scholarly journals Mineral trioxide aggregate for apexification in non-vital teeth with open apices: A case report

2021 ◽  
Vol 9 (2) ◽  
pp. 84-87
Author(s):  
Priya Mendiratta ◽  
Pooja Srivastava ◽  
Bhavna Gupta
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Filling Material ◽  
Cast Metal ◽  
Full Coverage ◽  
Gutta Percha ◽  
Open Apices

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.

scholarly journals Healing of a tooth with an overinstrumented apex, extensive transportation and periapical lesion using a 5 mm calcium hydroxide apical plug: an 8-year follow-up report

2012 ◽  
Vol 23 (5) ◽  
pp. 608-611
Author(s):  
Ronaldo Araújo Souza ◽  
Yara T. Corrêa Silva-Sousa ◽  
Suely Colombo ◽  
Maurício Lago ◽  
Marco Antonio Hungaro Duarte ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Apical Periodontitis ◽  
Filling Material ◽  
Root Canal Filling ◽  
Apical Constriction ◽  
Gutta Percha ◽  
Open Apices ◽  
Canal Transportation

Besides the risk of filling material extrusion throughout the apex, a satisfactory apical seal can be difficult to achieve in canals with open apices or iatrogenic enlargements of the apical constriction. These situations pose a challenge to root canal filling. This paper describes the root canal filling of a maxillary right canine with an overinstrumented apex, complete loss of the apical stop, extensive canal transportation and apical periodontitis. A 5 mm calcium hydroxide apical plug was placed before root canal filling. The plug was made by soaking paper points with saline, dipping the points in calcium hydroxide powder and then applying it to the apex several times, until a consistent apical plug was obtained. The canal was then irrigated with saline in order to remove any residual calcium hydroxide from the root canal walls, dried with paper points and obturated with an inverted #80 gutta-percha cone and zinc oxide-eugenol based sealer by the lateral condensation technique. An 8-year radiographic follow-up showed formation of mineralized tissue sealing the apical foramen, apical remodeling and no signs of apical periodontitis.

scholarly journals APEXIFICATION WITH BIODENTINE - A CASE REPORT

2013 ◽  
Vol 5 (2) ◽  
pp. 3-5
Author(s):  
R.S. Bassvanna ◽  
Chitra Gohil
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Clinical Scenario ◽  
Root Canal Obturation ◽  
Single Visit ◽  
Dental Practitioners ◽  
New Material ◽  
Open Apices

ABSTRACT Management of non vital teeth with open apices isa challenge to the dental practitioners. In this clinical scenario, it is difficult to maintain the obturating material confine within the root canal without encroaching into periapical area. These kinds of cases cannot be managed by conventional endodontic treatment, and treatment of such cases with calcium hydroxide may take longer time for apical closure. But with this new material called BIODENTINE (Septodont) same treatment can be done in single visit with predictable result. Hence this case report present the use ofbiodentine to form an apical plug in open apex followed by complete root canal obturation using thermoplasticized guttapercha.

Staining Potential of Calcium Hydroxide and Monochlorophenol Following Removal of AH26 Root Canal Sealer

2008 ◽  
Vol 9 (3) ◽  
pp. 56-63 ◽  
Author(s):  
Ali Cemal Tinaz ◽  
Baǧdagül Helvaciölu Kivanç ◽  
Güliz Gürgül
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Filling Material ◽  
Root Canal Sealer ◽  
Tooth Structure ◽  
Root Canals ◽  
Gutta Percha ◽  
Anterior Teeth ◽  
Tooth Surfaces ◽  
Tooth Preparation

Abstract Aim The focus of this study was to examine the staining potential of calcium hydroxide (Ca(OH)2) on tooth structure following the removal of AH26 root canal sealer. Methods and Materials Fifty maxillary anterior teeth were prepared and obturated with AH26 and gutta percha. The sealers were then removed 24 hours later and the teeth were randomly divided into two groups. Ca(OH)2 was then placed in the root canals of the first group of teeth as a medicament and camphorated monochlorophenol (CMCP) was placed in the second group of teeth after the filling material was removed. The color of the external tooth surfaces was determined before tooth preparation and two weeks after the placement of the medicaments. The Z test was used for statistical analysis. Results All experimental teeth showed varying degrees of coronal discoloration with the Ca(OH)2 group showing more discoloration than the CMCP group (p<0.05). Conclusion Using Ca(OH)2 as a medicament after removing AH26 caused progressive discoloration of the teeth, whereas using CMCP caused only slight discoloration. Clinical Significance To avoid staining of the treated tooth, AH26 root canal sealer must be completely removed from the dentin walls before using a medicament. Citation Tinaz AC, Kivanç BH, Görgül G. Staining Potential of Calcium Hydroxide and Monochlorophenol Following Removal of AH26 Root Canal Sealer. J Contemp Dent Pract 2008 March; (9)3:056-063.

