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Abstract
In pediatric and adult odontology the treatment of an unformed peak (apex), the so-called immature teeth is considered to remain a topical issue. In cases of pulp necrosis and / or periapical diseases, endodontic treatment of such teeth is difficult in contrast to teeth with formed roots and the prognosis for treatment is often incalculable. Knowledge of apexogenesis and apexification is important to make a plane of treatment.
The aim of the study was endodontic treatment of the tooth with an unformed apex by the method of revascularization and dynamic observation of the obtained clinical result.
A 9-year-old boy was treated at TSMU Apolon Urushadze Dental Clinic. Electrodontometric examination of the tooth showed a strong decrease in the electrical excitability threshold (12mPa), indicating pulp necrosis. Treatment was performed by the method of revascularization - in full compliance with the treatment protocol. The patient was called for follow-up visits 6, 12, and 18 months later. In the clinical condition no deterioration was observed during this time.
The above-mentioned clinical case is the testament to the effectiveness of treatment of immature teeth with unformed apex by the method of revascularization. The formation of an artificial apical barrier and the integration of the tooth into the alveoli give us hope for its long-term function, which is fully consistent with the unified strategic vision of endodontic treatment of teeth.
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