Revascularization in an immature necrotic permanent incisor after severe intrusive luxation injury: a case report. 2014

K Cantekin, and G Herdem, and K Peduk
Department of Paediatric Dentistry, Faculty of Dentistry, Erciyes University, Kayseri, Turkey.

BACKGROUND Pulp necrosis as a result of trauma is common in almost all intruded teeth, and the ideal treatment method for intruded immature and necrotic teeth has not yet been determined. Therefore, the aim of this report was to present a case of pulp revascularisation in a severely intruded immature maxillary right incisor. METHODS After clinical and radiographic examination, the incisor was defined as necrotic. Revascularisation therapy was performed over multiple appointments. After 21 months of recall appointments, healing of the periapical area and apical closure were seen to be complete. However, at the 27-month appointment, the vitality tests were negative and revascularisation of the right incisor, which had intrusion injuries, had not occurred. The tooth underwent root canal treatment. Finally, the tooth spontaneously erupted into the vestibule and was repositioned with orthodontic appliances. CONCLUSIONS Although revascularisation can promote continued root development and root dentin apposition, long-term root canal treatment may be required due to treatment results with periapical inflammation in intruded teeth with open apices.

UI MeSH Term Description Entries
D007180 Incisor Any of the eight frontal teeth (four maxillary and four mandibular) having a sharp incisal edge for cutting food and a single root, which occurs in man both as a deciduous and a permanent tooth. (Jablonski, Dictionary of Dentistry, 1992, p820) Incisors
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014078 Tooth Eruption The emergence of a tooth from within its follicle in the ALVEOLAR PROCESS of the MAXILLA or MANDIBLE into the ORAL CAVITY. (Boucher's Clinical Dental Terminology, 4th ed) Teething,Eruption, Tooth,Eruptions, Tooth,Tooth Eruptions
D014084 Tooth Avulsion Partial or complete displacement of a tooth from its alveolar support. It is commonly the result of trauma. (From Boucher's Clinical Dental Terminology, 4th ed, p312) Avulsed Tooth,Dislocation, Tooth,Tooth Luxation,Avulsion, Tooth,Avulsions, Tooth,Dislocations, Tooth,Luxation, Tooth,Luxations, Tooth,Tooth Avulsions,Tooth Dislocation,Tooth Dislocations,Tooth Luxations,Tooth, Avulsed

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