scholarly journals Comparison of apical sealing ability of resected mineral trioxide aggregate, gutta-percha and a resin-based root canal filling material (resilon)

2011 ◽  
Vol 10 (51) ◽  
pp. 10516-10519
Author(s):  
Froughreyhani Mohammad ◽  
Salem Milani Amin ◽  
Rahimi Saeed ◽  
Shakouie Sahar ◽  
Fateh Somaieh
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Filling Material ◽  
Root Canal Filling ◽  
Gutta Percha ◽  
Sealing Ability

scholarly journals Evaluation of Mineral Trioxide Aggregate for Root end Closure of Nonvital Permanent Teeth with Open Apices

2014 ◽  
Vol 3 (2) ◽  
pp. 13-19
Author(s):  
Tasnim Wakia ◽  
Mohammad Aminul Islam ◽  
Mohammad Naser ◽  
Md Shamsul Alam ◽  
Md Ismail Hossain
Keyword(s):  
Success Rate ◽  
Calcium Hydroxide ◽  
Mineral Trioxide Aggregate ◽  
Sinus Tract ◽  
Lesion Size ◽  
Permanent Teeth ◽  
Clinical And Radiological Outcome ◽  
Open Apices ◽  
The Mean ◽  
Pre Treatment

Objective: To evaluate the clinical and radiological outcome of MTA in nonvital teeth with open apices. Methods: Twenty-five non-vital teeth with open apices were treated with MTA apexification procedure. Standard endodontic procedures were followed and an apical plug of at least 5 mm was created by using MTA after a calcium hydroxide intra-canal dressing for at least 1 week. Final obturation was done after 24 hours by vertical compaction technique using gutta percha. Patients were recalled at 3, 6, 9 and 12 months interval. Clinical outcome was evaluated by assessing pain, tenderness, mobility and sinus tract. Blind to the treatment record, two examiners assessed the pre-treatment and post-treatment radiographs. Each radiograph was scored with the Periapical Index (PAI) and the size of the apical lesion was measured. The presence of an apical bridge over MTA was also noted. Results: Clinically 92% success rate was found whereas radiologically absolute success rate was 84%. Before treatment the mean PAI was 3.6 and mean size of the lesion was 3.24 mm. But, after 12 months follow up, the mean PAI was 1.36 and the mean lesion size was 0.68 mm. An apical barrier over MTA was distinguishable in 5 cases. Conclusion: Apexification using MTA can be considered as a predictable treatment option than calcium hydroxide apexification. DOI: http://dx.doi.org/10.3329/updcj.v3i2.17994 Update Dent. Coll. j: 2013; 3 (2): 13-19

scholarly journals Perawatan apeksifikasi pada gigi permanen muda insisivus pertama kiri atas yang non-vital Apexification treatment of non-vital young permanent left central insicivus

2012 ◽  
Vol 11 (2) ◽  
pp. 119
Author(s):  
Jenny Krisnawaty ◽  
Moch. Richata Fadil ◽  
Endang Sukartini ◽  
Milly Armilia
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Normal Range ◽  
Strong Base ◽  
Imperfect Shape

Imperfect young permanent teeth caused by caries or trauma could become necrotic before it’s growth anddevelopment completed, thus causes imperfect shape of the root canal and an opened apex. Difficulty in treatment ofroot canal caused by the absence of apical stop, that makes obturation cannot be accomplished because fillingmaterials will be pushed to periapex. The purpose of this case report was to report the treatment of anterior teethwhich diagnosed as necrotic with apexification. The material filling is calcium hydroxide with strong base natureand give antimicrobacterial effect and tissue liquefaction. The result of the treatment was closure of the apex, thetissue surrounding tooth is in normal range or that absence of radiolusency which is a sign of healing at theperiapical.The conclusion is young permanent tooth which experienced pulp necrotic can be treated withapexification treatment

scholarly journals Non surgical management of large periapical lesion using mta: report of 2 cases

