Regeneration Potential of Pulp: A Case Report

Abstract

Regenerative endodontics is a boon to dentistry as it restores the non-vital tooth with a less invasive procedure. Revascularization helps in restoration of teeth with medicaments having antimicrobial properties. There is a substantial literature supporting revascularization using this technique. Hence the present case report was documented with the objective of presenting the regeneration potential of pulp. A 15-year-old male patient presented with complaints of pain in upper right back tooth region since last one month. The pain aggravated on biting and during night. The patient had a history of previous visit to satellite clinic followed by emergency access opening. The tooth was tender on percussion. Pulp vitality tests gave a negative response. The tooth was diagnosed as apical periodontitis with immature apex. Under strict aseptic environment after administration of Local anaesthesia (LA), access cavity was opened. The canal was then dried and temporarily restored with Triple Antibiotic Paste (TAP) and sealed with 4 mm of Intermediate Restorative Material (IRM). It was found that there was narrowing of the apical area after 3 months follow-up and after 5 months follow-up, there was complete apical closure. Hence, tooth with immature apex with viable radicular pulp should not be treated with aggressive procedures, as root canal treatment. So, in such cases application of TAP (Triple Antibiotic Paste) followed by revascularization should be done and follow-up of the case must be done till the apex has been completely closed.

Keywords

• apical periodontitis
• pulp necrosis
• triple antibiotic paste