What is it about?
Introduction: Management of necrotic immature permanent teeth has always posed a challenge to clinicians. Regenerative endodontic procedures (REPs) have been proposed as an alternative to apexification to treat necrotic immature teeth. However, few failed cases of REPs have been presented in the literature with different successful retreatment approaches.
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Why is it important?
Case presentation: An eight-year-old boy reported spontaneous pain in the right permanent mandibular first molar. Regenerative endodontic treatment using platelet-rich fibrin (PRF) was the treatment method due to the open apices. At the 9-month follow-up, there was a periapical lesion around the distal root. Hence, apexification with Mineral trioxide aggregate (MTA) was carried out. In the twelve-month follow-up, the periapical lesion healed radiographically.
Perspectives
Management of necrotic immature permanent teeth has always posed a challenge to dental practitioners due to the thin dentin walls, wide open apex, and difficulty cleansing the root canal system of non-vital immature teeth. Furthermore, pulp necrosis can arrest root development and lead to fragile dentin walls, which are more prone to fractures [1]. Therefore, every attempt should be made to maintain the pulp vitality of immature teeth.
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This page is a summary of: Management of Failed Regenerative Endodontic Treatment of a Necrotic Immature Molar: A Case Report With 12-Month Follow Up, Journal of Case Reports and Medical History, January 2024, Acquire Publications LLC,
DOI: 10.54289/jcrmh2400102.
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