2015 ◽  
Vol 2 (6) ◽  
pp. 505
Author(s):  
MC Noushad ◽  
Mohammed Niyaz ◽  
Faizal C Peedikayil ◽  
CV Pradeep ◽  
Anish Sebastian ◽  
...  
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Surgical Management ◽  
Periapical Lesion ◽  
Histologic Response ◽  
Long Period ◽  
The Past ◽  
Gutta Percha ◽  
Periapical Healing ◽  
Open Apices

In the past, cases with open apices were often treated over several appointments, using calcium hydroxide, with the hope of creating a ‘‘calcific’’ barrier against which gutta percha could eventually be placed. The treatment could be as long and the prognosis is questionable. These roots were often thinner and, therefore, more brittle; extending treatment over a long period of time without providing a permanent restoration increased the chances of losing these teeth due to fracture. With the favorable histologic response of MTA, this material is the best current choice for this procedure. Completion of these cases in an effective and efficient way allows for permanent restorations to be done in a timelier manner, prolonging the longevity of these teeth. The following case report demonstrates the use of MTA as an obturating material to promote periapical healing with an open apex.

scholarly journals In-vitro evaluation of apical microleakage of two obturation methods of immature permanent teeth: orthograde apical plug of Mineral Trioxide Aggregate and root canal filling combining custom gutta-percha cone with Calcium Silicate-based sealer

2017 ◽  
Vol 31 (2) ◽  
pp. 89-95
Author(s):  
Rami Hamdan ◽  
Jérôme Michetti ◽  
Claire Dionnet ◽  
Franck Diemer ◽  
Marie Georgelin-Gurgel
Keyword(s):  
Silver Nitrate ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Optical Microscope ◽  
Permanent Teeth ◽  
Root Canal Filling ◽  
Filling Materials ◽  
Gutta Percha ◽  
The Difference

Aim: The aim of this study was to assess whether an obturation, combining a custom guttapercha cone with the BIOROOTTM-RCS sealer, displays similar sealing quality to the orthograde apical plugs of MTA CAPS1 in immature teeth with irregular wide apices. Methodology: Thirty-four immature permanent premolars with apical diameter varying between (1-3 mm) were chosen for this study and were divided into two groups. They were imbedded in wet sponge, which simulated the periapex. In the first group; 5 mm orthograde plugs of MTAwere placed using an appropriate plugger. In the second group; a custom gutta-percha cone was fabricated and used for root canal filling with the BIOROOTTM-RCS sealer. The specimens were stored at 37 8C and 100% humidity during five weeks to allow the complete set of the filling materials. The apical leakage was evaluated using a dye penetration test with 50%-weight silver-nitrate. The teeth were then embedded in a transparent resin and sectioned transversally at 1 and 3 mm from the apex. The slices were examined under optical microscope and were given scores from (0) to (4). When scoring a slice was difficult, spectroscopy for energy dispersion using a scanning electron-microscope was used to confirm the score. The results were compared using the Fisher test with p < 0.05. Results: Silver-nitrate was found in both groups in all slices at 1 mm. At 3 mm, the difference of micro-leakage was not significant. Conclusions: The custom gutta-percha cone combined with BIOROOTtm-RCS sealer displays similar leakage resistance to the orthograde MTA plugs.

APEXIFICATION REVISITED

2021 ◽  
pp. 68-71
Author(s):  
Jaziya Z ◽  
Suchithra M S ◽  
Rita Zarina A ◽  
Fathima. S
Keyword(s):  
Calcium Hydroxide ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Survival Prognosis ◽  
Crown Root ◽  
The Past ◽  
Regenerative Endodontics ◽  
Open Apices ◽  
Thin Walled

Pulpal necrosis in permanent teeth with immature roots leads to development of roots which are very short, thin walled and an inadequate crown-root ratio, which overshadows their survival prognosis. Traditionally, the apexication procedure has consisted of multiple and long-term applications of calcium hydroxide to create an apical barrier to aid the obturation. Recently, articial apical barriers such as those made with mineral trioxide aggregate (MTA) have been used in teeth with necrotic pulps and open apices. More recently, procedures referred to as regenerative endodontics have received much attention as an option for these teeth. This paper reviews the past, present and recent concepts used for apexication.

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