Revascularization of immature mandibular premolar with pulpal necrosis - a case report.
This case report describes the Revascularization of a Permanent Immature Mandibular Premolar with Pulp Necrosis and apical periodontitis. Access opening was done & the canal was disinfected with copious irrigation using 2.5% NaOCl and triple antibiotic paste (Ciprofloxacin, Metronidazole, and Minocycline) as intracanal medicament. After the disinfection protocol is complete, it is followed by revascularization procedure. The apex was mechanically irritated to initiate bleeding into the canal to produce a blood clot to the level just below the level of cementoenamel junction. Mineral trioxide aggregate was placed over the blood clot followed by bonded resin restoration above it. After one year follow up; the patient was asymptomatic, no sinus tract was evident. Apical periodontitis was resolved, and there was radiographic evidence of continuing thickness of dentinal walls.
Senior Lecturer, Department of Conservative Dentistry and Endodontics, GSL Dental College , Rajymundry, Andhra Pradesh, India .
S Murali Krishna
SM
Raju
Professor and HOD, Department of Conservative Dentistry and Endodontics, Govt Dental Collage & Hospital , Hyderabad, Andhra Pradesh, India .
Sarjeev Singh
SS
Yadav
Senior Lecturer, Department of Conservative Dentistry and Endodontics, Vishnu Dental College , Bhimavaram, Andhra Pradesh, India .
Sita Rama
SR
Kumar M
Apical periodontitis; Mineral trioxide aggregate; Open apex; Revascularization; Triple antibiotic paste (TAP)