Journal of Conservative Dentistry
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Year : 2015  |  Volume : 18  |  Issue : 6  |  Page : 496-499

Pulp revascularization of immature maxillary first premolar

1 Department of Restorative, Dental Sciences, Collage of Dentistry, King Khalid University, Abha, Saudi Arabia
2 Department of RDS, Division of Endodontics, King Saud University, College of Dentistry, Riyadh, Saudi Arabia

Correspondence Address:
Prof. Saad Al-Nazhan
Department of RDS, Division of Endodontics, King Saud University, College of Dentistry, P.O. Box 60169, Riyadh 11545
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-0707.168824

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An immature maxillary first premolar in an 8-year-old female was treated using a regenerative approach. The root canal was gently irrigated with 5.25% sodium hypochlorite without instrumentation under aseptic conditions and then medicated with calcium hydroxide (Ca[OH] 2 ) for 3 weeks. The Ca(OH) 2 was removed, and bleeding was initiated mechanically using a hand file to form an intracanal blood clot. Mineral trioxide aggregate was placed over the blood clot, and the access cavity was sealed with a double filling. Increases in root length and width were radiographically evident, at the 6-month follow-up exam. The case was followed for 3 years. The development of 3 roots with complete apical closure was confirmed using cone beam computed tomography.

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