PULP REVASCULARIZATION OF AN IMMATURE TOOTH WITH APICAL PERIODONTITIS: A CASE REPORT

This case report describes biologically based treatment of a necrotic immature lower left second premolar with severe periapical infection. a different clinical approach to treat cases indicated for apexification has been advocated. revascularization of teeth with necrotic infected canals has been reported by using combinations of antibiotics. this case report details the outcome of an 8-year-old girl who presented with a successful revascularization procedure of tooth #20. after naocl irrigation and medication with triantibiotic mix (ciprofloxacin, metronidazole, and minocycline), bleeding was stimulated to form an intracanal blood clot, and mineral trioxide aggregate was placed coronally to the blood clot. the patient was asymtomatic and apical periodontitis was resolved. there was radiographic evidence of continuning thickness of dentine walls with closure of the apex. pulp revascularization could be an alternative treatment procedure of immature permanent teeth with apical periodontitis.