PULP REVASCULARIZATION USING PRF AND CERVICAL SEALING WITH BIOCERAMIC CEMENT IN A TOOTH WITH INCOMPLETE RHIZOGENESIS AND PULP IN THE NECROSIS PROCESS

Abstract

Therapy for necrotic teeth with incomplete rhizogenesis has long been performed through the apoxy technique with constant changes of intracanal calcium hydroxide-based medication, in order to form a mineralized apical barrier. Another option is the MTA plug, which aims to reduce the number of sessions of apicification, through the making of an MTA plug in the apical region and subsequent filling. However, in both techniques, the roots remain porous, fragile and susceptible to fractures. The third option for cases of immature teeth in a situation of pulp necrosis is pulp revascularization, a technique that advocates the regeneration of biological tissues inside the canals, without necessarily replicating the pulp dentin complex, with the purpose of continuing physiological apiciggenesis, thus providing root development with thickening of the root walls and apical closure. The objective of this study was to report the clinical case of a tooth with incomplete rhizogenesis and in the process of necrosis, using the pulp revascularization technique with platelet-rich fibrin (PRF) and bioceramic cement as cervical sealing. Conclusion: It is concluded that the treatment of pulp revascularization with PRF and cervical sealing with bioceramic, in this case, was clinically and radiographically successful 10 months after the first intervention.

DOI: https://doi.org/10.56238/sevened2025.011-046