Regenerative Endodontic Treatment in Immature Permanent Teeth: Case Series

FDI Word Dental Congress, İstanbul, Turkey, 12 - 15 September 2024, pp.359, (Summary Text)

INTRODUCTION: Regenerative endodontic treatment (RET)

provides root development in devital immature permanent

teeth with a three-dimensional scaffold, progenitor cells and

growth factors after root canal disinfection. This case reports

presents clinical and radiographic follow-up of two cases

which treated with RET.

CASE DESCRIPTION: Two healthy female patients, aged 14

and 8, applied to our clinic with complaints of pain and swell-

ing in the left lower jaw and right lower jaw, respectively.

Tooth number 37 in the first case and 46 in the second case.

Sensitivity pulp tests (electric pulp test and cold test) were

negative, and the teeth was tender to percussion. Radio-

graphic examinations revealed incomplete root development

and apical periodontitis lesions. RET was applied with apical

bleeding method in both cases, according to the protocols of

European Society of Endodontology in 2016. In the follow-up

appointments, no signs or symptoms were recorded. Healing

of apical periodontitis was observed in the first case at 3

months and in the second case at 6 months.

DISCUSSION: In this case series, successful RET procedures

are presented in two patients. According to European Society

of Endodontology, the success criteria of RET are healing of

apical periodontitis, no signs and symptoms of inflammation,

increase of root thickness and length, which are compatible

with the results observed in our cases.

CONCLUSION/CLINICAL SIGNIFICANCE: Treatment of imma-

ture teeth with RET in pediatric dentistry is no longer a diffi-

cult. More clinical studies with long-term follow-up are

needed to determine the effectiveness of RET in immature

permanent teeth.