REGENERATION OF OPEN ROOTAPEX IN AN IMMATURE ANTERIOR TEETH

Abstract

Introduction- Aim of the study was to find out the efficiency of three protocols in terms of patient compliance, technique sensitivity & also the clinical and radiographic result with time required. Methods: standard access was done and working length was determined keeping 1mm short of the radiographic apex and minimal biomechanical preparation 17% ethylene diamine tetra-acetic acid. Root canals were irrigated using 3% NaOCI following final rinse of normal saline. The triple antibiotic paste was delivered into the canal space using paste carriers as an intracanal medicament. A sterile cotton pellet placed over the medicament and the access cavity were sealed using a cavity temporary restoration for three weeks. Visits were then rescheduled to check for infection and response to the initial treatment was assessed. None of the cases showed persistent signs/symptoms of infection. After satisfactory clinical and radiographic evidence of healing, the cases were randomly assigned to the experimental groups of blood clot, PRP and PRF; for the regenerative endodontic procedures to be carried out. Result: statistically significant difference was observed where PRP and PRF group showed superior results than blood clot group, Conclusion: use of autologous scaffolds like the platelet concentrates, Platelet-rich Fibrin and Platelet-rich Plasma, accelerates the regeneration process in an immature necrotic permanent teeth.