PMC9904919_01
(a) The initial periapical radiograph showing prominent tubercles due to dens evaginatus, periapical radiolucency, and deep caries in tooth #20 with an immature apex; (b) preoperative photograph and caries in tooth #20; the intact tubercle can be observed on the occlusal surface of this tooth.
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fig1
Additional caries was not found in the other teeth (Figure 1).
(a) Preparation of A-PRF+; (b) placing MTA on A-PRF+ and a temporary filling.
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fig2
A Angelus, Londrina, PR, Brazil) was placed as a coronal barrier. A moist cotton pellet was placed over the MTA in the pulp chamber, and the access cavity was temporized again with GC1 filling (Figure 2).
The periapical radiograph during follow-ups at months 3 (a), 6 (b), 12 (c), and 24 (d).
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fig3
Healing of the periapical lesion was illustrated through a radiographic assessment, which showed incremented root thickness, length, and width, indicating the apical closure (Figures 3 and 4).
The postoperative photograph during follow-ups at months 3 (a), 6 (b), 12 (c), and 24 (d).
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fig4
Healing of the periapical lesion was illustrated through a radiographic assessment, which showed incremented root thickness, length, and width, indicating the apical closure (Figures 3 and 4).