scholarly journals Single Visit Apexification Using MTA: A Case Report

2021 ◽  
Vol 04 (10) ◽  
Author(s):  
Dr. Aseem Jolly Garg ◽  
Keyword(s):  
Calcium Hydroxide ◽  
Gold Standard ◽  
Root Formation ◽  
Treatment Time ◽  
Mineral Trioxide Aggregate ◽  
Permanent Tooth ◽  
Endodontic Treatment ◽  
Apical Constriction ◽  
Barrier Formation ◽  
One Step

Trauma to the dentition during the period of root formation may cause incomplete development of root resulting in open apex. In order to eliminate infection from root canal endodontic treatment is a tooth-saving treatment modality. The absence of a natural apical constriction in a nonvital permanent tooth makes endodontic treatment a challenge. Therefore, it is necessary to induce or create an apical barrier against, which the obturating material can be condensed. Traditionally, calcium hydroxide is considered as the gold standard to induce apexification. Due to certain drawbacks such as very long treatment period, possibility of tooth fracture, and incomplete apical barrier formation, it is being replaced by materials, which have a more predictable outcome like mineral trioxide aggregate (MTA). One-step apexification with MTA reduces the treatment time when compared with traditional calcium hydroxide apexification, which requires an average time of 12–19 months. Also, MTA has various other superior properties compared to calcium hydroxide that are discussed below in detail along with successful treatment of an immature permanent tooth with open apex wherein MTA was used for one-step apexification.

Recent Advancement in the Treatment of Open Apex: Materials and Technique

2012 ◽  
Vol 9 (2) ◽  
pp. 25-30
Author(s):  
SM Akkas Ali ◽  
Md Mukhles Uz Zaman ◽  
Noor Mohammad ◽  
Shahed Rafi Pavel ◽  
KM Mohidul Islam ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Treatment Time ◽  
Traumatic Injury ◽  
Mineral Trioxide Aggregate ◽  
Subsequent Treatment ◽  
Review Article ◽  
Barrier Formation ◽  
Internet Information ◽  
Long Time

Cessation of the root development occurred by traumatic injury and as a sequence of caries prevents obturation of the root canal during endodontic treatment and subsequent treatment like fixed prosthesis. Thus, the goal of apexification was to obtain an apical barrier to prevent the passage of toxins and bacteria into the periapical tissues from the root canal and to induce an apical barrier against which GP points can be condensed. Apexification has been carried out from long time where calcium hydroxide is the widely used material. Calcium hydroxide gained the widest popularity. It is bactericidal in nature with an alkaline pH that may be responsible for stimulating apical calcification. Despite its widest acceptance, it has some disadvantages including variability of treatment time, difficulty in patients follow up, delayed healing, needs multiple visits to the completion to induction of calcific barrier formation and it weakens the dentin of root. Thus, the scientists and clinicians felt urge to introduce new materials and techniques that will help to the quick resolution of the apical radiolucency and to form the apical barrier. MTA (mineral trioxide aggregate), a recently introduced material is successfully used in the treatment of apexification. Many renowned scientists and clinicians worked on this materials and got very good results. Recently a clinical study has been published showing the effects of a combined medicament prepared by mixing calcium hydroxide with cefadroxil on the resolution and formation of apical barrier. Although it was a multi visits treatment compared to the treatment with MTA but showed promising results in the treatment of apexification in presence or absence of radiolucency. Thus, this review article will expose the recently invented materials and techniques which will provide a helpful guide for the clinicians to perform apexification. This review article has been prepared from the internet information and reviewing the recently published papers and texts. DOI: http://dx.doi.org/10.3329/cdcj.v9i2.12320 City Dental College J. Volume-9, Number-2, July-2012

scholarly journals Management of a Traumatized Open Apex Tooth with a Combination of Mineral Trioxide Aggregate Apical Plug and Platelet-rich Fibrin Apical Matrix

2016 ◽  
Vol 6 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Ritesh Balasaheb Pawar ◽  
Sumanthini V Margsahayam
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Calcium Sulphate ◽  
Permanent Tooth ◽  
Collagen Membrane ◽  
Apical Constriction ◽  
Platelet Rich Fibrin ◽  
Freeze Dried

ABSTRACT The absence of a natural apical constriction in permanent tooth makes endodontic treatment a challenge. Traditionally, calcium hydroxide was used for inducing the formation of an apical barrier. Currently, mineral trioxide aggregate (MTA) has shown promising results for apexification procedures. In an open apex, it is imperative to limit the MTA placement within the confines of the root canal for predictable healing. The placement of an internal matrix may limit the extrusion to some extent. Many materials can be used as internal matrix such as collagen membrane, calcium sulphate, hydroxyapatite, freeze dried bone, and platelet-rich fibrin (PRF) among others. This case report presents a successful demonstration of the management of an open apex using MTA placed over an internal apical matrix of PRF. How to cite this article Pawar RB, Margsahayam SV, Shenoy VU, Shaikh SAH. Management of a Traumatized Open Apex Tooth with a Combination of Mineral Trioxide Aggregate Apical Plug and Platelet-rich Fibrin Apical Matrix. J Contemp Dent 2016;6(1):57-62.

