Volume 26, Issue 122, April 2022

Integrative management of open apex with regenerative endodontic therapy: A case report

Payal Chaudhari^1♦, Madhulika Chandak¹, Manoj Chandak², Swayangprabha Sarangi¹, Akshay Jaiswal¹, Aditya Patel³

¹Post Graduate student, Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College, Sawangi (Meghe), Wardha, India
²Dean and Professor, Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College, Sawangi (Meghe), Wardha, India
³Reader, Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College, Sawangi (Meghe), Wardha, India

^♦Corresponding author
Post Graduate student, Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College, Sawangi (Meghe), Wardha, India

ABSTRACT

In clinical practice, treating teeth with an open apex necessitates caution and diligence. In such circumstances, the grade of apical obturation has a direct bearing on the prognosis of endodontic treatment. Previously, a calcified barrier using calcium hydroxide treatment was advised as a therapy option for these patients; however, due to the method's numerous drawbacks, the current management approach advises apexogenesis via regenerative endodontic therapy. This report describes a case of “regenerative endodontic treatment” performed in “immature permanent tooth with pulp necrosis & apical periodontitis” as well as the effectiveness of a PRF-based “regenerative protocol in non-vital young permanent tooth”. After 1 year follow up, the tooth was clinically and radiographically asymptomatic and the healing of the apical area is visible.

Keywords: Apexogenesis; mineral trioxide aggregate; trauma

Medical Science, 2022, 26, ms151e2124

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DOI: https://doi.org/10.54905/disssi/v26i122/ms151e2124

Published: 27 April 2022