Akademik Veri Yönetim Sistemi
29th Congress of the Balkan Stomatological Society, Belgrade, Sırbistan, 24 - 26 Nisan 2025, ss.217, (Özet Bildiri)
Objective: Regenerative endodontic treatments are applied to permanent teeth with incomplete root development, typically when the root formation has completed approximately two-thirds of its development. This case report aims to present the regenerative endodontic treatment of an immature permanent tooth with apical periodontitis.
Case Report: A 12-year-old patient presented to our clinic with complaints of spontaneous nocturnal pain in tooth #35. Clinical examination revealed percussion sensitivity, and periapical radiographic evaluation confirmed apical periodontitis. Regenerative endodontic treatment was considered for the patient. In the first session, the infected pulp tissue was extirpated under aseptic conditions, and the root canal was irrigated with 20 mL of 2% sodium hypochlorite and 0.9% saline solution, following the first protocol of regenerative endodontic treatment. In the second session, two weeks later, the root canal was irrigated with 20 mL of 17% EDTA solution and 0.9% saline solution. Apical bleeding was then induced, and coronal sealing was achieved with a 3-mm layer of MTA. Permanent restoration was completed using composite material. However, during a follow-up session, a fracture was observed in the initial restoration, and the restoration was replaced with a stainless steel crown. At the 6-month and 1-year follow-ups, continued root development was observed, and the symptoms showed both clinical and radiographic resolution.
Conclusion: The reported case demonstrates that regenerative endodontic treatment procedures can be successfully applied to immature necrotic permanent teeth. Further studies on this treatment approach are recommended in the literature.
Keywords: Immature Permanent Tooth, Regenerative Endodontics, MTA
Acknowledgments: I sincerely thank my supervisor, Dr. Sera Şimşek Derelioğlu, Head of the Department of Pedodontics, Atatürk University, for her guidance and support.