Regenerative Endodontic Treatment of a Necrotic Persistent Primary Molar: A Case Report
Makaleler > Tam Makale · 2023
Yazarlar: İzel Karadede, Müge Erbay Mola, Dilşah ÇOĞULU
Journal of Ege University School of Dentistry, Diğer Kurumların Hakemli Dergileri, Uluslararası, TR Dizin (Ulakbim), 2023, cilt 44, ss 155-158
Özet
Introduction: Regenerative endodontic treatment is a successful alternative to traditional root canal treatment in necrotic persistent primary teeth.Case Description: Congenital missing of mandibular right second premolar tooth and periapical radiolucency and mobility in the persistent mandibular right primary molar were detected in a 12-year-old male patient.A two-visit regenerative endodontic treatment protocol was performed.Root canals were accessed and irrigated with 20 ml of 1.5% NaOCl followed by saline solution.Ca(OH)2 was applied and the cavity was temporarily sealed.Two weeks after, Ca(OH)2 was removed with the saline solution and each canal was irrigated with 20 ml of 17% EDTA.Bleeding from the periapical region was evoked with K-files 1-2 mm beyond the apex.After the formation of a blood clot approximately 2 mm below the cementoenamel junction, the canal orifices were sealed with MTA.The teeth were restored with composite restoration.Based on clinical and radiographic follow-up of 22 months, the healing of the periapical lesion and the lamina dura was observed.The tooth was asymptomatic and responded positively to the cold test.Conclusion: It can be thought that regenerative endodontic treatment can be an alternative to traditional root canal treatment in persistent primary teeth with necrotic pulp.