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

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

Apexification of Anterior Teeth

2012 ◽  
Vol 36 (3) ◽  
pp. 263-268 ◽  
Author(s):  
S Damle ◽  
H Bhattal ◽  
A Loomba
Keyword(s):  
Calcium Hydroxide ◽  
Treatment Time ◽  
P Value ◽  
Hydroxide Group ◽  
Anterior Teeth ◽  
Group I ◽  
Barrier Formation ◽  
Effective Option ◽  
Group Ii ◽  
Mean Time

Purpose: This study was undertaken to compare the clinical and radiographic effectiveness of Mineral Tri-oxide Aggregate (MTA) and Calcium Hydroxide in apexification of traumatized young permanent incisors. Methods: Thirty permanent incisors with necrotic pulps and open apices were evenly divided into two groups –Group I (MTA group) & Group II (Calcium Hydroxide group) and treated by apexification. The time taken for apical barrier formation was analyzed. In MTA group, obturation using gutta-percha points was done after 24 hours, whereas in Calcium Hydroxide group obturation was carried out after radiographic confirmation of an apical barrier. Follow up evaluation (clinical and radiographic) was carried out at- 3, 6, 9 and 12 months. Results: The mean time taken for barrier in Group I was 4.50 ± 1.56 months whereas for Group II was 7.93 ± 2.53 months (p value- 0.0002). Radiographic evidence of mean time taken for completion of lamina dura in Group I was 4.07 ± 1.49 months whereas the time period for Group II was 6.43 ± 2.59 months (p value- 0.0067). Conclusion: MTA demonstrated good success and an effective option for apexification with the advantage of reduced treatment time, good sealing ability, biocompatible and provides barrier for immediate obturation.

scholarly journals Photodynamic therapy as an aiding in the endodontic treatment: case report

2019 ◽  
Vol 67 ◽  
Author(s):  
Suyanne Pimentel LIMA ◽  
Erick Thiago de SOUSA ◽  
Marcílio Oliveira MELO ◽  
Markelane Santana SILVA
Keyword(s):  
Photodynamic Therapy ◽  
Bacterial Load ◽  
Mineral Trioxide Aggregate ◽  
Permanent Tooth ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Canal System ◽  
Endodontic Infection ◽  
Root Canal System ◽  
Medication Changes

ABSTRACT This article describes the application of Photodynamic Therapy as an aid to the endodontic treatment performed on a permanent tooth iatrogenically perforated and with pulp necrosis. After clinical and radiographic examination, the coronary access, curettage of the drilling area and mechanized preparation with the Reciproc System were performed. The drilling area was sealed with Mineral Trioxide Aggregate after prior alkalinization and decontamination by a calcium hydroxide buffer. After successive intracanal medication changes, the remission of the fistula, a clinical sign of endodontic infection, was not observed. Photodynamic therapy was then performed to reduce bacterial load in the root canal system, which resulted in fistula suppression. Then, it was possible to end the treatment with the obturation of the ducts by the Tagger Hybrid thermomechanical technique. After a year of proservation, the tooth presents no symptomatology and it is concluded that the Photodynamic Therapy was an effective solution in this case.

scholarly journals Use of MTA in teeth with incomplete root formation or open foramina: introduction of a protocol and report of clinical cases

2014 ◽  
Vol 62 (3) ◽  
pp. 325-330
Author(s):  
Antônio Edgar KRÖLING ◽  
Carlos Roberto BERGER ◽  
Carlos Antônio PELLISSARI ◽  
Maicon Alves Junqueira GOMES
Keyword(s):  
Physical Properties ◽  
Calcium Hydroxide ◽  
Root Formation ◽  
Root Resorption ◽  
Endodontic Treatment ◽  
Physical Barrier ◽  
Mineralized Tissue ◽  
Root Canals ◽  
Clinical Cases

Apexification is the endodontic procedure performed in order to induce the formation of a physical barrier of mineralized tissue in teeth with incomplete root formation. It is mainly performed when, for any reason, pulpal necrosis occurs in teeth with incomplete root formation and also in those cases where the foramen is open, due to root resorption. In these situations, conventional endodontic treatment becomes difficult or virtually impossible, because of the large foramen. The apexification procedure, in these cases, is generally performed by means of successive changes of calcium hydroxide dressings, aiming to induce the formation of a physical barrier of mineralized tissue, thus permitting the obturation of root canals. The protocol introduced in this article, as well as the clinical cases reported, illustrate an option for faster treatment, conducted within three sessions, by using a MTA cap or plug, material that offers good biological and physical properties.

