Open AccessPulp revascularization of immature maxillary first premolar
Author(s) -
Nuha S Alghamdi,
Saad Al-Nazhan
Publication year - 2015
Publication title -
journal of conservative dentistry/journal of conservative dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 31
eISSN - 0974-5203
pISSN - 0972-0707
DOI - 10.4103/0972-0707.168824
Subject(s) - mineral trioxide aggregate , dentistry , sodium hypochlorite , premolar , medicine , root canal , cone beam computed tomography , maxillary central incisor , pulp (tooth) , materials science , molar , surgery , chemistry , computed tomography , organic chemistry
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.