Journal of AdvancedMedical and Dental Sciences Research

Regenerative endodontic procedures hold promising outcomes in cases of immature necrotic permanent teeth. The treatment outcomes have shown increase in root length as well as dentinal wall thickening. In this case report, a 28 year old female with the history of trauma wrt 21 & diagnosis of previously initiated endodontic treatment with immature necrotic root apex was treated with regenerative endodontics. In the first visit, access was prepared, working length was determined and chemo-mechanical preparation was done along with copious irrigation of 1.5% sodium hypochlorite & 17% EDTA to remove the necrotic debris & triple antibiotic paste (TAP) was used as intracanal medicament. During the second visit, following the removal of TAP and drying the canal, bleeding was initiated from periapical region of canal and PRF was placed in apical & middle third of canal against blood clot. Then, MTA was condensed against the PRF and restored temporarily. Non-vital bleaching was done followed by permanent restoration. The patient was followed up at 6 months, 1 year, 1.5 years. Clinically, tooth was asymptomatic with no presentation of swelling and pus discharge or any tenderness to percussion or palpation during follow up intervals. Radiographic examinations revealed resolution of periapical lesion, thickening of root dentinal walls and further root development wrt 21.