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VOLUME 17 , ISSUE 5 ( May, 2024 ) > List of Articles

CASE REPORT

Regeneration of Pulp and Radicular Tissues in a Nonvital Avulsed Tooth with Open Apex: A Case Report

Akshat Agrawal, Alka Hande, Ankita Mathur

Keywords : Avulsed tooth, Case report, Endodontics, Mineral trioxide aggregate, Open apex, Radiculogenesis

Citation Information : Agrawal A, Hande A, Mathur A. Regeneration of Pulp and Radicular Tissues in a Nonvital Avulsed Tooth with Open Apex: A Case Report. Int J Clin Pediatr Dent 2024; 17 (5):596-600.

DOI: 10.5005/jp-journals-10005-2840

License: CC BY-NC 4.0

Published Online: 22-08-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim and background: The management of avulsed immature teeth poses a significant challenge to clinicians, as prolonged dry time before reimplantation may lead to replacement resorption or ankylosis. Case description: Recent studies have shown promising results with the use of an intracanal proprietary pharmaceutical preparation, followed by sealing of the orifice with mineral trioxide aggregate (MTA). Angiography suggested the presence of vascularized tissue after 1 year, indicating successful regeneration of pulpal tissue in the radicular area. Conclusion: Despite an unfavorable crown-root fracture leading to tooth extraction after 9 months, histological examination revealed regular root dentin formation, indicating a favorable outcome. Clinical significance: These findings offer hope for the management of avulsed immature teeth and underscore the importance of early intervention and appropriate treatment selection.

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