scholarly journals Apexification of blunder buss apex using novel internal matrix technique: A case report

Author(s):  
Kesha Vasavada ◽  
Vineet Agarwal ◽  
Sonali Kapoor

Permanent teeth with incomplete root development results in teeth with short root, roots with very thin walls, and an inadequate crown-root ratio, which overshadows their survival prognosis. Further due to internal bleeding from the pulp the teeth may become gray or black-brown, posses a great esthetic challenge. This case presents both endodontic and aesthetic management of incompletely developed root at Cvek stage 1 with perio glass as apical matrix restored with MTA and aesthetic rehabilitation with zirconia premium crown. Key words : Blunderbuss apex, Bio-active glass, MTA

2018 ◽  
Vol 10 (1) ◽  
pp. 32-36
Author(s):  
Karthik J Kabbur ◽  
Hemanth M ◽  
Preeti Patil ◽  
Ramnarayan B K ◽  
Reshma Deepak

Mesiodens is the most common supernumerary tooth and is present in the midline between the two central incisors. It occurs mostly due to hyperactivity of the dental lamina. They are usually small, with a cone shaped crown and a short root, may be single or paired, erupted or impacted and occasionally even be inverted. Presence of more than one mesiodens is termed as mesiodentes. Presence of mesiodens may cause impaction or delayed eruption of permanent teeth, malocclusion leading to disturbance in chewing, swallowing and speech, root resorption of the adjacent teeth, impaired dentofacial aesthetics, and sometimes cyst formation. The erupted mesiodens can be easily diagnosed clinically, and the unerupted ones are best diagnosed by clinical and radiological evaluation. Although mesiodens is the most common supernumerary teeth, presence of double mesiodens is uncommon. In this paper we describe a case of palatally erupted double mesiodens and its management in a 20year old girl.


2019 ◽  
Vol 11 (4) ◽  
pp. 131-134
Author(s):  
Arghavan Kamali Sabeti ◽  
Ali Aghajani ◽  
Arghavan Afshar ◽  
Zahra Pakseresht ◽  
Zahra Karimizade

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 725
Author(s):  
David Marinčák ◽  
Vojtěch Doležel ◽  
Michal Přibyl ◽  
Iva Voborná ◽  
Ivo Marek ◽  
...  

The complicated crown-root fracture of young permanent teeth is an uncommon traumatic dental injury that is usually treated in a complex way and is demanding not only for the dentist but even for the treated child. In this case report, we present the conservative treatment of a maxillary central incisor in a 10-year-old boy after a traumatic dental injury. Treatment included partial pulpotomy and adhesive fragment reattachment after reflection of the mucoperiosteal flap. The patient was fully asymptomatic at 24-month follow-up, with an aesthetically acceptable outcome. Vital pulp therapy and adhesive fragment reattachment can be a viable treatment option for complicated crown-root fractures, especially when treating immature permanent teeth.


2021 ◽  
pp. 68-71
Author(s):  
Jaziya Z ◽  
Suchithra M S ◽  
Rita Zarina A ◽  
Fathima. S

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.


2009 ◽  
Vol 3 (1) ◽  
pp. 143-144
Author(s):  
N. Anbiaee ◽  
R. Anbiaee ◽  
S. Nemati

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.


2012 ◽  
Vol 41 (6) ◽  
pp. 433-437
Author(s):  
Raquel Mantuaneli Scarel-Caminaga ◽  
Lícia Bezerra Cavalcante ◽  
Livia Sertori Finoti ◽  
Maria Cristina Leme Godoy dos Santos ◽  
Maria Flávia Konishi ◽  
...  

INTRODUCTION: Dentinogenesis imperfecta (DI) is a hereditary dentin development disorder that affects both primary and permanent dentitions. The DI characteristics are discolored and translucent teeth ranging from gray to brownish-blue or amber. The enamel may split readily from the dentin when subjected to occlusal stress. Radiographically there are evident of cervical constrictions, short root and pulp chambers, and the root canals are smaller than normal or completely obliterated. The dental treatment choice can be decided on a case-by case‑basis, considering the degree of dental tissue loss, and child age and cooperation. OBJECTIVE: The aim of this case report was to describe the early dental treatment performed in a child affected by DI type II. CASE REPORT: The treatment involved basic preventive procedures. Primary molars were worn to such an extent that the remained tooth structure was covered with composite resin to protect the exposed dentin. Resin-based sealant was applied in all first permanent molars. Posterior cross bite was treated with the expansion of the upper arch. CONCLUSION: The early treatment restored the patient´s vertical dimension resulting in acceptable esthetics and function for the permanent teeth to complete their eruption.


Author(s):  
Suvarna Patil ◽  
Upendra Hoshing ◽  
Sharanappa Kambale ◽  
Sharanappa Kambale ◽  
Ruchika Gupta ◽  
...  

Root development and apex closure after the eruption of teeth takes a minimum of 3-4 years. If trauma to the pulp occurs during this period, it becomes a challenge for the clinician to treat the pulpal injury. Apexification is the treatment of choice for necrotic teeth with immature apex. Apexification done with calcium hydroxide encounters certain difficulties like very long treatment time, possibility of tooth fracture and incomplete calcification of the bridge. Mineral trioxide aggregate (MTA) was introduced as an alternative material to traditional materials for the apexification of immature permanent teeth. This case report presents successful management of a case with open apex using MTA followed by Tailor made gutta-percha.


2013 ◽  
Vol 1 (2) ◽  
pp. 21-24
Author(s):  
SM Abdul Quader ◽  
Iqbal Bahar ◽  
KM Rownak Jahan

With all aseptic precaution successful pulpotomy treatment of cariuosly exposed permanent teeth with reversible pulpitis and incomplete apex formation can prevent the need for root canal treatment. A case report is presented which demonstrates the use of pulpotomy with calcium hydroxide in order to achieve apexogenesis and the teeth were restored with glass ionomer cement. Clinical and radiographic follow up demonstrated a vital pulp and physiologic root development in comparison with the contra lateral tooth.DOI: http://dx.doi.org/10.3329/updcj.v1i2.13982 Update Dent. Coll. j. 2011: 1(2): 21-24


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