Zeitschrift für Trauma und Behandlung

Regenerative Endodontics in Traumatized Young Permanent Tooth

Abstract

Nidhi Agarwal and Manpreet Kour

Introduction: Revascularization is new treatment modality and is very valuable treatment option for immature necrotic teeth with open apex.
Methods: An 8-year-old boy with traumatized upper right central incisor. The clinical and radiographical examinations revealed uncomplicated crown fracture, tenderness and periapical radiolucency with immature root. Revascularization was planned to treat the tooth. The tooth root canal was irrigated 2.5% NaOCl, followed by 2 weeks of triple antibiotic (metronidazole, ciprofloxacin and minocycline) paste. Then antibiotic paste was removed, bleeding was induced, and cavity was sealed with MTA.
Results: In clinical and radiographical examinations in follow up visits the tooth was asymptomatic and functional, periapical radiolucency was healed, and root continued to develop with apical foramen became narrower.
Conclusion: Revascularization is an effective treatment for immature necrotic teeth. In addition, triple antibiotic paste provides sterile environment for regeneration.