Akademik Veri Yönetim Sistemi
28th Congress of the International Association of Paedistric Dentistry, Porto, Portekiz, 10 - 13 Haziran 2021, ss.90-91
Introduction:Regenerative endodontics aims to
replace necrotic pulp tissues with regenerated pulp-like tissues to revitalize
teeth. Revascularization therapy is indicated to for induce apical barrier
formation in teeth with open apex.
Case Report:A 9-year-old female patient was
admitted to the clinic with the complaint of pain caused by biting in her left
upper lateral tooth. It was learned that the tooth was
traumatized one year ago. Revascularization treatment was planned for the
tooth with an open apex, which was clinically asymptomatic and no pathology was
observed on radiographic examination.In the first session of the patient's
tooth, the canal length was determined by opening the access cavity under local
anesthesia.After irrigation with NaOCl, serum, CHX 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 irrigated
with serum and EDTA. There was bleeding from the root tip, the canal was waited
for filling with blood and clot formation. Then, the top filling was performed
after MTA occlusion up to the coronal 1/3 of the root. First month, 6th month
and 1 year controls of the patient were made.
Discussion:Especially, which has been used recently,is seen
as a promising new approach this treatment method compared to traditional
treatment methods.
Conclusion: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.