apex that have lost vitality, with or without periapical lesions have shown success. This new treatment is entitled "Revascularization" and its aim is to promote root maturation in infected immature teeth with open apices. This procedure stimulates the formation of hard tissue as well as elongation and thickening of the dentinal walls and closure of the root apex. Sometimes the vitality of the teeth is regained. The aim of the present publication is to describe the revascularization technique and to clarify the indications of its use.

An old concept revisited- Revascularisation in endodontics-A case report

This study describes the treatment of a necrotic immature permanent central incisor with crown fracture. Instead of the conventional root canal treatment, a regenerative approach based on conservative endodontic method for revascularization was provided. The root canal was gently debrided of necrotic tissue by irrigating with sodium hypochlorite and then medicated with tri-antibiotic paste. After 28 days the sinus tract had healed, and the tooth was asymptomatic. The tooth was accessed, triantibiotic paste was removed, bleeding was stimulated to form an intracanal blood clot, and glass-ionomer cement was placed coronal to the blood clot. After 18 months, a progressive increase in the thickness of the dentinal walls and subsequent apical development was seen radiographically suggesting that appropriate biologic response can occur with this type of treatment of the necrotic immature permanent teeth.

Revascularızatıon/Regeneratıon Performed in Immature Molars: Case Reports

The Journal of clinical pediatric dentistry

These 3 case reports the outcome of revascularization treatment in necrotic immature molars. During treatment, a tri antibiotic mix was used to disinfect the pulp for 2 weeks. Then a blood clot was created in the canal, over which mineral trioxide aggregate was placed. After 24 months, the immature molars showed continuation of root development. The patients were asymptomatic, no sinus tracts were evident and apical periodontitis was resolved. Results from these cases show that revascularization/regeneration using 3Mix-MP method could be effective for managing immature permanent molar teeth with pulpal necrosis.