Pulp revascularization of immature permanent tooth

Kwak,  Sang Won

doi:2016.54.8.658

J Korean Dent Assoc > Volume 54(8); 2016 > Article

The Journal of The Korean Dental Association 2016;54(8):658-665.
DOI: https://doi.org/10.22974/jkda.2016.54.8.007 Published online August 31, 2016.

미성숙 영구치의 치수재혈관화

곽상원

부산대학교 치의학전문대학원 치과보존학교실

Pulp revascularization of immature permanent tooth

Sang Won Kwak

Department of Conservative dentistry, School of Dentistry, Pusan National University

Abstract

Treatment of immature permanent teeth with irreversibly damaged pulp has been challenging in dental practice because of the lack of apical constriction, thin dentinal walls, and short roots. This may lead to the extrusion of filling materials, and fracture of the root due to its more fragile feature during shaping of the root canal. Apexification with calcium hydroxide or MTA is one of the treatment options for these cases. Although favorable results of apexification have been reported, these treatment procedures do not guarantee the increase of root length and/or width even after a long term period. Thus, treated teeth are still prone to fractures. Recently, pulp revascularization has been proposed as an alternative treatment for immature teeth with necrotic pulp and periapical pathosis. Pulp revascularization allows the stimulation of the apical development and the root maturation. There have been many treatment protocols using various materials such as antibiotics and calcium hydroxide medicament. In this case report, literature review about pulp revascularization and two related cases are presented.

Key Words: regenerative endodontics;pulp revascularization;immature tooth;pulp necrosis;root development and thickening;