Akademik Veri Yönetim Sistemi
26. TÜRK DİŞ HEKİMLERİ BİRLİĞİ ULUSLARARASI DİŞHEKİMLİĞİ KONGRESİ, İstanbul, Türkiye, 8 - 11 Eylül 2022, cilt.11, sa.13073540, ss.133, (Özet Bildiri)
AIM: Regenerative endodontic therapy has been suggested as treatment of immature permanent teeth with necrotic pulp and/or apical periodontitis. In this case report traumatized tooth with immature apex and chronic apical periodontitis treated with regenerative endodontic treatment (RET) are presented. CASE REPORT: A 15-year-old female patient was referred to Erciyes University, Department of Endodontics with complaints of pain.As a result of the radiological and clinical examination,periapical lesions was observed in the apical region of teeth #11 and #12.Both #11 and #12 responded negatively to cold and hot tests.Patient told that teeth #11 had a history of trauma.The root development of tooth #11 was incomplete,at the same time there was pain on percussion and palpation.The clinical diagnosis of #11 and #12 was an chronic apical periodontitis. Root canal treatment was planned for #12 teeth.Treatment options were presented for tooth #11 and the patient elected RET.Informed consent was obtained by her father.At the first visit,the access cavity was prepared under rubber dam isolation.The canal was irrigated with 20ml of 2.5%NaOCl,and calcium hydroxide was placed in the root canal as an intracanal medicament.Access cavity was closed with temporary filling material.In the second visit,14 days later, the calcium hydroxide was flushed out of the canal under the dental operating microscope (25x magnification) with 20ml of 17%EDTA solution.Final irrigation was performed with sterile saline solution.The canal was dried with paper points, and the apical bleeding was achieved by advancing 1-2mm apical to the working length with a sterile syringe needle in the canal cavity.After 5minutes, MTA was placed on blood clot that reached coronal 1/3 level and then restored with composite resin.After one year follow up it was observed that teeth was asymptomatic and the apical lesion was healed. CONCLUSION: Rejenerative endodontic treatment could be successful in traumatized tooth with immature apex and chronic apical periodontitis.