Revascularization in Immature Permanent Teeth with Necrotic Pulp and Apical Pathology: Case Series

Figure 1

(a) Initial radiograph of large occlusodistal caries on tooth 36, extending to the pulp chamber and with periapical translucencies. (b) Radiograph showing triple antibiotic paste in the canal. (c) A size 15 K-file is used to irritate the apical tissue to induce bleeding. (d) Periapical radiograph of MTA over the blood clot and the pulp chamber sealed with glass ionomer, composite, and metal crown. (e) Follow-up radiograph taken 6 months after completion of treatment. By comparing this radiograph with those taken previously, the periapical radiotranslucency has decreased and there is further closure of the apical foramen. (f) Follow-up of 12 months after carrying out revascularization treatment. The periapical radiotranslucency has practically disappeared; there is further thickening of the dentinal walls and the apical foramen has almost closed.

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