PULP REVASCULARIZATION OF IMMATURE FIRST PERMANENT MOLARS WITH APICAL PERIODONTITIS : CASE REPORT

Jeon, Hye-Jin; Yang, Yeon-Mi; Kim, Jae-Gon; Baik, Byeong-Ju

Journal of the Korean Academy of Pediatric Dentistry 2012;39(2):192-198.
Published online May 31, 2012.

PULP REVASCULARIZATION OF IMMATURE FIRST PERMANENT MOLARS WITH APICAL PERIODONTITIS : CASE REPORT

Hye-Jin Jeon, Yeon-Mi Yang, Jae-Gon Kim, Byeong-Ju Baik

Department of Pediatric dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University

치근단 치주염을 가진 미성숙 제1대구치의 치수 재혈관화 : 증례 보고

전혜진, 양연미, 김재곤, 백병주

전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소

Correspondence: Yeon-Mi Yang, Tel: 063-250-2128, Email: pedodent@chonbuk.ac.kr

Received: 30 April 2012 • Accepted: 16 May 2012

Abstract

Revascularization of the pulp in a necrotic, infected immature tooth with apical periodontitis was attempting several years. Revascularization of partially necrotic pulp in an immature tooth is based on the concept that vital dental stem cells can survive pulpal necrosis. Revascularization procedure obtains longer and thicker roots in teeth with necrotic pulp diagnosis. Pulp revascularization for immature permanent molars can be possibly applied on cases having difficulty to use conventional root canal treatment due to abnormally thin root canal wall or severe root curvature. Also, when an uncooperative patient does not agree with sedative treatment the revascularization can be useful. And a patient with disability who is barely cooperative can be another indication of this treatment. In this case report, pulp revascularization using triple-antibiotics, metronidazole, ciprofloxacine and minocycline, was applied on the immature first permanent molar infected by caries.

Key Words: Revascularization, Immature permanent tooth, Triple-antibiotics