Revascularization for a necrotic immature permanent lateral incisor: a case report and literature review

Int J Paediatr Dent. 2013 Jul;23(4):310-6. doi: 10.1111/ipd.12000. Epub 2012 Sep 20.

Abstract

Background: Revascularization is a valuable treatment in immature necrotic teeth that allows the continuation of root development.

Case report: This article describes the successful revascularization treatment of an immature maxillary lateral incisor that was initially diagnosed with apical periodontitis. The tooth was asymptomatic and functional clinically and radiographically during the follow-up period of 5 years.

Conclusion: The follow-up showed evidence of progressive thickening of the dentinal walls, development of root length and apical closure. The article also discusses the currently available literature regarding revascularization of immature permanent teeth.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Apexification / methods*
  • Calcium Hydroxide / therapeutic use
  • Child
  • Ciprofloxacin / administration & dosage
  • Dental Pulp Necrosis / therapy*
  • Dental Restoration, Permanent / methods
  • Dentin / pathology
  • Follow-Up Studies
  • Humans
  • Incisor / injuries*
  • Incisor / pathology
  • Male
  • Metronidazole / administration & dosage
  • Minocycline / administration & dosage
  • Neovascularization, Physiologic / physiology
  • Odontogenesis / physiology
  • Periapical Periodontitis / therapy
  • Root Canal Filling Materials / therapeutic use
  • Root Canal Irrigants / therapeutic use
  • Root Canal Preparation / methods
  • Tooth Fractures / therapy
  • Tooth Root / physiopathology

Substances

  • Anti-Bacterial Agents
  • Root Canal Filling Materials
  • Root Canal Irrigants
  • Metronidazole
  • Ciprofloxacin
  • Minocycline
  • Calcium Hydroxide