Research Information System
İzmir Demokrasi Üniversitesi Uluslararası Diş Hekimliği ve Sağlık Kongresi, İzmir, Turkey, 28 - 29 November 2020, pp.58-59, (Summary Text)
Introduction and Aim: 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. Revascularization therapy is indicated to for induce apical
barrier formation in teeth with open apex.
Case Report: A 9-year-old male patient was admitted to the clinic with the complaint of pain
caused by biting in his left upper central tooth. It was learned that the tooth, which was found
to be filled in clinical examination, which caused enamel-dentin fracture, was traumatized one
year ago. Revascularization treatment was planned for the tooth that did not have spontaneous
pain, lesions on radiograph, and fistula in the mouth and whose apex was not closed yet.In the
first session of the patient's tooth, the canal length was determined by opening the access cavity
under local anesthesia. After washing with NaOCl, serum, CHX without extracting 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 washed with
NaOCl, serum and EDTA. Since there was no bleeding from the root tip, this step was
completed by taking blood from the patient (PRP). Then, the top filling was performed after
MTA occlusion up to the coronal 1/3 of the root. First month, 3rd month, 6th month and 1 year
controls of the patient were made. The patient, whose follow-up continues, does not have any
symptoms and apex closure continues.
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. However, more studies are needed to evaluate its long-term
effectiveness and new approaches.