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The resurrection of an immature upper anterior tooth: a case report

Revascularization of necrotic dental pulp has regained interest as an alternative treatment for immature permanent teeth. An 18-year-old female patient was referred for management of an immature upper anterior tooth with symptomatic apical periodontitis. Patient presented...

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Main Authors: Sivan, Hema Devi, Azih, Nurul Farah, Mustaffa, Musliana
Format: Article
Language:English
Published: IIUM Press 2024
Subjects:
L Education (General)
RK Dentistry
Online Access:http://irep.iium.edu.my/113581/7/113581_The%20resurrection%20of%20an%20immature%20upper%20anterior%20tooth%20A%20case%20report.pdf
http://irep.iium.edu.my/113581/
https://journals.iium.edu.my/ktn/index.php/ijohs/article/view/323
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spelling my.iium.irep.1135812024-08-01T07:49:27Z http://irep.iium.edu.my/113581/ The resurrection of an immature upper anterior tooth: a case report Sivan, Hema Devi Azih, Nurul Farah Mustaffa, Musliana L Education (General) RK Dentistry Revascularization of necrotic dental pulp has regained interest as an alternative treatment for immature permanent teeth. An 18-year-old female patient was referred for management of an immature upper anterior tooth with symptomatic apical periodontitis. Patient presented with an unsightly tooth 21 with no symptoms. Patient experienced dental trauma approximately 10 years ago. Clinical examination revealed a light-yellow discoloration with Class IV composite restoration on tooth 21, no carious lesion, Grade 1 tooth mobility, tenderness to percussion, and probing depths within normal limit. Periapical radiograph of tooth 21 revealed a periapical lesion, root of normal length but thin root dentin, and an open apex. Revascularization of tooth 21 was carried out in two visits. The first visit focused on disinfection of the root canal, while the second visit focused on the induction of bleeding followed by placement of mineral trioxide aggregate (MTA). The 6-month and 24-month follow-up visits revealed an absence of periapical lesion, although a significant reduction in the size of root apex could not be observed. An immature permanent tooth presents clinical challenges that affects both the short-term and the long-term treatment outcomes, therefore, an appropriate case selection taking into consideration various factors, and the skills and experience of the clinician are of upmost importance to ensure the predictability of the treatment provided. This procedure could eliminate intraradicular infection, however, increased dentin thickness on the root canal wall could not be observed, suggesting an indeed challenging procedure despite meticulous technical steps to perform the procedure. IIUM Press 2024-07-31 Article PeerReviewed application/pdf en http://irep.iium.edu.my/113581/7/113581_The%20resurrection%20of%20an%20immature%20upper%20anterior%20tooth%20A%20case%20report.pdf Sivan, Hema Devi and Azih, Nurul Farah and Mustaffa, Musliana (2024) The resurrection of an immature upper anterior tooth: a case report. IIUM Journal of Orofacial and Health Sciences, 5 (2). pp. 243-249. E-ISSN 2735-0584 https://journals.iium.edu.my/ktn/index.php/ijohs/article/view/323 10.31436/ijohs.v5i2.323
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic L Education (General)
RK Dentistry
spellingShingle L Education (General)
RK Dentistry
Sivan, Hema Devi
Azih, Nurul Farah
Mustaffa, Musliana
The resurrection of an immature upper anterior tooth: a case report
description Revascularization of necrotic dental pulp has regained interest as an alternative treatment for immature permanent teeth. An 18-year-old female patient was referred for management of an immature upper anterior tooth with symptomatic apical periodontitis. Patient presented with an unsightly tooth 21 with no symptoms. Patient experienced dental trauma approximately 10 years ago. Clinical examination revealed a light-yellow discoloration with Class IV composite restoration on tooth 21, no carious lesion, Grade 1 tooth mobility, tenderness to percussion, and probing depths within normal limit. Periapical radiograph of tooth 21 revealed a periapical lesion, root of normal length but thin root dentin, and an open apex. Revascularization of tooth 21 was carried out in two visits. The first visit focused on disinfection of the root canal, while the second visit focused on the induction of bleeding followed by placement of mineral trioxide aggregate (MTA). The 6-month and 24-month follow-up visits revealed an absence of periapical lesion, although a significant reduction in the size of root apex could not be observed. An immature permanent tooth presents clinical challenges that affects both the short-term and the long-term treatment outcomes, therefore, an appropriate case selection taking into consideration various factors, and the skills and experience of the clinician are of upmost importance to ensure the predictability of the treatment provided. This procedure could eliminate intraradicular infection, however, increased dentin thickness on the root canal wall could not be observed, suggesting an indeed challenging procedure despite meticulous technical steps to perform the procedure.
format Article
author Sivan, Hema Devi
Azih, Nurul Farah
Mustaffa, Musliana
author_facet Sivan, Hema Devi
Azih, Nurul Farah
Mustaffa, Musliana
author_sort Sivan, Hema Devi
title The resurrection of an immature upper anterior tooth: a case report
title_short The resurrection of an immature upper anterior tooth: a case report
title_full The resurrection of an immature upper anterior tooth: a case report
title_fullStr The resurrection of an immature upper anterior tooth: a case report
title_full_unstemmed The resurrection of an immature upper anterior tooth: a case report
title_sort resurrection of an immature upper anterior tooth: a case report
publisher IIUM Press
publishDate 2024
url http://irep.iium.edu.my/113581/7/113581_The%20resurrection%20of%20an%20immature%20upper%20anterior%20tooth%20A%20case%20report.pdf
http://irep.iium.edu.my/113581/
https://journals.iium.edu.my/ktn/index.php/ijohs/article/view/323
_version_ 1806442146644885504
score 13.211869

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