Apexification with the use of calcium hydroxide

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

Journal of Dental Specialities ◽

10.18231/j.jds.2021.021 ◽

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.

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APEXIFICATION WITH BIODENTINE - A CASE REPORT

CODS Journal of Dentistry ◽

10.5005/cods-5-2-3 ◽

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.

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Management of periradicular pathosis by single visit endodontic treatment using calcium hydroxide and mineral trioxide aggregate based sealer

Update Dental College Journal ◽

10.3329/updcj.v10i2.50174 ◽

2020 ◽

Vol 10 (2) ◽

pp. 10-13

Author(s):

Md Abdul Hannan Sheikh ◽

Eyad Al Khalifa ◽

Mozammal Hossain ◽

Md Faruk Hossain ◽

Nazneen Karim ◽

...

Keyword(s):

Calcium Hydroxide ◽

Statistical Methods ◽

Root Canal ◽

Mineral Trioxide Aggregate ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Radiological Evaluation ◽

Root Canal Therapy ◽

Radiological Investigation ◽

Single Visit

In this study, 120 teeth having periradicular pathosis were treated with single visit root canal treatment and then obturated with either calcium hydroxide containing sealer or mineral trioxide aggregate based sealer. The healing of periradicular pathosis was examined at 3, 6, and 12 months by clinical and radiological evaluation. Collected data were analyzed with standard statistical methods by using SPSS version- 20. The results showed that at 3 and 6 months, the differences between calcium hydroxide containing sealer or mineral trioxide aggregate based sealer were not statistically significant. However, the healing capability of periapical radiolucency at 12 months between two groups was statistically significant (P=0.03). The final outcome of the clinical and radiological investigation showed successful results of 96.6% and 98.1% in calcium hydroxide and mineral trioxide aggregate group, respectively. In conclusion, both calcium hydroxide and mineral trioxide aggregate based sealers are almost equally effective in single visit root canal therapy for the management of periradicular pathosis. Update Dent. Coll. j: 2020; 10 (2): 10-13

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Root canal treatment with calcium hydroxide

Oral Surgery Oral Medicine Oral Pathology ◽

10.1016/0030-4220(79)90178-6 ◽

1979 ◽

Vol 47 (2) ◽

pp. 185-188 ◽

Cited By ~ 15

Author(s):

R. Holland ◽

M.J. Nery ◽

W. de Mello ◽

V. de Souza ◽

P.F.E. Bernabé ◽

...

Keyword(s):

Calcium Hydroxide ◽

Root Canal ◽

Root Canal Treatment

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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

Brazilian Dental Journal ◽

10.1590/s0103-64402012000500024 ◽

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.

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Antimicrobial effect of calcium hydroxide as an intracanal medicament in root canal treatment: a literature review - Part I.In vitrostudies

Restorative Dentistry & Endodontics ◽

10.5395/rde.2014.39.4.241 ◽

2014 ◽

Vol 39 (4) ◽

pp. 241 ◽

Cited By ~ 28

Author(s):

Dohyun Kim ◽

Euiseong Kim

Keyword(s):

Literature Review ◽

Calcium Hydroxide ◽

Root Canal ◽

Antimicrobial Effect ◽

Root Canal Treatment

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Irrigants for non-surgical root canal treatment in mature permanent teeth

10.1002/14651858.cd008948 ◽

2011 ◽

Author(s):

Zbys Fedorowicz ◽

Mona Nasser ◽

Patrick Sequeira ◽

Vinícius Pedrazzi ◽

Raphael Freitas de Souza

Keyword(s):

Root Canal ◽

Root Canal Treatment ◽

Permanent Teeth

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Clinical and Radiographic Evaluation of Mineral Trioxide Aggregate Pulpotomy in Permanent Teeth

Dental Journal of Advance Studies ◽

10.1055/s-0038-1672067 ◽

2016 ◽

Vol 04 (03) ◽

pp. 183-188

Author(s):

Neha Verma ◽

Avninder Kaur ◽

Shivesh Acharya ◽

Sunila Sharma

Keyword(s):

Root Canal ◽

Mineral Trioxide Aggregate ◽

Root Canal Treatment ◽

Permanent Teeth ◽

Radiographic Evaluation ◽

Future Research ◽

Standard Protocol ◽

Radiographic Outcome ◽

Irreversible Pulpitis

Abstract Aim and objective: The aim of the present study was to evaluate clinical and radiographic outcome of MTA as a pulpotomy agent in permanent teeth as an alternative to conventional root canal treatment. Materials and Methods: Ten permanent teeth with symptoms of irreversible pulpitis with vital pulp were selected for the study. MTAPulpotomy procedure was done in all the cases using standard protocol. Teeth were evaluated for various clinical and radiographic parameters at 3, 6, 9 and 12 months of follow up. Results: None of the patients reported any kind of clinical discomfort or radiographic abnormality during the follow up period of 3, 6, 9 and 12 months. All the teeth responded positive on electric pulp test at all successive follow ups. Conclusions: MTA Pulpotomy may be used as an alternative treatment modality to root canal treatment in permanent teeth with irreversible pulpitis, if future research continues to show promising results.

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