Single-Visit Pulp Revascularization of a Nonvital Immature Permanent Tooth Using Biodentine.

Autor: Nader Aldakak, Mohammad Mhd, Capar, Ismail Davut, Rekab, Mohammad Salem, Abboud, Souad
Zdroj: Iranian Endodontic Journal; Summer2016, Vol. 11 Issue 3, p246-249, 4p
Abstrakt: An 11-year-old female patient was referred with a chief complaint of pain in the right mandibular second premolar. Clinical and radiographic examinations showed secondary caries under an old composite restoration, a negative response to a pulp test and an immature root with an open apex. After root canal cleaning and shaping, bleeding was invoked in the canal up to 2 mm short of the cemento-enamel junction (CEJ). After 10 min to allow clotting at this level, a plug of Biodentine was placed over the blood clot and the tooth was temporized with glass ionomer cement. At the next visit, the tooth was free of symptoms and a permanent filling was placed. Clinical and radiographic examinations during a two-year follow-up showed complete root maturation and intact supporting soft tissues without sinus tract, pain or swelling. Conclusion: The use of Biodentine in a single-visit apexification protocol to treat an immature permanent tooth with necrotic pulp can create a suitable environment for revascularization, resulting in the completion of root maturation. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index