Regenerative Endodontics in Mature Permanent Teeth

Evaluation of the Effect of Photobiomodulation on Revascularization of Mature Non-vital Permanent Teeth Using Blood Clot as Scaffold

this study was designed to compare the clinical and radiographic success of REPs after using blood clot scaffold in non-vital mature permanent teeth with or without photobiomodultion therapy

Inclusion Criteria:

• Patients free from any systemic diseases or genetic disorders.
• Children aged 9-13 years old of both sexes.
• Traumatically or cariously exposed single rooted mature permanent teeth which may be asymptomatic or manifested with dull ache pain, or spontaneous unprovoked toothache.
• Non-vital single rooted mature permanent teeth that indicated for endodontic treatment
• Swelling close to involved tooth accompanied with or without fistula.
• Negative response to cold & electrical pulp test.
• Informed Consent.

Exclusion Criteria:

• Unrestorable teeth, or that need post and core for the final restoration.
• Immature permanent teeth.
• Known allergy, sensitivity to ciprofloxacin, metronidazol.
• Uncooperativeness of child and/or parents or caregiver's behavior.
• Presence of calcific metamorphosis inside root canals.