Revitalization of necrotic mature permanent anterior tooth with a large periapical lesion : a case report

Abstract

Revitalization procedures can be described as biologically based procedures intended to replace the diseased or missing pulp–dentin complex. Over the years, this procedure has been referred to by a variety of names, including regeneration, rejuvenation and pulp revascularization. Conventionally, root canal therapy involving chemomechanical debridement, intracanal medication, and root filling, is used to treat adult permanent teeth with infected or noninfected necrotic pulps. The revitalization approach may be an effective alternative that offers enhanced biological properties compared to traditional root canal therapy.  Permanent mature teeth with necrotic pulps are treated with revitalization procedures in an attempt to relieve symptoms, resolve apical periodontitis, and restore vitality. The present report describes the treatment and outcome using modified revitalization therapy in a traumatized maxillary permanent anterior tooth with infected necrotic pulp and a large periapical lesion.