Terapia endodôntica regenerativa: relato de caso clínico

Abstract

The present work presents a clinical case report in which regenerative endodontic therapy (also known as “pulp revascularization”) was performed on the permanent tooth of a young patient (11 years old), with a history of having suffered dental trauma that resulted in coronal-radicular fracture of the maxillary right central incisor. The therapy was performed at the specialization clinic of the Faculty of Dentistry of the Federal University of Minas Gerais (UFMG). The patient started treatment in 2017, but regenerative therapy was only possible to be completed in 2022, due to the patient's difficult adherence to treatment. During the 5 years of care, intracanal medication (MIC) based on calcium hydroxide was changed. In 2022, upon resuming patient care, the MIC was renewed, and in the next session, removed. Intracanal bleeding was then induced with the aid of a file 2 mm from the working length. After formation of the blood clot, a type 1 collagen membrane was used to support the accommodation of the mineral trioxide aggregate (MTA) barrier. The tooth was then restored with composite resin. After 5 months, the patient reported a decrease in pain symptoms, and he is awaiting his return for radiographic evaluation