scholarly journals Management of permanent teeth with necrotic pulps and open apices according to the stage of root development

2017 ◽  
pp. 0-0 ◽  
Author(s):  
H Plascencia ◽  
M Diaz ◽  
G Gascon ◽  
S Garduno ◽  
C Guerrero-Bobadilla ◽  
...  
Keyword(s):  
Root Development ◽  
Permanent Teeth ◽  
Open Apices

scholarly journals Root Development of Permanent Incisors and Mandibular Molars in Correlation with Treatment Plan

Folia Medica ◽  
2018 ◽  
Vol 60 (2) ◽  
pp. 283-290
Author(s):  
Yordan Tarpomanov ◽  
Sevda Rimalovska ◽  
Ani Belcheva ◽  
Miroslava Yordanova ◽  
Svetla Yordanova ◽  
...  
Keyword(s):  
Root Development ◽  
Treatment Plan ◽  
X Rays ◽  
Proper Treatment ◽  
Treatment Protocols ◽  
Mandibular Molars ◽  
Dental Practitioners ◽  
Open Apices ◽  
And Function ◽  
Demirjian’S Method

Abstract Background: The incisors and molars play a major role in the formation and function of permanent dentition. Much research has been devoted to investigating the eruption of teeth and their root development. Aim: To study the root development of permanent incisors and mandibular molars in correlation with treatment plan and proper treatment protocols. Materials and methods: The Demirjian’s method was used to assess the root development of incisors and mandibular molars in children between 7 and 12 years old. Results: In 7-year-old children most of the lower first mandibular molars (76%) had complete root length, but open apices. Eighty-two percent of the roots of the first mandibular molars of the 8-year-old children and 54% of these molars of the 9-year-old children were with open apices. The first mandibular molars had incomplete roots in the 10-year-olds (6%) and even in the 11-year-old children (4%). We detected Stage E in 32% of the 10-year-olds and in 24% of the 11-year-old children. Even in 12-year-old children we found Stage E in 4% of them from their panoramic X-rays. We detected complete root development in all of the children at the age of 12. Conclusions: Dental practitioners have to wait until the age of 10, 11 and even 12 to extract the first molars, when the furcation is formed. Proper clinical examination and diagnostic radiographs should be done before the beginning of the treatment of molars and incisors at the age between 7 and 12.

Management of wide open apices in non-vital permanent teeth with Ca(OH)2 paste

2001 ◽  
Vol 25 (1) ◽  
pp. 51-56 ◽  
Author(s):  
Tarun Walia ◽  
Harpinder Singh Chawla ◽  
Krishan Gauba
Keyword(s):  
Retrospective Study ◽  
Root Growth ◽  
Porous Structure ◽  
Success Rate ◽  
Treatment Time ◽  
Permanent Teeth ◽  
Older Children ◽  
Barrier Formation ◽  
Open Apices ◽  
One Year

A retrospective study on 15 non-vital immature incisor teeth was done using Ca(OH)2 Pulpdent® paste. A success rate of 100 percent was achieved within one year. The variables influencing the time taken for apexification were also evaluated. The teeth were followed up to a period of 24 months. It was found that older children having narrow open apex had a shorter treatment time than the younger children (NS); teeth without periapical infection showed some amount of root growth and closing of apex that was faster than those with periapical infection (p<0.001). The calcified bridge formed following apexification is a porous structure. This investigation provides information about the time taken and procedure required to achieve apical barrier formation in non-vital immature incisors.

scholarly journals Apexogenesis of traumatized maxillary right central incisor: Case report with 4years follow up

2019 ◽  
Vol 7 (1) ◽  
pp. 8
Author(s):  
Mohammad Hammo DDS ◽  
Mazen Doumani DDS. MSc. ◽  
Adnan Habib DDS. MSc. PhD
Keyword(s):  
Composite Resin ◽  
Dental Materials ◽  
Glass Ionomer Cement ◽  
Permanent Teeth ◽  
Glass Ionomer ◽  
Central Incisor ◽  
Vital Pulp Therapy ◽  
Open Apices ◽  
Ionomer Cement

The main goal of vital pulp therapy is to preserve and maintain pulpal health in teeth that have been exposed to caries, trauma, and restorative procedures. This type of endodontic treatment is very important in young permanent teeth that have not reached their complete length and exhibit thin-walled roots and wide open apices. The developments in knowledge of pulpal physiology and immunology, beside to newly introduced dental materials, have changed the treatment approaches for teeth with involved pulps. This report describes a case of a young patient in whom maxillary right central incisor suffered crown fractures because of a traumatic accident. Pulpotomy with MTA were performed in order to achieve apexogenesis and the tooth was restored with a glass ionomer cement and composite resin. The patient was reviewed over 4years. 

