You are here

Article Text

Article menu
Download PDFPDF
Case report
Management of necrotic immature permanent maxillary incisors using a modified technique of revascularisation
  1. Arun Mayya1,
  2. Shruti Bhandary2,
  3. Advith Kolakemar2 and
  4. Ann Mary George3
  1. 1Conservative Dentistry and Endodontics, Srinivas Institute of Dental Sciences, Mangalore, Karnataka, India
  2. 2Conservative Dentistry and Endodontics, AJ Institute of Dental Sciences, Mangalore, Karnataka, India
  3. 3Oral and Maxillofacial Surgery, Manipal University College Malaysia, Melaka, Malaysia
  1. Correspondence to Dr Ann Mary George; annmary.george{at}manipal.edu.my

Abstract

The management of necrotic immature permanent teeth has always been a challenge to endodontists. Various treatment modalities have been tried and tested for achieving a successful outcome. Revascularisation is one among these treatment options, which is gaining widespread attention among endodontists. The growing body of evidence demonstrating the success of revascularisation has led to different variations of this treatment option. Clinicians have over time used different scaffolds such as blood clot, collagen, platelet-rich fibrin (PRF) and platelet-rich plasma for revascularisation. This case report outlines the management of immature maxillary central incisors with pulp necrosis and large periapical lesions in a 19-year-old female patient with a modified technique of revascularisation by combining PRF and blood clot. At the end of 12 months, the patient was completely asymptomatic along with regression of the periapical lesions.

  • dentistry and oral medicine
  • infections

https://doi.org/10.1136/bcr-2020-240203

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors AM performed the revascularisation procedure, manuscript preparation and editing. SB defined the intellectual content, manuscript revision and editing. AK performed the conventional root canal therapy and literature review. AMG performed manuscript editing, literature review and manuscript preparation.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.