02/26/2026
Regenerative Endodontics. 14 years old patient. #20 PN/CAA. Immature apex
Regen Protocol
First visit: Access, Laser disinfection with diluted NaOCl. CH placed for two weeks.
Second visit: Sinus tract disappeared and patient is asymptomatic. Anesthetic with Carbociane to help provoke bleeding. CH removed, ran the laser with water to provoke bleeding instead of over instructing with a large hand file. Collagen matrix and BC Putty packed against it. Dual cure resin to close up.
One year follow up: very nice healing can be seen on both 2D & 3D images. Root closure can be seen as well. No discoloration was noted at the one year follow up and patient is asymptomatic.