Failure of root development of human permanent teeth following irradiation

1987 ◽  
Vol 16 (3) ◽  
pp. 376-382 ◽  
Author(s):  
Yasunori Takeda ◽  
Masafumi Kuroda ◽  
Eiichi Amari ◽  
Toru Yanagisawa
Keyword(s):  
Root Development ◽  
Permanent Teeth

scholarly journals Apice closure in Pulp Revascularization Therapy. Case report and literature review

2021 ◽  
Vol 10 (9) ◽  
pp. e21110917814
Author(s):  
Hadassa Fonsêca da Silva ◽  
Alice Pinho André Gomes Morais ◽  
Guilherme Marinho Sampaio ◽  
Gabriel Henrique Queiroz Oliveira ◽  
Paulo Melo Júnior ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Real Option ◽  
Permanent Teeth ◽  
Cochrane Library ◽  
Line Searches ◽  
Open Apices ◽  
Revascularization Therapy ◽  
The Cochrane Library ◽  
Pulp Revascularization

Background: Endodontic Regenerative Procedures, especially pulp revascularization therapy, have become a real option for the treatment for immature permanent teeth with open apices. This sort of approach has saved many teeth that otherwise would have been extracted. The technique is simple and effective, and can be accomplished by any odontologist. Objective: This article aimed to make a literature review to give support for a case report of an Endodontic Regenerative Procedure of a twelve-year-old male patient with immature open apice of tooth 21. Methodology: Articles were researched concerning pulp revascularization to reach root end formation. On line searches were accomplished, whose database include BVS/BIREME, Web of Science, PUBMED Central, Science Direct, Higher Level Personnel Improvement Coordinator (CAPES), The Cochrane Library, and PROSPERO). Results: the articles researched showed that Endodontic Regenerative Procedures are efficient in stimulating root end formation. The case report described matched the results offered by the articles, showing an immature open apice tooth that had its root end completely formed after pulp revascularization therapy. Conclusion: Pulp revascularization therapy is an efficient and practical treatment for immature teeth with open apices.

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 Revascularization of Necrotic Immature Permanent Teeth: An Update

2016 ◽  
Vol 1 (1) ◽  
pp. 18-24
Author(s):  
N Velmurugan
Keyword(s):  
Stem Cells ◽  
Root Development ◽  
Paradigm Shift ◽  
Permanent Teeth ◽  
Long Time ◽  
Recent Trends ◽  
Revascularization Procedures

ABSTRACT In the recent years, there is a paradigm shift in the management of necrotic immature permanent teeth, with most of these teeth being treated by revascularization rather than conventional apexification procedure. Current regenerative endodontic protocols (REP) emphasizes the need to have a disinfection protocols that will enable good disinfection without causing damage to stem cells. The current available evidence suggest that true pulp-dentin complex is not being formed after REP, nevertheless it can result in continued root development that will enable such tooth to survive for a long time. This article highlights the recent trends in revascularization procedures. How to cite this article Velmurugan N. Revascularization of Necrotic Immature Permanent Teeth: An Update. J Oper Dent Endod 2016;1(1):18-24.

scholarly journals POST-TRAUMA ROOT FRACTURE IN TEETH WITH INCOMPLETE ROOT DEVELOPMENT: A CASE REPORT

2017 ◽  
Vol 10 (11) ◽  
pp. 1
Author(s):  
Mehmet Sinan DoĞan ◽  
Diah Ayu Maharani ◽  
Lindawati S Kusdhany ◽  
Melİssa Adİatman ◽  
Izzet Yavuz
Keyword(s):  
Root Development ◽  
Dental Trauma ◽  
Study Finding ◽  
Permanent Teeth ◽  
Root Fracture ◽  
Recovery Potential ◽  
Orthodontic Wire ◽  
Root Fractures ◽  
Primary Canine

  Objective: Oblique root fractures consist of multiple, angled fracture lines extending from the root canal to the periodontal membrane along the long axis of the tooth. Oblique root fractures are injuries with poor prognosis which are rarely observed in teeth in which the root development is complete.Methods: A clinical and radiological inspection was performed of an eight-year-old patient who presented at our clinic for dental trauma. Luxation and oblique sectional root fractures in the maxillary incisors were found. The patient’s root development was incomplete. He was treated with dental reposition. Fixation to the adjacent primary canine teeth was carried out using a 0.4 mm full circle orthodontic wire for fractured teeth with a semi-rigid splint. Stabilization of the teeth was ensured to protect the vitality of the fractured teeth. A splint was inserted under local anaesthesia and removed a month later.Results: The absence of pathological symptoms was determined radiologically and clinically. It was shown during a radiological examination of the patient a year later that root development inthe teeth with a root fracture had continued. There were no pathological complications.Conclusion: The current study finding of high recovery potential in young permanent teeth with root fracture is supported by those of other studies in the literature. Recovery in this case was successful because the patient presented timeously at the clinic after the trauma, there was a lack of infection, and the splint was only in situ for a month.

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