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Revascularization of immature permanent incisors after severe extrusive luxation injury.

Abstract
Pulp necrosis is an uncommon sequel to extrusive luxation in immature teeth with incomplete apical closure. In this report, we describe the management of severely extruded immature maxillary incisors and the outcome of revascularization to treat subsequent pulp necrosis. An 8.5-year-old boy with severe dentoalveolar trauma to the anterior maxillary region as a result of a fall was provided emergency treatment consisting of reduction of the dislodged labial cortical bone and repositioning of the central incisors, which had suffered extrusive luxation. When he presented with spontaneous pain involving the traumatized incisors a week later, the teeth were treated via a revascularization protocol using sodium hypochlorite irrigation followed by 3 weeks of intracanal calcium hydroxide, then a coronal seal of mineral trioxide aggregate and resin composite. Complete periradicular healing was observed after 3 months, followed by progressive thickening of the root walls and apical closure. Follow-up observations confirmed the efficacy of the regenerative treatment as a viable alternative to conventional apexification in endodontically involved, traumatized immature teeth.
AuthorsZafer C Cehreli, Sezgi Sara, Burak Aksoy
JournalTexas dental journal (Tex Dent J) Vol. 129 Issue 7 Pg. 675-81 (Jul 2012) ISSN: 0040-4284 [Print] United States
PMID22916525 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Aluminum Compounds
  • Calcium Compounds
  • Drug Combinations
  • Oxides
  • Root Canal Filling Materials
  • Root Canal Irrigants
  • Silicates
  • mineral trioxide aggregate
  • Sodium Hypochlorite
  • Calcium Hydroxide
Topics
  • Aluminum Compounds (therapeutic use)
  • Blood Coagulation
  • Calcium Compounds (therapeutic use)
  • Calcium Hydroxide (therapeutic use)
  • Child
  • Dental Pulp (blood supply)
  • Dental Pulp Necrosis (etiology, therapy)
  • Dentition, Permanent
  • Drug Combinations
  • Humans
  • Incisor (injuries)
  • Male
  • Neovascularization, Physiologic (physiology)
  • Oxides (therapeutic use)
  • Regeneration
  • Root Canal Filling Materials (therapeutic use)
  • Root Canal Irrigants (therapeutic use)
  • Root Canal Therapy (methods)
  • Silicates (therapeutic use)
  • Sodium Hypochlorite (therapeutic use)
  • Tooth Apex (growth & development)
  • Tooth Avulsion (complications, therapy)

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