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Year : 2021  |  Volume : 12  |  Issue : 1  |  Page : 94-98

Pulp regeneration in an immature maxillary central incisor using hyaluronic acid hydrogel

1 Department of Periodontics, Genesis Institute of Dental Sciences and Research, Ferozepur, Punjab, India
2 Department of Conservative and Endodontics, Inderprastha Dental College and Hospital, Ghaziabad, Uttar Pradesh, India
3 Department of Periodontics, Maharaja Ganga Singh Dental College and Research Centre, Sri Ganganagar, Rajasthan, India
4 Demonstrator, J.N. Kapoor DAV Centenary Dental College, Yamunanagar, Haryana, India

Correspondence Address:
Dr. Harveen Singh
Department of Periodontics, Genesis Institute of Dental Sciences and Research, Ferozepur, Punjab
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ccd.ccd_149_20

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Pulp regenerative procedure is one of the treatment options for endodontically involved immature permanent teeth. The regenerative endodontic procedure was performed in a child of 9 years. After thorough canal disinfection using triple antibiotic paste for 21 days, bleeding was induced from the apex to provide for the stem cells. After that hyaluronic acid (HA) hydrogel was introduced into the canal space to act as injectable scaffold for pulp regeneration. This was followed by mineral trioxide aggregate placement to provide tight seal from the coronal aspect. Later, the tooth was restored with composite restoration. This approach offers the clinicians great opportunity to physiologically strengthen the immature root walls. The present report presents a regenerative endodontic procedure with HA hydrogel for a traumatized central incisor with arrested root development. The continued root development in the present case suggests that this treatment option may be able to resume the root maturation process in immature teeth with open apices.

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