scholarly journals Apexification

2013 ◽  
Vol 01 (01) ◽  
pp. 055-057
Author(s):  
Amandeep Singh Uppal ◽  
Jagat Bhushan ◽  
Mandeep Kaur Bhullar ◽  
Gulsheen Kaur Kochhar
Keyword(s):  
Surgical Treatment ◽  
Calcium Phosphate ◽  
Calcium Hydroxide ◽  
Bone Morphogenetic Proteins ◽  
Tricalcium Phosphate ◽  
Root Formation ◽  
Permanent Teeth ◽  
Treatment Modalities ◽  
Traumatic Injuries ◽  
Non Surgical Treatment

AbstractApexification is a method to induce a calcific barrier across an open apex of an immature, pulpless tooth. Apical closure occurs approximately three years after eruption. Traumatic injuries to young permanent teeth before root formation is complete commonly occur in children resulting in open apex. This can be treated by Surgical or Non - Surgical treatment modalities. Non surgical treatment modalities include various methods such as Customized cone, Short fill technique, Apexification with various materials and One visit apexification. Various materials that can be used for apexification include Calcium hydroxide, MTA, Tricalcium phosphate, Dentin chips, Calcium phosphate ceramics and hydroxyapatite and bone morphogenetic proteins. Calcium hydroxide is the most common and traditional material employed for inducing apexification. This is a multi visit technique requiring six months to four years to complete.

scholarly journals Case Report: Dilemma To Save Or Not To Save A Tooth

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Yee Woo Yap ◽  
Azillah Mohd Ali
Keyword(s):  
Case Report ◽  
Root Formation ◽  
Dentigerous Cyst ◽  
Permanent Teeth ◽  
Treatment Modalities ◽  
Successful Outcome ◽  
Odontogenic Cysts ◽  
Standard Assessment ◽  
Good Healing

Introduction: Dentigerous cyst is the most common odontogenic cysts that are associated with the crowns of permanent teeth. Treatment modalities normally include enucleation or marsupialization of the cyst. However, currently there are no standard assessment criteria to dictate which kind of treatment for certain cases. The purpose of this report is to describe the successful outcome of conservative surgical management of a large dentigerous cyst associated with an unerupted right maxillary permanent canine in an 8-year-old boy. The cyst was enucleated partially but leaving the cystic lining surrounding the unerupted canine in order to preserve the tooth. 3-year follow up revealed good healing with significant root formation and tooth eruption.

scholarly journals Interdisciplinary Approach to a Tooth with Open Apex and Persistent Sinus

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Anoop N. Das ◽  
Krishnamohan Geetha ◽  
Ajay Varghese Kurian ◽  
Radhakrishnan Nair ◽  
K. Nandakumar
Keyword(s):  
Surgical Treatment ◽  
Root Development ◽  
Tricalcium Phosphate ◽  
Surgical Intervention ◽  
Interdisciplinary Approach ◽  
Complete Healing ◽  
Traumatic Injuries ◽  
Platelet Rich Fibrin

Traumatic injuries in childhood may disrupt root development leading to a tooth with open apex. Apexification procedures in such cases aim at root end closure after reasonable period of time. In some chronic cases, complete healing of the periapical area does not occur resulting in development of a nonhealing sinus. Failure of nonsurgical approach in such cases needs surgical intervention permitting thorough periapical curettage. In the present case, apexification procedure with MTA achieved root end closure but failed to heal the sinus for which surgical treatment was completed with thorough periapical curettage and application of platelet rich fibrin (PRF) and a combination ofβ-tricalcium phosphate and hydroxyapatite resulted in healing.

scholarly journals Evidence-based treatment of osteoporotic vertebral compression fracture

2021 ◽  
Vol 64 (3) ◽  
pp. 200-207
Author(s):  
Subum Lee ◽  
Dae-Chul Cho ◽  
Kyong-Tae Kim ◽  
Young-Seok Lee
Keyword(s):  
Surgical Treatment ◽  
Outcome Measurement ◽  
Treatment Guideline ◽  
Treatment Modalities ◽  
Vertebral Compression Fractures ◽  
Controlled Trials ◽  
Evidence Based ◽  
Evidence Based Treatment ◽  
Significant Difference ◽  
Non Surgical Treatment

