The use of calcium hydroxide and mineral trioxide aggregate on apexification of a replanted tooth: a case report

2009 ◽  
Vol 25 (3) ◽  
pp. e32-e36 ◽  
Author(s):  
Marcos Jacobovitz ◽  
Regina Karla de Pontes Lima
2020 ◽  
Vol 6 (1) ◽  
pp. 60-63
Author(s):  
Rinee Khanna ◽  
Saumya Navit ◽  
Suleman A Khan

Immature roots with necrotic pulps in young permanent teeth are characterized by wide root canals with open apex and thin walls. Treatment of such teeth poses a great challenge. Traditionally such teeth were treated by apexification using calcium hydroxide and more recently by apical barrier technique using MTA apical plug. It is advised to use a resorbable and biocompatible apical matrix in cases involving MTA for careful condensation of the material in the apical region. This case report presents a successful outcome of apexification with the combined use of Mineral Trioxide Aggregate as an apical barrier and collagen membrane as an internal matrix.


2021 ◽  
Vol 9 (2) ◽  
pp. 84-87
Author(s):  
Priya Mendiratta ◽  
Pooja Srivastava ◽  
Bhavna Gupta

Management of immature non-vital teeth poses challenge for the clinician owing to the thin root canal walls and open apices which may show apical divergence. Apexification is the technique of inducing the apical closure with a root end filling material for non-vital immature young permanent teeth. Traditionally, Calcium hydroxide was the material of choice for apexification of immature permanent teeth but introduction of MTA has shown remarkable promise as an alternative to calcium hydroxide. This report presents a case of apexification of anterior two young permanent teeth with open apices using MTA and Gutta percha followed by esthetic build up using cast metal posts and full coverage restorations.


2013 ◽  
Vol 01 (03) ◽  
pp. 180-183
Author(s):  
Alpa Gupta ◽  
Hans Saini ◽  
Jigyasa Duhan ◽  
Shashi Bala

AbstractThe present case report describes management of two cases with complicated coronal fracture where fractured fragments were reattached, before reattachment of fractured fragments pulpotomy was performed in both cases using different pulpotomy agents, calcium hydroxide in patient with immature apex and mineral trioxide aggregate (MTA) in patient where root development was complete. Both the patients were evaluated for sign and symptoms for a period of 18 months with successful outcome.


2006 ◽  
Vol 17 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Rivail Antonio Sergio Fidel ◽  
Ricardo Guimarães de Carvalho ◽  
Cláudio Herdy Varela ◽  
Ariadne Letra ◽  
Sandra Rivera Fidel

This case report describes the treatment of a severe crown fracture of an immature mandibular permanent incisor in a 12 year-old boy referred to the Dental Traumatology Center of UNIGRANRIO University. After conventional endodontic procedures and dressing with calcium hydroxide, an apical plug was made with mineral trioxide aggregate in order to avoid an overflow of gutta-percha and endodontic sealer into the periapical tissues. Two years later, the tooth was clinically asymtomatic and radiographs showed total repair of the apical lesion.


2014 ◽  
Vol 4 (2) ◽  
pp. 113-117
Author(s):  
Mohit A Bodhwani

ABSTRACT Apexification is a method to induce a calcified barrier in a root with an open apex or the continued apical development of an incomplete root in teeth with necrotic pulp. Mineral trioxide aggregate (MTA) has shown immense potential as an apical plug to induce apexification. It is better than the traditionally used calcium hydroxide as it completes the procedure more quickly and effectively. The following case report stresses on the need of an internal matrix to avoid unwanted extrusion of MTA in the periapical tissues. The internal matrix used in this case report is calcium hydroxide. How to cite this article Bodhwani MA, Shenoy VU, Sumanthini MV. Mineral Trioxide Aggregate Apexification in a Nonvital Immature Central Incisor Tooth using an Internal Matrix. J Contemp Dent 2014;4(2):113-117.


