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
. 2021 Mar 17;14(3):e240203.
doi: 10.1136/bcr-2020-240203.

Management of necrotic immature permanent maxillary incisors using a modified technique of revascularisation

Arun Mayya  1 , Shruti Bhandary  2 , Advith Kolakemar  2 , Ann Mary George  3
Affiliations
Case Reports

Management of necrotic immature permanent maxillary incisors using a modified technique of revascularisation

Arun Mayya et al. BMJ Case Rep. .

Abstract

The management of necrotic immature permanent teeth has always been a challenge to endodontists. Various treatment modalities have been tried and tested for achieving a successful outcome. Revascularisation is one among these treatment options, which is gaining widespread attention among endodontists. The growing body of evidence demonstrating the success of revascularisation has led to different variations of this treatment option. Clinicians have over time used different scaffolds such as blood clot, collagen, platelet-rich fibrin (PRF) and platelet-rich plasma for revascularisation. This case report outlines the management of immature maxillary central incisors with pulp necrosis and large periapical lesions in a 19-year-old female patient with a modified technique of revascularisation by combining PRF and blood clot. At the end of 12 months, the patient was completely asymptomatic along with regression of the periapical lesions.

Keywords: dentistry and oral medicine; infections.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
(A) Preoperative radiograph. (B) PRF. (C) Immediate postoperative radiograph. (D) A 3-month follow-up radiograph. (E) A 6-month follow-up radiograph. (F) A 12-month follow-up radiograph. PRF, platelet-rich fibrin.
See this image and copyright information in PMC

References

    1. Jadhav G, Shah N, Logani A. Revascularization with and without platelet-rich plasma in nonvital, immature, anterior teeth: a pilot clinical study. J Endod 2012;38:1581–7. 10.1016/j.joen.2012.09.010 - DOI - PubMed
    1. Banchs F, Trope M. Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol? J Endod 2004;30:196–200. 10.1097/00004770-200404000-00003 - DOI - PubMed
    1. Iwaya SI, Ikawa M, Kubota M. Revascularization of an immature permanent tooth with apical periodontitis and sinus tract. Dent Traumatol 2001;17:185–7. 10.1034/j.1600-9657.2001.017004185.x - DOI - PubMed
    1. Bakhtiar H, Esmaeili S, Fakhr Tabatabayi S, et al. . Second-Generation platelet concentrate (platelet-rich fibrin) as a scaffold in regenerative Endodontics: a case series. J Endod 2017;43:401–8. 10.1016/j.joen.2016.10.016 - DOI - PubMed
    1. American Association of Endodontists . Regenerative endodontics database. Available: https://www.aae.org/specialty/publications-research/research/regenerativ... [Accessed 7 Jul 2019].

Publication types