The prevalence and medical costs of osteoporotic vertebral compression fractures (OVCFs) are on the rise. However, a concrete evidence-based treatment guideline has not yet been established. Despite that numerous randomized controlled trials (RCTs) were performed, the study design and outcome measurement were heterogeneous, and the results were not unified. The purpose of this review is to compare the results of high level-evidence studies to provide a background for evidence-based OVCF treatment. Many reports showed that vertebroplasty has better clinical outcomes than non-surgical treatment for OVCF, but the results of three double-blinded RCTs with the highest level of evidence did not show a significant difference between vertebroplasty and sham procedure. Whether undergoing surgical or non-surgical treatment, OVCF patient management should be started by managing osteoporosis first. Meanwhile, in the results of RCTs related to the comparison of conservative treatment modalities, the benefit of braces and a specific analgesic prescription protocol was also unclear. The presented results of each clinical trial were generally inconsistent and may not be appropriate in all situations. Any decision by clinicians to apply this evidence must be made considering individual patients and available resources. At present, controversy remains about the best treatment modality for OVCF. Large, multicenter, placebo/sham-controlled trials are needed to address this gap and establish strong evidence-based guidelines.

scholarly journals Surgical and non-surgical treatment modalities for glomuvenous malformations

2021 ◽  
Vol 27 (7) ◽  
Author(s):  
Aatman Shah ◽  
Michael Tassavor ◽  
Sayesha Sharma ◽  
Bryan Tassavor ◽  
Richard Torbeck
Keyword(s):  
Surgical Treatment ◽  
Treatment Modalities ◽  
Non Surgical Treatment

scholarly journals “Beating osteoARThritis”: Development of a stepped care strategy to optimize utilization and timing of non-surgical treatment modalities for patients with hip or knee osteoarthritis

2011 ◽  
Vol 30 (12) ◽  
pp. 1623-1629 ◽  
Author(s):  
Agnes J. Smink ◽  
Cornelia H. M. van den Ende ◽  
Thea P. M. Vliet Vlieland ◽  
Bart A. Swierstra ◽  
Joke H. Kortland ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Knee Osteoarthritis ◽  
Stepped Care ◽  
Treatment Modalities ◽  
Non Surgical Treatment

Non-surgical treatment for eyelid retraction in thyroid eye disease (TED)

2017 ◽  
Vol 102 (2) ◽  
pp. 158-163 ◽  
Author(s):  
Ana Beatriz Diniz Grisolia ◽  
Ricardo Christopher Couso ◽  
Suzana Matayoshi ◽  
Raymond S Douglas ◽  
César Augusto Briceño
Keyword(s):  
Surgical Treatment ◽  
Botulinum Toxin Type A ◽  
Active Phase ◽  
Botulinum Toxin Type ◽  
Thyroid Eye Disease ◽  
Treatment Modalities ◽  
Eye Disease ◽  
Eyelid Retraction ◽  
Ocular Exposure ◽  
Non Surgical Treatment

Thyroid eye disease (TED) is an autoimmune condition with an unpredictable course that may lead to permanent facial disfigurement. Eyelid retraction is one of the most common findings, and frequently demands attention due to ocular exposure and impaired cosmesis. Surgical treatment remains the most effective option, but there is a role for temporary corrections during the active phase of the disease, as well as in patients who are poor surgical candidates. The aim of this review is to describe the non-surgical modalities currently available for treatment of eyelid malposition in TED. The authors have focused on the use of hyaluronic acid, triamcinolone injections and botulinum toxin type A as non-surgical treatment alternatives, paying special attention to dosing, technique, efficacy and duration of effect. Non-surgical treatment modalities may represent viable in cases where surgical correction is not an option. Although temporary, these modalities appear to be beneficial for ocular exposure remediation, improving quality of life and broadening our therapeutic arsenal.

scholarly journals Apexification with the use of calcium hydroxide

2012 ◽  
Vol 11 (2) ◽  
pp. 143-147
Author(s):  
Raihana Nahar ◽  
Farhana Chowdhury ◽  
Mohammad Khursheed Alam
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Medical Science ◽  
Young Patients ◽  
Root Canal Treatment ◽  
Permanent Teeth ◽  
Traumatic Injuries ◽  
Complete Filling ◽  
Open Apices ◽  
Maxillary Incisors

After traumatic injuries the pulps of young permanent teeth often necrose. This occurs most commonly in the permanent maxillary incisors leaving the teeth with incomplete radicular development and open apices. In these cases treatment is aimed at promoting complete apical closure. At a later date a complete filling of the root canal is carried out in order to prevent inflammatory stimulators affecting the periapex. Apexification is a method of treatment intended to induce formation of a calcific barrier in an immaturely developed or pulpless tooth. The intent of apexification is to attain narrowing of the canal or closure of the apex. Apexification is indicated in young patients, for reasons such as trauma, fracture or caries involving the pulp require root canal treatment prior to the apex fully developing and closing. DOI: http://dx.doi.org/10.3329/bjms.v11i2.11483 Bangladesh Journal of Medical Science Vol. 11 No. 02 April 2012: 143-147

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