Apexification of non-vital central incisors with wide open apices using conventional approach of calcium hydroxide dressings and contemporary approach of artificial apical barrier by apical plug of biodentine: Report of two cases

2013 ◽  
Vol 3 (2) ◽  
pp. 79
Author(s):  
AjinkyaM Pawar ◽  
MansingG Pawar ◽  
VibhaR Hegde ◽  
SharadR Kokate
Keyword(s):  
Calcium Hydroxide ◽  
Conventional Approach ◽  
Open Apices ◽  
Contemporary Approach

scholarly journals Calcium hydroxide induces mineralized tissue neoformation: a case report

2018 ◽  
Vol 5 (6) ◽  
pp. 121
Author(s):  
Luanna Nunes ◽  
Beatriz Serrato Coelho ◽  
Josiane De Almeida ◽  
Keila Cristina Rausch Pereira ◽  
Simone Xavier Silva Costa ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Radiographic Examination ◽  
Apical Region ◽  
Common Occurrence ◽  
Mineralized Tissue ◽  
Dental Clinic ◽  
Main Complaint ◽  
Anterior Teeth ◽  
Open Apices ◽  
Southern University

Trauma in the anterior teeth is a relatively common occurrence during childhood, having as main consequence teeth with incomplete root development and open apices. Patient, male, leucoderma, 10 years old, attended the Dental Clinic of the Southern University of the State of Santa Catarina, reporting as main complaint fracture in the crown of element 11. After clinical and radiographic examination, it was possible to identify the incomplete apexogenesis of this tooth and the presence of necrotic pulp. Aiming to stimulate neoformation of mineralized tissue at the dental apex, the calcium hydroxide based dressing was used. He remained for eight months, always with radiographic control. Apexification was observed radiographically and proved through the use of an instrument introduced inside the canal. The use of calcium hydroxide as intracanal medication for eight months stimulated mineralized tissue neoformation in the apical region of element 11 and allowed endodontic treatment.

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.

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 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 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.

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.

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

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 Management of Non-Vital Teeth with Open Apices using MTA as an Apical Plug: Two Case Reports

2011 ◽  
Vol 2 (1) ◽  
pp. 45-48 ◽  
Author(s):  
Sanjana A Patil ◽  
Avinash A Patil ◽  
Preeti K Dodwad
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Case Reports ◽  
Treatment Plan ◽  
Clinical Scenario ◽  
Operating Microscope ◽  
Gutta Percha ◽  
Dental Practitioners ◽  
Long Time ◽  
Open Apices

ABSTRACT Management of non-vital teeth with open apices is a challenge to dental practitioners. In this clinical scenario, it is difficult to maintain the obturation material within the confines of root canal without encroaching into periapical area. Also, thin dentinal walls of canal is a matter of concern. These cases cannot be managed by conventional endodontic treatment and need customized treatment plan. Treatment of such teeth with calcium hydroxide may demand long time and patient compliance. But with MTA same treatment can be done in reasonably less time with predictable results. Hence, these two case reports present the use of MTA to form an apical plug in open apex followed by complete root canal obturation using thermoplasticized gutta-percha under operating microscope.

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