Regenerative Endodontic Treatment of An Immature Permanent Tooth with Apical Periodontitis
Özet
Objective: Regenerative endodontic treatments are applied to permanent teeth with incomplete
root development, typically when the root formation has completed approximately two-thirds of its
development. This case report aims to present the regenerative endodontic treatment of an
immature permanent tooth with apical periodontitis.
Case Report: A 12-year-old patient presented to our clinic with complaints of spontaneous
nocturnal pain in tooth #35. Clinical examination revealed percussion sensitivity, and periapical
radiographic evaluation confirmed apical periodontitis. Regenerative endodontic treatment was
considered for the patient. In the first session, the infected pulp tissue was extirpated under aseptic
conditions, and the root canal was irrigated with 20 mL of 2% sodium hypochlorite and 0.9% saline
solution, following the first protocol of regenerative endodontic treatment. In the second session,
two weeks later, the root canal was irrigated with 20 mL of 17% EDTA solution and 0.9% saline
solution. Apical bleeding was then induced, and coronal sealing was achieved with a 3-mm layer of
MTA. Permanent restoration was completed using composite material. However, during a follow-up
session, a fracture was observed in the initial restoration, and the restoration was replaced with a
stainless steel crown. At the 6-month and 1-year follow-ups, continued root development was
observed, and the symptoms showed both clinical and radiographic resolution.
Conclusion: The reported case demonstrates that regenerative endodontic treatment procedures
can be successfully applied to immature necrotic permanent teeth. Further studies on this treatment
approach are recommended in the literature.
Keywords: Immature Permanent Tooth, Regenerative Endodontics, MTA
Acknowledgments: I sincerely thank my supervisor, Dr. Sera Şimşek Derelioğlu, Head of the
Department of Pedodontics, Atatürk University, for her guidance and support.
Sürdürülebilir Kalkınma Amaçları
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SKA 3: Sağlıklı Bireyler
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SKA 4: Nitelikli Eğitim
Atıf için künye
Baklacı, B., Karadeniz, H. B., & Demir, A. (2025). Regenerative Endodontic Treatment of An Immature Permanent Tooth with Apical Periodontitis. 29th Congress of the Balkan Stomatological Society, Belgrade (ss. 217).
BibTeX
@inproceedings{baklaci2025-17925,
author = {Baklacı, Büşra and Karadeniz, Hazar Baha and Demir, Ayşenur},
title = {Regenerative Endodontic Treatment of An Immature Permanent Tooth with Apical Periodontitis},
booktitle = {29th Congress of the Balkan Stomatological Society},
address = {Belgrade},
year = {2025},
pages = {217},
url = {https://akademik.atauni.edu.tr/yayinlar/17925-regenerative-endodontic-treatment-of-an-immature-permanent-tooth-with-apical}
}