Regenerative Endodontic Treatments for Immature Devital Permanent Molar Teeth: Four Case Reports

Abstract

Objective: To apply regenerative endodontic treatment to immature permanent molar teeth devitalised due to dental caries and to follow the clinical and radiographic outcomes. Cases: Four patients presented to our university with complaints of pain. Radiological evaluations revealed profound dentinal caries, apical lesions, and open root tips. Clinical examinations yielded negative results on the electric pulp test (EPT) for all four teeth. Given the presence of immature necrotic teeth, the treatment for these cases was planned as regenerative endodontic treatment. This treatment was administered under local anaesthesia, following the protocol recommended by the American Endodontic Association. Results: Over a follow-up period of 10 to 15 months, certain patients exhibited a reduction in periapical lesions and completion of root formation. However, root development persisted in other patients. Conclusion: Follow-up and observations indicate that regenerative endodontic treatment is an effective alternative for the management of immature permanent molar teeth.