Reattachment is an effective, economical, and conservative procedure to restore the natural shape, contour, translucency, surface texture, occlusal alignment, and color of the fractured tooth that results in positive emotional and social response in a patient. This case report details the multidisciplinary management of a fractured central incisor with fracture line extending subgingivally in the palatal region. Access opening was done through the fractured segment of 21 and it was detached and stored in saline. After completion of endodontic therapy, crown lengthening procedure was done. Fiber post was placed for added reinforcement and the fragment reattached. A new trauma occurred after 4 months, but the reattached fragment did not get detached.
Loss of pulp vitality in an immature permanent tooth will lead to arrested root development, due to which there will be tooth with open apex and weak lateral dentinal walls. Management of such necrotic teeth with immature roots poses several treatment challenges. The documented case report illustrates the use of platelet-rich plasma (PRP) in nonvital, immature anterior teeth for revascularization. Subsequent to chemomechanical preparation, revascularization with PRP was randomly induced in tooth. The cases were followed-up clinically and radiographically at 3, 6, and 12 months. There was a marked difference in periapical healing, apical closure, and dentinal wall thickening of teeth treated by revascularization with PRP.
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