Tuesday 7 June 2011

REVASCULARISATION ( treatment for immature avulsed tooth )

The avulsed tooth is replanted, and the canal is disinfected coronally through access opening with copious irrigation with 5.25% of sodium hypochlorite without mechanical instrumentation in the root canal. This is followed by the application of mixture of triple antibiotic paste (ciprofloxacin, metronidazole, and minocycline) inside the canal space. A blood clot is induced mechanically in the canal space from the coronal side by using a root canal file to the level of the cementoenamel junction to provide a scaffold for the ingrowth of new tissue. The coronal access is sealed by applying MTA at the level of the cervical area of the canal and a bonded resin coronal restoration above it.Several cases have shown continued root development similar to adjacent and contralateral teeth, and root wall thickening.

                                                             REF: Dental Traurnatologv 2011; 27: 46—54

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