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Restor Dent Endod. 2017 Feb;42(1):65-71. English. Case Report.
Al-Tammami MF , Al-Nazhan SA .
Security Force Hospital, Dental Department, Riyadh, Saudi Arabia.
Department of Restorative Dental Science, Division of Endodontics, King Saudi University, College of Dentistry, Riyadh, Saudi Arabia.

A revascularization procedure was shown to be the best alternative therapy for immature teeth with necrotic pulp and apical infection. A 12 year old female with a history of trauma to her upper central incisor and a sinus tract was referred for endodontic treatment. She was an active orthodontic patient and had undergone regenerative endodontic treatment for the past 2 years. Clinical examination revealed no response to sensibility, percussion, and palpation tests. The preoperative radiograph showed an open apex and apical rarefaction. The case was diagnosed as previously treated tooth with asymptomatic apical periodontitis. Regenerative endodontic retreatment was performed, and the case was followed for 3 years. Clinical, radiographic, and cone-beam computed tomography follow-up examination revealed an asymptomatic tooth, with evidence of periapical healing and root maturation.

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