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Scholars Journal of Medical Case Reports | Volume-4 | Issue-02
Management of dens evaginatus by revascularization: a case report
Amitha M. Hegde, Shreema Shetty, Priyanka. KK
Published: Feb. 29, 2016 | 171 189
DOI: 10.36347/sjmcr.2016.v04i02.018
Pages: 118-121
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Abstract
Dens evaginatus often fractures or is worn away, when tooth comes into occlusion, leading to pulp exposure and periapical inflammation. This case report describes the treatment of an immature permanent tooth with dens evaginatus using revascularization technique. The root canal of immature permanent tooth with periapical lesion was gently debrided and disinfected; then was medicated with triple antibiotic paste. When the tooth was asymptomatic, bleeding was induced followed by placement of MTA at root canal orifice. Eighteen months after revascularization, radiographic examination progressive lengthening and thickening of root canal walls. Our finding suggests that revascularization can be used for the treatment of immature permanent teeth with periapical lesion, as part of a regenerative endodontic treatment procedure.