A clinical, radiographic and histologic observation of human immature permanent tooth after failed revitalization treatment and subsequent root canal treatment

Abstract

Introduction and goal of casuistic: Regenerative endodontics and hence maturogenesis is currently one of the possible alternatives of permanent teeth treatment with unfinished development. In the case of the success of therapy and the formation of newly produced mineralized tissue, we have limited information on the histological character of such tissue. This case report brings clinical, radiological and histological evaluation of unsuccessful maturogenesis. Self-observation: The patient who was treated with unsuccessful maturogenesis and subsequent endodontic treatment of the root canal of the upper left permanent middle incisor appeared after 21 months with a horizontal root fracture. The tooth was extracted and examined histologically. Discussion: Radiological and histological results of previously published case reports are discussed together with possible factors that influence the character and amount of newly produced mineralized tissue. Conclusion: Newly produced mineralized tissue is similar to cement or bone tissue.

Keywords

• apical periodontitis
• histology
• immature permanent tooth
• revascularization
• revitalization
• maturogenesis