scholarly journals Mineral Trioxide Aggregate Apexification in a Nonvital Immature Central Incisor Tooth using an Internal Matrix

2014 ◽  
Vol 4 (2) ◽  
pp. 113-117
Author(s):  
Mohit A Bodhwani
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Mineral Trioxide Aggregate ◽  
Central Incisor ◽  
Incisor Tooth ◽  
Immense Potential ◽  
Better Than

ABSTRACT Apexification is a method to induce a calcified barrier in a root with an open apex or the continued apical development of an incomplete root in teeth with necrotic pulp. Mineral trioxide aggregate (MTA) has shown immense potential as an apical plug to induce apexification. It is better than the traditionally used calcium hydroxide as it completes the procedure more quickly and effectively. The following case report stresses on the need of an internal matrix to avoid unwanted extrusion of MTA in the periapical tissues. The internal matrix used in this case report is calcium hydroxide. How to cite this article Bodhwani MA, Shenoy VU, Sumanthini MV. Mineral Trioxide Aggregate Apexification in a Nonvital Immature Central Incisor Tooth using an Internal Matrix. J Contemp Dent 2014;4(2):113-117.

Management of Non-Vital Open Apex in A Lateral Incisor Using Calcium Hydroxide and Reverse GP Cone Cold Lateral Compaction in A General Practice Setting

2021 ◽  
Author(s):  
Haider Al-Saffar
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Dental Trauma ◽  
Lateral Incisor ◽  
Incisor Tooth ◽  
Beneficial Effects ◽  
Immature Teeth ◽  
Gutta Percha ◽  
Regenerative Dentistry ◽  
Dental Practices

Although dental trauma is poorly managed by general dental practices, it is important to follow appropriate steps to achieve optimal results. This case report outlines the management of non-vital immature teeth with calcium hydroxide and reverse Gutta Percha (GP) cone cold lateral compaction to achieving endodontic success. Even though it is a disputed technique, if proper conditions are provided, the root development continues to preserve a functionally fit and sound tooth on the arch of a young adolescence, avoiding extensive surgical and prosthetic procedures to replace a potentially compromised tooth. This case report highlights the beneficial effects of both calcium hydroxide and Chlorhexidine-dygluconate (CHX), which are far to be obsolete in the field of apexification or even regenerative dentistry as a whole.The 11 years old male presents post-traumatic necrosis in the upper left lateral incisor (tooth 2.2) which is dressed with calcium hydroxide, achieving the disinfection of the root canal, remission of the apical periodontitis and complete root formation 1 year later. The importance of the use of biocompatible materials as calcium hydroxide and CHX are emphasized in this case in which, although, no modern regenerative procedures and materials were used, the results are more than satisfactory. This report will look into the management of a non-vital immature lateral incisor with a reverse GP cone lateral compaction to achieving a successful apical and canal seal radiographically.

scholarly journals Regenerative endodontic procedures: a review of the literature and a case report of an immature central incisor

2017 ◽  
Vol 31 (2) ◽  
pp. 65-72 ◽  
Author(s):  
Marc Llaquet ◽  
Montse Mercadé ◽  
Gianluca Plotino
Keyword(s):  
Case Report ◽  
Root Growth ◽  
Blood Clot ◽  
Setting Time ◽  
Mineral Trioxide Aggregate ◽  
Complete Healing ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Current Case ◽  
Tooth Discoloration

Background: Trauma of developing teeth may lead to pulpal necrosis with subsequent arrestment of root development, making them more susceptible to fracture. Regenerative endodontic procedures induce maturogenesis in necrotic immature permanent teeth in order to promote continuation of root growth. Mineral trioxide aggregate (MTA) is widely used as a blood clot protecting material, although it presents a potential drawback of discoloration. Biodentine is a tricalcium silicate cement with adequate bioactive properties that solve the problem of discoloration. Case report: The current case report demonstrates a maturogenesis of an upper central incisor with chronic apical abscess. Calcium hydroxide was used as intracanal medicament for a week. After a blood clot was formed, Biodentine was placed over it. Periapical healing and root growth were evident at 6 months follow-up. Cone Beam Computed Tomography (CBCT) confirmed apical closure and complete healing at 1 year. Key-learning points: Apical closure of necrotic immature permanent teeth is possible by means of regenerative endodontic procedure.Regenerative endodontic procedure with Biodentine has some advantages over that performed with MTA: No tooth discoloration, hort setting time, asy manipulation. CBCT is the best technique to evaluate root canal growth (length and wide).

scholarly journals TITLE - MINERAL TRI-OXIDE AGGREGATE (MTA) FOR THE REPAIR OF PERIAPICAL TISSUES IN A PATIENT WITH SELF INFLICTED INJURIES: CASE REPORT

2013 ◽  
Vol 03 (01) ◽  
pp. 86-89
Author(s):  
Aditya Shetty ◽  
C. Ravi Chandra ◽  
Mithra N. Hegde ◽  
Uday S. Mahale ◽  
Ganesh Bhat
Keyword(s):  
Case Report ◽  
Cystic Lesion ◽  
Treatment Approach ◽  
Mineral Trioxide Aggregate ◽  
Dental Trauma ◽  
Filling Material ◽  
Central Incisor ◽  
Anterior Teeth

