revascularization is a promising procedure for the treatment of
adolescents' immature permanent teeth with necrotic pulp and/or apical
periodontitis. However, the ability to successfully perform pulp
revascularization in a middle-aged patient remains unclear.
39-year-old woman was referred for treatment of teeth #20 and #29 with
necrotic pulp, extensive periapical radiolucencies, and incomplete
apices. Pulp revascularization procedures were attempted, including root
canal debridement, triple antibiotic paste medication, and
platelet-rich plasma transplantation to act as a scaffold. Periapical
radiographic and cone-beam computed tomographic examinations were used
to review the changes in the apical lesions and root apex configuration.
patient remained asymptomatic throughout the 30-month follow-up.
Periapical radiographic examination revealed no change in the apical
lesions of either tooth at 8 months. The periapical radiolucency
disappeared on tooth #20 and significantly decreased on tooth #29 by the
30-month follow-up, findings that were also confirmed by cone-beam
computed tomographic imaging. No evidence of root lengthening or
thickening was observed.
Successful revascularization was achieved in a middle-aged patient's teeth.