A second attempt at pulp revascularisation on an immature traumatised anterior tooth: a case report with two-year follow-up

This report describes the second attempt at pulp revascularisation, using an association between 2% chlorhexidine (CHX) and calcium hydroxide (CH) as intracanal dressing, in an immature traumatised anterior tooth with pulp necrosis. A 21-year-old woman complained of pain and dental crown darkening of a permanent maxillary right central incisor. Her medical records presented a history of dental trauma, and at age 15, the first attempt at revascularisation was performed, using triple antibiotic paste (TAP) as the intracanal dressing. Recent radiographs then showed a periapical lesion associated with an immature root, which demonstrated the failure of the first attempt. The second pulp revascularisation was performed, using an association between CHX and CH as intracanal medication. The case was followed up for 24 months. Observations showed evidence of root development, dentinal wall thickening and periapical healing. In this case, the association between CHX and CH showed favourable results as an intracanal medication.

Automated summary

A 21-year-old female patient underwent a second attempt at pulp revascularisation after the first attempt failed, using a combination of chlorhexidine and calcium hydroxide as intracanal medication. After 24 months of follow-up, there were positive outcomes observed, including evidence of root development, dentinal wall thickening, and periapical healing.