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Journals / Selcuk Dental Journal / 2026 / Volume: 11 Issue: 1

A Combined Endodontic Management Approach in immature Permanent Molar tooth with Periapical Lesion: Case Report

Periapiakal Lezyonlu İmmatür Daimi Molar Dişte Kombine Endodontik Tedavi Yaklaşımı: Vaka Raporu

Aybike Baş(ATATÜRK ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0002-5287-1727
Muhammed Talha Çetin(atatürk üniversitesi diş hekimliği fakültesi)0000-0002-0621-251X
Sera Şimşek Derelioğlu(atatürk üniversitesi diş hekimliği fakültesi)0000-0001-5192-923X
Pages
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Publication Date
2024-04-26
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Key words: Biodentine, immature permanent teeth, periapical lesions, pulpotomy, regenerative endodontic treatment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Immature dental pulp, which has a highly cellular structure and a rich vascular nutrition system, is highly resistant to inflammation, In these teeth, determining the treatment option based on clinical and radiographic findings alone may result in the removal of diseased pulp tissue as well as vital pulp tissue.
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Key Findings & Data:In order to increase the prognosis of these teeth, vital pulp treatments are highly recommended to preserve pulp vitality.
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Conclusion & Impact:Key words: Biodentine, immature permanent teeth, periapical lesions, pulpotomy, regenerative endodontic treatment.
🔬Design:Case Report
📍Scope:Comprehensive Sample
⚙️Variables:: Biodentine · immature permanent teeth · periapical lesions

Abstract

Immature dental pulp, which has a highly cellular structure and a rich vascular nutrition system, is highly resistant to inflammation, In these teeth, determining the treatment option based on clinical and radiographic findings alone may result in the removal of diseased pulp tissue as well as vital pulp tissue. In order to increase the prognosis of these teeth, vital pulp treatments are highly recommended to preserve pulp vitality. By evaluating the condition of the root pulps of young permanent molars separately, it is possible to increase the prognosis of the tooth by combining regenerative endodontic treatment and pulpotomy treatment according to the condition of the pulps. In this case report, regenerative endodontic treatment and pulpotomy treatment were applied to different root canals of the first molar, which became necrotic before completing its maturation due to caries and had an apical lesion, and excellent healing was demonstrated. Key words: Biodentine, immature permanent teeth, periapical lesions, pulpotomy, regenerative endodontic treatment.

Özet

Son derece hücresel bir yapıya ve zengin bir damarsal beslenme sistemine sahip olan immatür dişlerin pulpaları, inflamasyona karşı oldukça dirençlidir. Bu dişlerde tedavi seçeneğinin sadece klinik ve radyografik bulgulara göre belirlenmesi, hastalıklı pulpa dokusunun yanı sıra vital pulpa dokusunun da çıkarılmasıyla sonuçlanabilir. Vital pulpa tedavileri, bu dişlerin prognozunu iyileştirmek ve pulpa canlılığını korumak için şiddetle tavsiye edilir. Genç daimi azı dişlerinin kök pulpalarının durumunu ayrı ayrı değerlendirerek ve pulpaların durumuna göre rejeneratif endodontik tedavi ile pulpotomi tedavisini kombine ederek dişin prognozunu artırmak mümkündür. Bu olgu sunumunda çürüğe bağlı olarak olgunlaşması tamamlanmadan nekrotik hale gelen ve apikal lezyonu olan birinci azı dişinin farklı kök kanallarına rejeneratif endodontik tedavi ve pulpotomi tedavisi uygulanmış ve mükemmel iyileşme gösterilmiştir. Anahtar Kelimeler: Biodentine, immatür daimi dişler, periapikal lezyon, pulpotomi,rejeneratif endodontik tedavi.

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Cite This Article

Baş, A., Çetin, M. T., Derelioğlu, S. Ş. (2024). A Combined Endodontic Management Approach in immature Permanent Molar tooth with Periapical Lesion: Case Report. Selcuk Dental Journal, Volume: 11 Issue: 1. https://doi.org/10.15311/selcukdentj.1330110

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