Apexogenesis And Revascularization Treatment Of Two Traumatized Maxillary Central Incisors With Complicated Crown Fracture: A Case Report

CLINICAL CONTENT WRITTEN & REVIEWED BY CLOVE CLINICAL TEAM

Last Modified: December 7, 2023

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Traumatic injuries to immature permanent teeth can disrupt dentin deposition and root maturation, presenting challenges for endodontic treatment and prognosis. This study presents successful management of complicated crown fractures in two maxillary central incisors, occurring three days post-trauma in a 9-year-old patient. Radiographic evaluation revealed immature roots without radiolucent lesions. Apexogenesis was performed on both incisors. Follow-up over 18 months will assess clinical and radiographic parameters for inflammatory symptoms and apex closure. Procedures were conducted under local anesthesia with 2% Lidocaine and 1 : 800,000 epinephrine. Access cavities were prepared, pulp tissues removed, and hemostasis achieved. White MTA was applied, followed by temporary and permanent restorations. After four weeks, apex closure was observed without symptoms. Early intervention proves crucial in preserving pulp vitality for successful vital pulp therapy. Revascularization, particularly in young patients, shows promise in expediting root formation and ensuring a secure apical seal. However, further trials are warranted for refining treatment approaches.