A Case Report of Revascularization in a Traumatized Immature Permanent Maxillary Central Incisor

Treatment of immature permanent teeth damaged by caries or trauma is usually a challenge to a dentist. Recently, revascularization process is performed to induce root development in immature necrotic teeth. The purpose of this report was to present a case of pulp revascularization in an immature necrotic tooth. Case Report: An 8-year-old boy was presented to the pediatric Department of Mashhad dental school with the chief Complaint of localized swelling on the anterior region of maxilla and a history of trauma to the maxillary right central incisor. Based on clinical and radiographic Findings, the diagnosis was pulpal necrosis with symptomatic apical abscess. Revascularization therapy was performed over multiple visits. At 6- month follow-up, in addition to complete healing of the periapical lesion, apex had been closed and dentinal wall thickness had been increased. At 12-month follow-up, pulp canal obliteration (PCO) was observed. At 24-month follow-up; tooth was asymptomatic and PCO had been. Considering the loss of periapical radiolucencies and root development of this tooth after a short period of time, it could be concluded that revascularization was an appropriate treatment method in immature necrotic teeth.