Journal of Conservative Dentistry

CASE SERIES
Year
: 2020  |  Volume : 23  |  Issue : 4  |  Page : 422--427

A 5 years' follow-up of root anatomy-based maturogenesis achieved in infected immature molars using regenerative techniques - A case series


Ankit Arora1, Dhvani Bhesania2, Sonali Kapoor1, Harleen Kaur3 
1 Department of Conservative Dentistry and Endodontics, Manubhai Patel Dental College, Vadodara, Gujarat, India
2 Private practitioner, Just Smile Dental Clinic, Rajkot, Gujarat, India
3 Department of Paedodontics and Preventive Dentistry, Manubhai Patel Dental College, Vadodara, Gujarat, India

Correspondence Address:
Dr. Ankit Arora
House No. 19/20, Vicenza Vanakkam, Near Indane Gas Agency, Kalali, Vadodara - 390 012, Gujarat
India

Infected immature molars are commonly encountered but seldom are they treated using principles of regenerative endodontics. The case series describes a feasible technique for attempting maturogenesis based on molar tooth anatomy. A total of 9 infected immature molars in the patients between 6 and 18 years of age were treated as part of this case series. All the canals were disinfected using 3% sodium hypochlorite and 17% ethylenediaminetetraacetic acid following minimal instrumentation. After using triple antibiotic paste for 3 weeks, bleeding was induced in mesial or constricted canals and platelet-rich fibrin was placed in distal or open wide canals till the orifice level. Coronal seal was obtained using mineral trioxide aggregate. Outcome was evaluated clinically and radiographically at the periods of 3, 6, 12, 24, 36, and 60 months. All the teeth showed continued root development and maintained functionality but none responded to vitality testing. Anatomical aspects of individual roots within a tooth can be utilized as a guide to decide the appropriate approach for attempting maturogenesis in a molar. Root changes can be expected even if the pulp vitality is not restored.


How to cite this article:
Arora A, Bhesania D, Kapoor S, Kaur H. A 5 years' follow-up of root anatomy-based maturogenesis achieved in infected immature molars using regenerative techniques - A case series.J Conserv Dent 2020;23:422-427


How to cite this URL:
Arora A, Bhesania D, Kapoor S, Kaur H. A 5 years' follow-up of root anatomy-based maturogenesis achieved in infected immature molars using regenerative techniques - A case series. J Conserv Dent [serial online] 2020 [cited 2022 Oct 5 ];23:422-427
Available from: https://www.jcd.org.in/article.asp?issn=0972-0707;year=2020;volume=23;issue=4;spage=422;epage=427;aulast=Arora;type=0