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At Superstition Springs Endodontics, we are leaders in novel endodontic treatments including pulpal regeneration. The traditional treatment for immature roots of CaOH apexification fails to strengthen the root of the tooth and leaves the root more prone to fracture over the lifespan of the tooth.  This young patient had a traumatic incident to tooth #9 5 months earlier. At our initial evaluation, the tooth responded normal to thermal testing. We decided to monitor the tooth over time. At a follow up visit, #9 exhibited no response to thermal testing with an open apex.  Pulpal regeneration was started. Complete pulpectomy was performed with minimal instrumentation to the apex, and irrigation with 5.25% NaOCl. A blood clot was initiated into the canal, a collagen plug was placed and an (white) MTA coronal barrier was placed below the level of the CEJ. At six month recall, the tooth is asymptomic and functional. The radiograph shows dentinal bridging apical to the MTA placed intracoronally.  |
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