Endodontic regenerative procedures with 2% chlorhexidine and calcium hydroxide: case report

Lincoln de Campos FRUCHI, Murilo Priori ALCALDE, Rodrigo Ricci VIVAN, Clovis Monteiro BRAMANTE, Marco Antonio Hungaro DUARTE

Introduction: Many substances have been used as irrigating solutions to promote pulp regeneration and root development in teeth with incomplete rhizogenesis. The use of 2% chlorhexidine as an irrigating solution in association with Calcium Hydroxide could be an alternative. Methods: In the case of the patient, a 13-year-old boy, here presented, tooth 45 with apical periodontitis was treated with 2% Chlorhexidine solution as irrigant adjuvant to instrumentation, in association with Calcium Hydroxide used as a dressing for 14 days. After this period, the canal was cleaned with a physiological solution and under mandibular alveolar anesthesia, a # 70 K file was used slightly over the apex to cause bleeding. After observing that blood inside the canals had reached the cervical portion. White MTA was placed in the cervical portion of the canal. Results: Induced apexification and development of increasing root length and width could already be observed in the three-month control exam, and this continued until the last review in the one-year control exam. No color changes were observed in this follow-up period. Conclusions: Chlorhexidine and calcium hydroxide could be used as an alternative to pulp regeneration procedures.

Keywords: Regenerative endodontics, Apexification, chlorhexidine.

How to cite: Fruchi LC, Alcalde MP, Vivan RR, Bramante CM, Duarte MAH. Endodontic regenerative procedures with 2% chlorhexidine and calcium hydroxide: case report. Dental Press Endod. 2021 Sept-Dec;11(3):83-6.

Friday, September 30, 2022 10:32