Revascularization in Mature Teeth: A Case Series, Challenges and Suggested Solutions

Abstract

Background and aim: Regenerative Endodontics have become one of the treatments that are considered when treating immature teeth. This procedure started to be applied in mature teeth because researchers are looking for biologically based treatments that promote regeneration or repair of the dentin-pulp complex destroyed by infection or trauma.  Data on this topic is still limited so more research is needed in this area.

Materials and Methods: three permanent mature teeth with apical periodontitis in three patients were treated with regenerative endodontics procedures, (Revascularization). isolation, working length determination, mechanical instrumentation, irrigation, and application of triple antibiotic paste performed in the first session, local anesthesia, isolation and induction of bleeding performed in the second session, as well as sealing with 5MO and glass Ionomer cement and composite. The first case was excluded to be treated with conventional endodontic treatment. An anesthetic was used without vasoconstrictor in the first and second cases but with vasoconstrictor in the third. Completed cases were followed up for 30 months.

 Conclusions: In light of this series, the following can be concluded: Anesthesia with an anesthetic that has a vasoconstrictor and sufficiently widening the apex make the induction of bleeding easier, there is a possibility of discoloration after treatment, the regenerative endodontic treatment (Revascularization) achieves the primary goal of conventional endodontic treatment, which is the resolution of clinical and radiological signs and symptoms.