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Revascularization in an immature necrotic permanent incisor after severe intrusive luxation injury: a case report

Type:  Articles

Pubblication date:  /1/2014

Authors:  K. Cantekin, G. Herdem, K. Peduk

Language:  English

Institution:  Department of Paediatric Dentistry, Faculty of Dentistry, Erciyes University, Kayseri, Turkey

Publication:  European Journal of Paediatic Dentistry

Publisher:  Ariesdue Srl

Keywords:   Immature teeth; Intrusion; Necrotic pulp; Revascularization, Trauma.

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Title:  Revascularization in an immature necrotic permanent incisor after severe intrusive luxation injury: a case report

Abstract:  Background Pulp necrosis as a result of trauma is common in almost all intruded teeth, and the ideal treatment method for intruded immature and necrotic teeth has not yet been determined. Therefore, the aim of this report was to present a case of pulp revascularisation in a severely intruded immature maxillary right incisor. Case report After clinical and radiographic examination, the incisor was defined as necrotic. Revascularisation therapy was performed over multiple appointments. After 21 months of recall appointments, healing of the periapical area and apical closure were seen to be complete. However, at the 27-month appointment, the vitality tests were negative and revascularisation of the right incisor, which had intrusion injuries, had not occurred. The tooth underwent root canal treatment. Finally, the tooth spontaneously erupted into the vestibule and was repositioned with orthodontic appliances. Conclusion Although revascularisation can promote continued root development and root dentin apposition, long-term root canal treatment may be required due to treatment results with periapical inflammation in intruded teeth with open apices.

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European Journal of Paediatric Dentistry | ISSN (Online): 2035-648X |
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