2016 ◽  
Vol 6 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Ritesh Balasaheb Pawar ◽  
Sumanthini V Margsahayam

ABSTRACT The absence of a natural apical constriction in permanent tooth makes endodontic treatment a challenge. Traditionally, calcium hydroxide was used for inducing the formation of an apical barrier. Currently, mineral trioxide aggregate (MTA) has shown promising results for apexification procedures. In an open apex, it is imperative to limit the MTA placement within the confines of the root canal for predictable healing. The placement of an internal matrix may limit the extrusion to some extent. Many materials can be used as internal matrix such as collagen membrane, calcium sulphate, hydroxyapatite, freeze dried bone, and platelet-rich fibrin (PRF) among others. This case report presents a successful demonstration of the management of an open apex using MTA placed over an internal apical matrix of PRF. How to cite this article Pawar RB, Margsahayam SV, Shenoy VU, Shaikh SAH. Management of a Traumatized Open Apex Tooth with a Combination of Mineral Trioxide Aggregate Apical Plug and Platelet-rich Fibrin Apical Matrix. J Contemp Dent 2016;6(1):57-62.


2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Chenshuang Li ◽  
Zhong Zheng ◽  
Xiaohong Deng ◽  
Lan Zhang ◽  
Baoyan Wang ◽  
...  

Apexification is widely applied in teenager patients but rarely used in the adult population. Instead, artificial apical barrier with mineral trioxide aggregate (MTA) is clinically accepted, and spontaneous apical closure in nonvital immature teeth of adult patients has rarely been encountered while only apexification of the maxillary incisors in adult patients has been reported. The aim of this case report is to share a successful apexification application in the mandibular premolar with a blunderbuss apex and periapical lesion of an adult patient by using calcium hydroxide: radiographically, spontaneous hard tissue barrier has been established, and narrowing canal space and decreasing area of periapical shadow were documented without complications. Taken together, our study indicates that patient’s age and tooth position may not be the critical limitation for apexification.


2008 ◽  
Vol 41 (8) ◽  
pp. 710-719 ◽  
Author(s):  
J. Soares ◽  
S. Santos ◽  
C. Csar ◽  
P. Silva ◽  
M. S ◽  
...  

Author(s):  
Haider Al-Saffar

Although dental trauma is poorly managed by general dental practices, it is important to follow appropriate steps to achieve optimal results. This case report outlines the management of non-vital immature teeth with calcium hydroxide and reverse Gutta Percha (GP) cone cold lateral compaction to achieving endodontic success. Even though it is a disputed technique, if proper conditions are provided, the root development continues to preserve a functionally fit and sound tooth on the arch of a young adolescence, avoiding extensive surgical and prosthetic procedures to replace a potentially compromised tooth. This case report highlights the beneficial effects of both calcium hydroxide and Chlorhexidine-dygluconate (CHX), which are far to be obsolete in the field of apexification or even regenerative dentistry as a whole.The 11 years old male presents post-traumatic necrosis in the upper left lateral incisor (tooth 2.2) which is dressed with calcium hydroxide, achieving the disinfection of the root canal, remission of the apical periodontitis and complete root formation 1 year later. The importance of the use of biocompatible materials as calcium hydroxide and CHX are emphasized in this case in which, although, no modern regenerative procedures and materials were used, the results are more than satisfactory. This report will look into the management of a non-vital immature lateral incisor with a reverse GP cone lateral compaction to achieving a successful apical and canal seal radiographically.


2021 ◽  
Vol Special issue (1) ◽  
pp. 51-56
Author(s):  
Nigora Djuraeva ◽  

The article presents the results of using a material based on the mineral trioxide unit “Bio-Dent”for the indirect coating of the pulp. It was found that there were no complaints from the use of domestic Portland cement both in the near term (98.8%) and inthe long term after treatment in comparison with materials based on calcium hydroxide (72.5%). Stabilization of the pulp electroexcitability indicators at the level of 10 mkA was noted with the use of the material based on MTA “Bio-Dent”as a medical liner for indirect pulp covering.Keywords: dental pulp,indirect pulp coating, calcium hydroxide, mineral trioxide aggregate, pulp electroexcitability.


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