Root fracture healing outcome after a revascularization procedure: an 8-year follow-up case report.

Abu Zeid, Sawsan T.; Edrees, Hadeel Y.

Pulp revascularization is the traditional protocol for treating immature necrotic teeth; however, it is not the usual management practice for traumatized teeth with horizontal root fracture. This is a case report of an 11-year-old patient subjected to trauma that occurred four years prior to treatment. The trauma led to horizontal root fracture in tooth #11, and the immature tooth #21 became necrotic with periapical radiolucency. Both teeth were treated with revascularization procedures. Each tooth was disinfected with triple antibiotic paste and a coronal seal using mineral trioxide aggregate. During the eight-year follow-up using periapical radiograph and cone beam computed tomography, tooth #21 showed periapical repair with apical closure. The fractured rooted tooth #11 was functional and asymptomatic, with evidence of bone growth inside the fracture line. From this case outcome, revascularization can be a successful treatment modality for traumatized teeth that have either root fracture or necrotic open apex.

TOOTH fractures; CONE beam computed tomography; FRACTURE healing; TOOTH roots; COMPOUND fractures

Journal of Clinical Pediatric Dentistry, 2022, Vol 46, Issue 5, p88

1053-4628

Academic Journal

10.22514/jocpd.2022.012