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| This 8 yr old patient had trauma 3 yrs earlier on this immature #9. His dentist bonded it the best he could. 3 yrs later, the tooth is necrotic with symptomatic apical periodontitis. (non-responsive to cold, pain to percussion, normal probings) Root apex is >1mm open. Pulpal regeneration was recommended. |
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| Pulpal regeneration peformed. Canal debrided with minimal filing, NaOCl irrigation, Saline rinse, EDTA final rinse. Blood clot initiated with MTA coronal plug placed below CEJ (to prevent staining). |
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| Regenerative procedure completed in single step with MTA plug and resin coronal access filling. |
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| Following the treatment, a post operative flareup occurred - requiring antibiotics. I was concerned that this may be detrimental to the regenerative process. I am continually amazed at the healing capacity of the tooth. At 6 months, the tooth is aysmptomatic, fully function and canal is closing down. A dentin bridge is formed just below the MTA barrier. There is no additional plan for endodontic treatment on this tooth - unless eventually needed for restorative purposes. |
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