Regenerative endodontic treatment in maxillary central incisor: A 6-month case report

Abstract

The most important cause of pulpal necrosis was trauma during an eruption of the tooth, trauma cause delayed root formation, which leads to fracture of root. In recent advancements in the field of dentistry we can convert non-vital teeth into vital once again by regenerative endodontic procedure. There are many procedures we can included in the regenerative are root canal revascularization, pulp implant, stem cell therapy, gene therapy and injectable scaffolds. In this case report we discuss the successful regenerative endodontic treatment of necrotic permanent maxillary left central incisor. On clinical and radiographic examination the large periapical defect in respected tooth end. After local anesthesia administration, rubber dam placed, access cavity preparation will be done with sterilization protocol, irrigation with the irrigation material for the choice was 1.25% of sodium hypochlorite with saline after proper irrigation no filing will be done at this point of time after this calcium hydroxide will be placed in the dry canal after 3 months follow, intraoral periapical radiograph shows less radiolucent area as compare to baseline radiograph and no visible inflammatory sign seen in the surrounding tissue then filing will be done in the canal to induce bleeding after visible bleeding visible in the canal after canal dry MTA will be placed. During the following period the patient as asymptomatic and after a 1-year x-ray the lesion was subsided and followed by root canal treatment completion.