Sang Y. Shin, DMD
Endodontic Associates Of Orlando, P.A.
2001 Lee Road, Suite A, Winter Park, FL 32789 | Tel: 407-647-2131
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CASE REPORT
One step pulp revascularization treatment of an immature permanent tooth with chronic apical abscess: a case report
S. Y. Shin, J. S. Albert & R. E. Mortman
Endodontic Division, Atlantic Coast Dental Research Clinic, West Palm Beach, FL, USA
Correspondence to Dr Sang Shin, 1501 Presidential Way, Suite 7, West Palm Beach, FL 33401, USA (e-mail:shin_dmd@hotmail.com).
Copyright © 2009 International Endodontic Journal
KEYWORDS
dental pulp stem cells • immature apex • pulp regeneration • revascularization • stem cells of the apical papilla
Shin SY, Albert JS, Mortman RE. One step pulp revascularization treatment of an immature permanent tooth with chronic apical abscess: a case report. International Endodontic Journal, 42, 1118–1126, 2009.

ABSTRACT

Aim To describe a case in which a mandibular right second premolar with a necrotic pulp, sinus tract, periradicular radiolucency and an immature apex underwent revascularization via a single treatment approach.

Summary Revascularization procedures have the potential to heal a partially necrotic pulp, which can be beneficial for the continued root development of immature teeth. However, it is not clear which revascularization protocols are the most effective. This case report details the outcome of a successful revascularization procedure on tooth 45 (FDI) in a 12-year-old patient, eliminating the associated periapical pathosis within 19 months. The tooth was treated using coronal root irrigation with 6% NaOCl and 2% chlorhexidine without instrumentation in a single visit. The successful outcome of this case report suggests that this conservative revascularization treatment approach can preserve the vitality of the dental pulp stem cells and create a suitable environment for pulp regeneration, resulting in the completion of root maturation.

 Key learning points
  • • 

    The noninstrumentation procedure using 6% NaOCl and 2% chlorhexidine coronal irrigation may help preserve the remaining vital dental pulp stem cells believed to be critical for pulp revascularization.

  • • 

    A single visit pulp revascularization protocol can be a favourable treatment option for an immature permanent tooth with a partially necrotic pulp.


Received 21 June 2009; accepted 21 August 2009

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1365-2591.2009.01633.x About DOI
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Dr. Shin' case report made a cover page of International Endodontic Journal from United Kingdom file

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