Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2013 Aug;38(3):178-81.
doi: 10.5395/rde.2013.38.3.178. Epub 2013 Aug 23.

Apexogenesis and revascularization treatment procedures for two traumatized immature permanent maxillary incisors: a case report

Maryam Forghani  1 , Iman Parisay, Amir Maghsoudlou
Affiliations
Case Reports

Apexogenesis and revascularization treatment procedures for two traumatized immature permanent maxillary incisors: a case report

Maryam Forghani et al. Restor Dent Endod. 2013 Aug.

Abstract

Traumatic injuries to an immature permanent tooth may result in cessation of dentin deposition and root maturation. Endodontic treatment is often complicated in premature tooth with an uncertain prognosis. This article describes successful treatment of two traumatized maxillary central incisors with complicated crown fracture three months after trauma. The radiographic examination showed immature roots in maxillary central incisors of a 9-year-old boy with a radiolucent lesion adjacent to the right central incisor. Apexogenesis was performed for the left central incisor and revascularization treatment was considered for the right one. In 18-month clinical and radiographic follow-up both teeth were asymptomatic, roots continued to develop, and periapical radiolucency of the right central incisor healed. Considering the root development of these contralateral teeth it can be concluded that revascularization is an appropriate treatment method in immature necrotic teeth.

Keywords: Apexogenesis; Open apex; Pulp revascularization; Pulpotomy; Trauma.

PubMed Disclaimer

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Figure 1
Figure 1
Preoperative (a) and immediately postoperative (b) radiographs of maxillary central incisors. Incomplete apex formation of teeth and periapical radiolucency in right central incisor was revealed.
Figure 2
Figure 2
12-month follow-up radiography.
Figure 3
Figure 3
At 18-month postoperative radiography, continued root maturation of both teeth and resolution of the periapical radiolucency in right central incisor was evident.
See this image and copyright information in PMC

References

    1. Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg. 1972;1:235–239. - PubMed
    1. Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: a review of the literature. Aust Dent J. 2000;45:2–9. - PubMed
    1. Canakci V, Akgül HM, Akgül N, Canakci CF. Prevalence and handedness correlates of traumatic injuries to the permanent incisors in 13-17-year-old adolescents in Erzurum, Turkey. Dent Traumatol. 2003;19:248–254. - PubMed
    1. Tapias MA, Jiménez-García R, Lamas F, Gil AA. Prevalence of traumatic crown fractures to permanent incisors in a childhood population: Móstoles, Spain. Dent Traumatol. 2003;19:119–122. - PubMed
    1. Witherspoon DE. Vital pulp therapy with new materials: new directions and treatment perspectives-permanent teeth. J Endod. 2008;34:S25–S28. - PubMed

Publication types

LinkOut - more resources