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KMID : 0362720160540080658
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Journal of the Korean Dental Association
2016 Volume.54 No. 8 p.658 ~ p.665
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Pulp revascularization of immature permanent tooth
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Kwak Sang-Won
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Abstract
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Treatment of immature permanent teeth with irreversibly damaged pulp has been challenging in dental practice because of the lack of apical constriction, thin dentinal walls, and short roots. This may lead to the extrusion of filling materials, and fracture of the root due to its more fragile feature during shaping of the root canal. Apexification with calcium hydroxide or MTA is one of the treatment options for these cases. Although favorable results of apexification have been reported, these treatment procedures do not guarantee the increase of root length and/or width even after a long term period. Thus, treated teeth are still prone to fractures. Recently, pulp revascularization has been proposed as an alternative treatment for immature teeth with necrotic pulp and periapical pathosis. Pulp revascularization allows the stimulation of the apical development and the root maturation. There have been many treatment protocols using various materials such as antibiotics and calcium hydroxide medicament. In this case report, literature review about pulp revascularization and two related cases are presented.
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KEYWORD
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regenerative endodontics, pulp revascularization, immature tooth, pulp necrosis, root development and thickening
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