title: Pulp revascularization of immature maxillary first premolar.
abstract: An immature maxillary first premolar in an 8-year-old female was treated using a regenerative approach. The root canal was gently irrigated with 5.25% sodium hypochlorite without instrumentation under aseptic conditions and then medicated with calcium hydroxide (Ca[OH]2) for 3 weeks. The Ca(OH)2 was removed, and bleeding was initiated mechanically using a hand file to form an intracanal blood clot. Mineral trioxide aggregate was placed over the blood clot, and the access cavity was sealed with a double filling. Increases in root length and width were radiographically evident, at the 6-month follow-up exam. The case was followed for 3 years. The development of 3 roots with complete apical closure was confirmed using cone beam computed tomography.
authors.affiliation: Department of Restorative, Dental Sciences, Collage of Dentistry, King Khalid University, Abha, Saudi Arabia.
authors.forename: Nuha S
authors.initials: NS
authors.lastname: Al-Ghamdi
authors.affiliation: Department of RDS, Division of Endodontics, King Saud University, College of Dentistry, Riyadh, Saudi Arabia.
authors.forename: Saad
authors.initials: S
authors.lastname: Al-Nazhan
keywords: Calcium hydroxide; maxillary first premolar; mineral trioxide aggregate open apex; pulp revascularization