Treatment of an Immature Replanted Tooth Using Calcium Hydroxide Medicament: A Case Report
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Davoud Jamshidi داود جمشیدی
Assistant Professor, Department of Endodontics, Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
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Fereshteh Sobhnamayan فرشته صبح نمایان
Assistant Professor, Department of Endodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
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Mohamadreza Ansari محمدرضا انصاری
Assistant Professor, Department of Endodontics, School of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran
Abstract
Introduction: The treatment of an immature tooth with pulp necrosis and apical periodontitis is a major challenge for clinicians. The endodontic treatment of such teeth entails apexification, apical barriers, or more recently, revascularization. The current study reports an immature replanted tooth treated with calcium hydroxide medicament. A 13-year-old female patient with a history of abscess formation in tooth #45 was referred to the Department of Endodontics, Shiraz Dental School, Shiraz, Iran. The clinical and radiographic examinations revealed a necrotic pulp, a root with an open apex, and periradicular radiolucency.
Case presentation: The treatment was rendered under rubber dam isolation and local anesthesia. The root canal was irrigated with 2.5% sodium hypochlorite solution and medicated with calcium hydroxide. The patient did not return for the completion of treatment in the next session. Twelve months later, she returned to the Department; she was asymptomatic and the root development was observed. The canal was then dried with paper points and obturated with thermoplastic injection technique.
Key words: Calcium hydroxide, Endodontics, Pulp necrosis, Regeneration
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