Maturogenesis of an Early Erupted Immature Permanent Tooth: A Case Report With 7-Year Follow-Up

2015 ◽  
Vol 39 (3) ◽  
pp. 262-267 ◽  
Author(s):  
D Atabek ◽  
H Sillelioğlu ◽  
Ç Çinar ◽  
A Ölmez
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Development ◽  
Root Formation ◽  
Permanent Tooth ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Root Dentin

The main objective of treatment of an undeveloped tooth (immature) is to provide vital pulp therapy to allow continued development of root dentin. A case report is presented that demonstrates the use of calcium hydroxide (CaOH2) as an indirect pulp-copping material for the purpose of continued maturogenesis of an early-erupted permanent tooth with severe mobility and almost-begun root formation. Seven-year radiographic and clinical follow-up demonstrated a vital pulp and physiologic root development without any endodontic failure clinically or radiographicaly.

MTA : Boon to Apexification

2013 ◽  
Vol 7 (2) ◽  
pp. 114-118
Author(s):  
H Kaur ◽  
S Chaudhary ◽  
P Tangde
Keyword(s):  
Calcium Hydroxide ◽  
Mineral Trioxide Aggregate ◽  
Endodontic Treatment ◽  
Significant Problem ◽  
Filling Material ◽  
Hard Tissue ◽  
Recent Trends ◽  
Open Apices ◽  
Apical Area

ABSTRACT A significant problem associated with the endodontic treatment of necrotic teeth with open apices is achieving an acceptable seal in the apical area to allow compaction of root filling material. The procedure to create an apical barrier with a hard tissue at the root end is termed as Apexification. Calcium hydroxide is currently the most accepted material for the same. Because of the certain inadequacies associated with Calcium hydroxide Apexification, employing of an apical plug using MTA (Mineral Trioxide aggregate) has gained popularity in recent years. This article is thus an insight to the evolution and recent trends in Apexification.

Quantifying Coronal Permanent Tooth Discoloration Caused by Different Pulpotomy Materials

2021 ◽  
Vol 45 (5) ◽  
pp. 306-311
Author(s):  
Hanaa Azem ◽  
Sigalit Blumer ◽  
Benjamin Peretz ◽  
Sohad Haj-Yahya ◽  
Shlomo Elbahary
Keyword(s):  
Color Space ◽  
Mineral Trioxide Aggregate ◽  
Permanent Tooth ◽  
Control Group ◽  
Major Drawback ◽  
Tooth Structure ◽  
Color Changes ◽  
Base Materials ◽  
Tooth Discoloration ◽  
Over Time

Introduction: Bioceramic materials, gray and white mineral trioxide aggregate (GMTA, WMTA), have been shown to have high rates of success in various endodontic applications. A major drawback is their tendency to discolor teeth compared to Biodentine (BD), that has been claimed not to discolor teeth. The aim of this study was to compare tooth discoloration after applying different pulpotomy base materials (BD, GMTA and WMTA). Study design: Forty human incisors teeth were used in this study. Coronal access was achieved by a Tungsten Carbide drill, and the pulp chambers were accessed and chemo-mechanically debrided. Each material was placed in the pulp chamber, up to the cervical sectioning level. All specimens were incubated at 37°C and 100% humidity for three months and have been evaluated before the study and weekly. Color was assessed according to the CIE L*a*b* color space system. Results: ΔE of all experimental groups (GMTA, WMTA and BD) were significantly different from the control group at all time points (P<0.05). Color changes in the GMTA and WMTA groups, had no statistically significant differences, but showed higher discoloration compared to BD group in the cervical part of the crown, since week 1 (P<0.05). WMTA group showed significant discoloration in the cervical part as of week 1 (P<0.05), and gradually increased over time (Figure 2). BD group showed no significantly discoloration over time. GMTA group showed the significant discoloration at week 1 and week 14 (P<0.05). Conclusions: both GMTA and WMTA pulpotomy materials may discolor tooth structure over time in an extracted permanent anterior tooth model. When choosing bioceramic pulpotomy material, BD may be preferable in esthetic area.

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