Akademik Veri Yönetim Sistemi
28th Congress of the International Association of Paedistric Dentistry, Porto, Portekiz, 10 - 13 Haziran 2021, ss.94
Introductıon: Revascularization is a treatment method that
aims to provide a vascularization in the root canals of permanent young teeth whose pulp has lost its vitality, and thus, to
continue root development.
Case Report: A 9-year-old girl presented to the clinic with
the complaint of vertical percussion pain in the right lower
first molar tooth. Secondary decay was detected in the tooth.
Revascularization treatment was planned in the mouth, since
the apex hadn’t yet closed. In the first session, the canal
length was determined by opening the access cavity under
local anesthesia. After make irrigation with NaOCl, serum,
CHX without extirpating the pulp, a double antibiotic paste
was placed in the canal. When the patient arrived two weeks
later, after making sure that he had no symptoms, the temporary filling was removed and make irrigation with NaOCl,
serum and EDTA. Bleeding was noted from the apex. Then
the coronal 1/3 of the root was occluded with MTA. The patient was given an appointment 1day later for permanent filling. First month, 3rd month, 6th month and 1 year recall of
the patient were made.
Discussion: The patient, whose follow-up continues, no
symptoms and apex closure continues.
Conclusıon: Revascularization treatment seems to be effective
for thickening of the canal walls and continuity of root development in young permanent teeth with an open apex with infected necrotic pulp tissue. However, more studies are needed
to evaluate its long-term effectiveness and new approaches.