Revascularization of Necrotic Immature Permanent Anterior Tooth (Case Report)

Introduction Endodontic regenerative procedures are valuable treatment in immature necrotic teeth that permits continuation of root maturation and apical closure. Methods 9 years-old girl with traumatized upper right central incisor. The clinical and radiographical examinations revealed uncomplicated crown fracture, tenderness, absence of response to cold vitality test and periapical radiolucency with immature root. Revascularization was suggested to treat the tooth, start with irrigation of canal with 5 % % NaOCl + 3 % H2O2, followed by 2 weeks of triple antibiotic (metronidazole, ciprofloxacin and minocycline) paste. Then antibiotic paste was removed, bleeding was induced and calcium enriched mixture cement (CEM) was applied over the blood clot. Results In clinical and radiographical examinations in follow up visits the tooth was asymptomatic and functional, periapical radiolucency was healed, and root continued to develop with apical foramen became narrower. Conclusion Revascularization is an effective treatment for immature necrotic teeth. In addition, CEM provides favorable outcomes in revascularization treatment.