Pulp revascularization of immature maxillary first premolar

Journal Article

Al-Ghamdi, Nuha S. . 2015

• Publication Work Type: Case Report
• Publication Online URL: Journal of Conservative Dentistry
• Tags: Calcium hydroxide; maxillary first premolar; mineral trioxide aggregate open apex; pulp revasculariz
• Magazine \ Newspaper: Journal of Conservative Dentistry
• Issue Number: 6
• Volume Number: 18
• Pages: 496-499

Publication Abstract

A b s t r a c t
An immature maxillary first premolar in an 8-year-old female was treated using a regenerative approach. The root canal was
gently irrigated with 5.25% sodium hypochlorite without instrumentation under aseptic conditions and then medicated with
calcium hydroxide (Ca[OH]2) for 3 weeks. The Ca(OH)2 was removed, and bleeding was initiated mechanically using a hand
file to form an intracanal blood clot. Mineral trioxide aggregate was placed over the blood clot, and the access cavity was
sealed with a double filling. Increases in root length and width were radiographically evident, at the 6-month follow-up exam.
The case was followed for 3 years. The development of 3 roots with complete apical closure was confirmed using cone beam
computed tomography.