PULP REBIRTH USING PRF GEL REVASCULARIZATION: A BOON TO IMMATURE NECROSED YOUNG PERMANENT TEETH

Shagun Agarwal; Suleman Abbas Khan; Saumya Navit

Shagun Agarwal Department of Pedodontics and Preventive Dentistry, Saraswati Dental College, Lucknow
Suleman Abbas Khan Department of Pedodontics and Preventive Dentistry, Saraswati Dental College, Lucknow
Saumya Navit Department of Pedodontics and Preventive Dentistry, Saraswati Dental College, Lucknow

Keywords: Pulp revascularizarion, Young Permanent teeth, Open apex, Non-vital, Platelet-rich fibrin gel

Abstract

Revascularization is an alternative treatment for immature necrotic teeth, with a biological basis. Unlike techniques of an artificial apical barrier, it allows the continuation of root development and recovery of pulp vitality. The purpose of this case report is to describe successful revascularization procedure in 8 years old boy with immature non-vital permanent central incisor. After passive instrumentation of root canal wall and medication with triple antibiotic paste, bleeding was induced with subsequent clot formation followed by PRF gel insertion and placement of an MTA plug. Coronal sealing was performed with composite resin. Clinical and radiographic control revealed that the tooth was asymptomatic and the root apex closure had appeared with the successful revitalization of the non-vital pulp tissue. Thus, this case adds to support the revascularization approach of non-vital young permanent teeth.