AbstractInjury to anterior teeth is a relatively common event. Dentists regularly deal with management of dental trauma and restoration of fractured teeth. Hence the treatment approach and medicaments that assures the biologically acceptable healing and improve long term success rate are of potential value and should be considered.A big cystic lesion, which is unable to heal non-surgically, heals well with use of Mineral Trioxide Aggregate (MTA Angelus) by surgical approach. Results of clinical trials have recommended the use of MTA as the most suitable root end filling material.This article presents the case report of management of big cystic lesion along with the lateral root perforation with maxillary left central incisor. Root canal treatment was followed by the resection of root end of tooth in question at the level of perforation and sealed with MTA. 12 month's follow up radiograph showed completely healed Cystic lesion.

scholarly journals Replantation of an avulsed permanent anterior tooth

2015 ◽  
Vol 5 (1) ◽  
pp. 30-34
Author(s):  
Md Abdul Hannan Sheikha ◽  
Fahd A A Karim ◽  
Asma Sultana ◽  
Tazdik G Chowdhury ◽  
AHM Zakir Hossain Shikder ◽  
...  
Keyword(s):  
Zinc Oxide ◽  
Case Report ◽  
Central Incisor ◽  
Incisor Tooth ◽  
Maxillary Central Incisor ◽  
Gutta Percha ◽  
Dental Office ◽  
Bonded Composite ◽  
Composite Restoration

This case report describes a case of avulsed left maxillary central incisor tooth which was replanted in the dental office. The tooth was gently rinsed of any debris and placed in normal saline during the examination and preparation of the replantation socket. The tooth was replanted and functionally splinted. The following week the tooth was opened for pulp extirpation and placement of calcium hydroxide. Two weeks later, the root canal was filled with gutta-percha and zinc oxide eugenol sealer, and the access cavity was restored with a bonded composite restoration; the splint was removed. Two year clinical and radiological follow up of the case showed ankylosis and infraocclusion of the replanted toothUpdate Dent. Coll. j: 2015; 5 (1): 30-34

Accidental avulsion of a recently traumatised maxillary anterior tooth during rubber dam application

2021 ◽  
Vol 14 (8) ◽  
pp. e241872
Author(s):  
Amandeep Kaur ◽  
Vijay Kumar ◽  
Ajay Logani
Keyword(s):  
Calcium Hydroxide ◽  
Periodontal Ligament ◽  
Successful Outcome ◽  
Central Incisor ◽  
Modified Technique ◽  
Incisor Tooth ◽  
Maxillary Central Incisor ◽  
Rubber Dam ◽  
Periodontal Healing

Avulsion injuries are usually seen in the anterior maxillary teeth as a result of trauma. Avulsion as an endodontic mishap is extremely rare. This report highlights an unusual instance of exarticulation of a recently traumatised maxillary central incisor tooth when the rubber dam was applied during a routine non-surgical endodontic procedure. The tooth was immediately repositioned and stabilised with wire composite splint. Endodontic treatment was initiated after rubber dam isolation with a modified technique. Calcium hydroxide was used as intracanal medicament dressing, and obturation was done after 2 weeks. The treatment was successful with uneventful periodontal healing at 24-month follow-up. The presence of well-demarcated periodontal ligament space and absence of any resorptive area on the radiograph could be defined as a successful outcome for the present case.

scholarly journals A Paradigm upswing towards the conservative rejuvention of an traumatized tooth: A Case report

2021 ◽  
Vol 6 (2) ◽  
pp. 109-113
Author(s):  
Sujith Ramachandra ◽  
D R Balaji ◽  
Samrat R Magaravalli ◽  
Purushothama Rangaswamy ◽  
Kavitha Govindappa
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Tricalcium Silicate ◽  
Central Incisor ◽  
Radiographic Outcome ◽  
Prosthetic Rehabilitation ◽  
Delayed Treatment ◽  
Bioactive Properties ◽  
Increased Risk ◽  
Root Fractures

Traditionally, calcium hydroxide was the material of choice for apexification technique. However, the disadvantages of this technique includes delayed treatment, improper apical seal and increased risk of root fractures. Research for improved biocompatible materials resulted in evolving of higher characteristic materials such as Biodentine, a tricalcium silicate cement that possesses good handling and bioactive properties. This report describes the case of a 13-year-old boy who had traumatised his upper right central incisor which stunted the growth of root leaving it with open apex. The treatment of apexification with Biodentine and PRF as matrix was done. Prosthetic rehabilitation of endocrown fabricated with Lithium disilicate ceramic was delivered. Follow-ups were performed at 3, 6 and 12 month. The promising clinical and radiographic outcome in this case demonstrated that Biodentine may be an successful alternative to the conventional apexification materials and endocrown can be a conservative alternative to post and cores in such cases.

scholarly journals APEXIFICATION USING MODIFIED INTERNAL MATRIX CONCEPT

2020 ◽  
Vol 6 (1) ◽  
pp. 60-63
Author(s):  
Rinee Khanna ◽  
Saumya Navit ◽  
Suleman A Khan
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Successful Outcome ◽  
Collagen Membrane ◽  
Apical Region ◽  
Root Canals ◽  
Thin Walls ◽  
Combined Use

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.

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.

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