# Treatment Outcomes of Revascularization and Cervical Pulpotomy in Immature Traumatized Maxillary Incisors: A Case Report With 24 Months Follow‐Up

**Authors:** Motahareh Khosrojerdi, Mana Mowji, Mohammadhossein Sadeghi

PMC · DOI: 10.1002/ccr3.71244 · Clinical Case Reports · 2025-10-12

## TL;DR

A 7-year-old patient's traumatized teeth were successfully treated with two different dental procedures, both showing good long-term results with continued root development.

## Contribution

This case report provides a 24-month follow-up comparing revascularization and cervical pulpotomy in immature traumatized teeth.

## Key findings

- Both revascularization and cervical pulpotomy resulted in symptom-free, vital teeth with continued root development.
- Revascularization led to faster and more substantial root maturation compared to cervical pulpotomy.
- Tooth treated with revascularization achieved complete dentinal bridge and apical closure within 24 months.

## Abstract

This report compares regenerative endodontic procedures (REPs) and vital pulp therapies (VPTs) in traumatized immature maxillary incisors of a 7‐year‐old patient. Following a bicycle accident, teeth #9 and #8 presented with crown fractures, subluxation, and negative pulp tests. Tooth #9, which had undergone discoloration, was treated 13 days after dental trauma using a revascularization procedure with a calcium‐enriched mixture of cement, whereas tooth #8 underwent cervical pulpotomy with zinc oxide‐eugenol after 43 days. Both were restored with composite resin. After 24 months, both teeth remained symptom‐free, vital, and showed continued root development; tooth #9 achieved a complete dentinal bridge and apical closure, and tooth #8 exhibited apical narrowing and dentinal‐wall thickening. Both methods were effective, but revascularization resulted in faster and more substantial root maturation. The findings of this study indicate that both treatment modalities, when applied within their respective indications, are effective options with a high likelihood of success.

## Full-text entities

- **Diseases:** crown fractures (MESH:D050723), subluxation (MESH:D004204), dental trauma (MESH:D014947), discoloration (MESH:D014075)
- **Chemicals:** zinc oxide (MESH:D015034), eugenol (MESH:D005054), calcium (MESH:D002118)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12515722/full.md

## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12515722/full.md

## References

37 references — full list in the complete paper: https://tomesphere.com/paper/PMC12515722/full.md

---
Source: https://tomesphere.com/paper/PMC12515722