Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up

The regenerative endodontic procedure (REP) is considered a viable treatment option for immature teeth with necrotic pulp and periapical radiolucency which can facilitate continued root formation. In this report, an immature necrotic mandibular molar received REP in three appointments wherein chemom...

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Main Authors: Mohannad Alasqah, Sulthan Ibrahim Raja Khan, Khalid Alfouzan, Ahmed Jamleh
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2020/9025847
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author Mohannad Alasqah
Sulthan Ibrahim Raja Khan
Khalid Alfouzan
Ahmed Jamleh
author_facet Mohannad Alasqah
Sulthan Ibrahim Raja Khan
Khalid Alfouzan
Ahmed Jamleh
author_sort Mohannad Alasqah
collection DOAJ
description The regenerative endodontic procedure (REP) is considered a viable treatment option for immature teeth with necrotic pulp and periapical radiolucency which can facilitate continued root formation. In this report, an immature necrotic mandibular molar received REP in three appointments wherein chemomechanical debridement was performed with a sequential application of nonsetting calcium hydroxide (in the whole canal) and triple antibiotics paste (in the root’s middle third) dressings in the first and second appointments, respectively. In the third appointment, blood clots were created in the root canals. MTA was placed over the blood clots and the tooth was restored with a composite filling and stainless-steel crown. Recall appointments were performed for two years where the tooth was deemed asymptomatic clinically and a complete root formation with significant periapical healing was evident radiographically. More cases are required to warrant the feasibility of this disinfection protocol.
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institution OA Journals
issn 2090-6447
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language English
publishDate 2020-01-01
publisher Wiley
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series Case Reports in Dentistry
spelling doaj-art-6b7153c8eed94f68af897c7d75f671ce2025-08-20T02:06:07ZengWileyCase Reports in Dentistry2090-64472090-64552020-01-01202010.1155/2020/90258479025847Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-UpMohannad Alasqah0Sulthan Ibrahim Raja Khan1Khalid Alfouzan2Ahmed Jamleh3King Saud Hospital, Unaizah, Saudi ArabiaRestorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi ArabiaRestorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi ArabiaRestorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi ArabiaThe regenerative endodontic procedure (REP) is considered a viable treatment option for immature teeth with necrotic pulp and periapical radiolucency which can facilitate continued root formation. In this report, an immature necrotic mandibular molar received REP in three appointments wherein chemomechanical debridement was performed with a sequential application of nonsetting calcium hydroxide (in the whole canal) and triple antibiotics paste (in the root’s middle third) dressings in the first and second appointments, respectively. In the third appointment, blood clots were created in the root canals. MTA was placed over the blood clots and the tooth was restored with a composite filling and stainless-steel crown. Recall appointments were performed for two years where the tooth was deemed asymptomatic clinically and a complete root formation with significant periapical healing was evident radiographically. More cases are required to warrant the feasibility of this disinfection protocol.http://dx.doi.org/10.1155/2020/9025847
spellingShingle Mohannad Alasqah
Sulthan Ibrahim Raja Khan
Khalid Alfouzan
Ahmed Jamleh
Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up
Case Reports in Dentistry
title Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up
title_full Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up
title_fullStr Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up
title_full_unstemmed Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up
title_short Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up
title_sort regenerative endodontic management of an immature molar using calcium hydroxide and triple antibiotic paste a two year follow up
url http://dx.doi.org/10.1155/2020/9025847
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AT sulthanibrahimrajakhan regenerativeendodonticmanagementofanimmaturemolarusingcalciumhydroxideandtripleantibioticpasteatwoyearfollowup
AT khalidalfouzan regenerativeendodonticmanagementofanimmaturemolarusingcalciumhydroxideandtripleantibioticpasteatwoyearfollowup
AT ahmedjamleh regenerativeendodonticmanagementofanimmaturemolarusingcalciumhydroxideandtripleantibioticpasteatwoyearfollowup