Regenerative Endodontic Management of Immature Mandibular Premolar Using Novel Bioceramic Sealer – A Case Report

Management of Immature Mandibular Premolar

Abstract

Aim – This case report aims to describe the treatment approach for immature permanent teeth with necrotic pulp by inducing revascularization and using a bioceramic sealer.

Case description – An 11-year-old boy reported pain in the lower right posterior tooth region in the Department of Pediatric and Preventive Dentistry, People’s Dental Academy, Bhopal. Upon clinical and radiographic examination, the mandibular right first premolar was found to have a necrotic pulp and an immature root. The patient's mother was informed about the diagnosis, and consent was obtained to proceed with a regenerative endodontic treatment. Local anesthesia was administered. Access opening was done. The root canal disinfection was done using sodium hypochlorite and EDTA. A triple antibiotic paste was placed as an intracanal medicament, and after two weeks, canal was filled with a bioceramic sealer.

Results – At the four-month follow-up, the periapical radiograph revealed complete root formation, thickening of the dentinal walls, and apical closure of the root canal.

Conclusion - The results indicate that the regenerative endodontic protocol employed was effective and may serve as a viable treatment option for immature teeth with pulp necrosis.

Keywords – revascularization, bioceramic sealer, immature teeth, intracanal medicament, apical closure