Minimally invasive microsurgical management of the necrotic, immature apex tooth: case report and treatment recommendations

Quintessence Int. 2013;44(6):429-36. doi: 10.3290/j.qi.a29511.

Abstract

Objective: The purpose of this case report is to introduce a minimally invasive microsurgical technique for the treatment of the necrotic, immature apex tooth in adult patients and to provide treatment recommendations.

Method and materials: A 43-year-old male patient was diagnosed with chronic apical periodontitis associated with a necrotic, immature apex of the maxillary central incisor. A minimally invasive microsurgical approach was applied for the treatment of the periapical disease. The crown of the immature apex tooth was left intact.

Results: The 1-year follow-up radiograph revealed uneventful healing of the periradicular lesion while soft tissue healing was optimal.

Conclusion: The minimally invasive microsurgical technique may provide a viable solution for the survival of challenging necrotic, immature apex tooth cases in adults. Proper case selection is mandatory for the success of this technique.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bismuth / therapeutic use
  • Chronic Disease
  • Dental Cements / therapeutic use
  • Dental Pulp Necrosis / surgery*
  • Follow-Up Studies
  • Humans
  • Male
  • Microsurgery / methods*
  • Minimally Invasive Surgical Procedures / methods
  • Oxides / therapeutic use
  • Patient Care Planning
  • Periapical Periodontitis / surgery*
  • Radiography, Bitewing
  • Retrograde Obturation / methods
  • Root Canal Filling Materials / therapeutic use
  • Silicates
  • Tooth Apex / surgery*

Substances

  • Dental Cements
  • MTA-Angelus
  • Oxides
  • Root Canal Filling Materials
  • Silicates
  • Bismuth