Regenerative Endodontic Treatment in Immature Permanent Teeth

This case series presents two clinical cases of regenerative endodontic treatment (RET) applied to permanent immature teeth with necrotic pulp. The document outlines the challenges associated with treating such teeth, including the risk of fracture due to incomplete root development and the complications arising from the absence of an apical constriction. It details the procedures undertaken, including the use of calcium hydroxide as an intracanal medicament, and the application of biodentine as a coronal barrier. The first case involved a maxillary lateral incisor that underwent a repeated regenerative procedure, while the second case pertained to a maxillary central incisor with a history of trauma. Follow-up periods of 30 months and 12 months demonstrated radiographic evidence of periapical healing, although both cases yielded negative responses to pulp vitality testing. The findings suggest that RET may serve as a viable alternative to traditional apexification methods for managing immature necrotic teeth.