Indian Journal of Public Health Research & Development

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Apexification - a Case Report


Affiliations
1 Department of Conservative Dentistry, Sardar Patel Post Graduade Institute of Dental and Medical Sciences, Lucknow, India
2 Department of Conservative Dentistry, Uttar Pradesh Dental College & Research Centre Lucknow, India
3 Department of Prosthodontics, Uttar Pradesh Dental College & Research Centre Lucknow, India
4 Department of Conservative Dentistry, Career Dental College, Lucknow, India
     

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Endodontic management of immature non vital permanent teeth in young pediatric patients is a great challenge to dentists. The walls of the ischolar_main canals are frequently divergent and open apexes make debridement and obturation difficult. Thus closure of ischolar_main apex is very essential for success of the endodontic treatment. Although different materials are used for the apexification procedure, calcium hydroxide is the material of choice for apical barrier formation and healing. There are different opinions regarding frequency of CaOH dressing change to induce complete closure of the apex. Literature suggests that dressing should be changed frequently. Therefore the aim of the present article is to report the successful closure of ischolar_main apex in pulpless permanent incisors with wide open apices in a pediatric patients using CaOH dressing.

Keywords

Calcium Hydroxide, Apical Closure, Open Apex, Immature Teeth
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  • Steiner JC, Dow PR, Cathey GM. Inducing ischolar_main end closure of non-vital permanent teeth. J Dent Child 1968;35:47-54.

  • Cvek M. Endodontic management of traumatized teeth. In: Andreasen JO, Andreasen FM, Eds. Textbook and colour atlas of traumatic injuries to the teeth. 3rd edn. Copenhagen: Munksgaard, 1994:543.

  • Steiner JC, Van Hassel HJ. Experimental ischolar_main apexification in pri mates. Oral Surg Oral Med Oral Pathol 1971;31:409-15.

  • Harrison JW, Rakusin H. Intracanal cementosis following induced apical closure. Endod Dent Traumatol 1985;1:242-5.

  • Torneck CD, Smith J. Biologic effects of endodontic procedures on developing incisor teeth. I. Effect of partial and total pulp removal. Oral Surg Oral Med Oral Pathol 1970;30:258-66.

  • Dylewski JJ. Apical closure of non-vital teeth. Oral Surg Oral Med Oral Pathol 1971;32:82-9.

  • Kalaskar R, Tiku A, Damle S G “Periapical repair and apical closure of a pulpless tooth using calcium hydroxide- A case report” JISPPD: 2004 :22(3) :158-161.

  • Sivakumar Nuvvula, Tejas Melkote, Abinash Mohapatra, Nirmala: “Management of immature teeth with apical infections using mineral trioxide aggregate “Contemporary Clinical Dentistry:1(1):51-53.

  • Roheet A Khatavkar, Vivek S Hegde:” Use of a matrix for apexification procedure with mineral trioxide aggregate” J Cons Dent: 2010: 13(1): 54-57

  • Cooke C, Rowbotham TC. ‘The closure of open apices in nonvital immature incisor teeth’. Br Dent J. 1988;165:420-1.

  • Rule DC, Winter GB. Root growth and apical repair subsequent to pulpal necrosis in children. Br Dent J. 1966;120:586-90.

  • Coviello J, Brilliant JD. A preliminary clinical study on the use of tricalcium phosphate as an apical barrier. J Endod. 1979;5:6-13.

  • Shabahang S, Torabinejad M, Boyne PP, Abedi H, McMillan P. A comparative study of ischolar_main-end induction using osteogenic protein-1, calcium hydroxide, and mineral trioxide aggregate in dogs. J Endod. 1999;25:1-5.

  • Vojinovic O. Induction of apical formation in immature teeth by different endodontic methods of treatment. Experimental pathohistological study. J Oral Rehabil. 1974;1:85-97.

  • Chawla HS. Apical closure in a nonvital permanent tooth using one Ca(OH)2 dressing. ASDC J Dent Child. 1986;53:44-7.

  • Chosack A, Sela J, Cleaton-Jones P. A histological and quantitative histomorphometric study of apexification of nonvital permanent incisors of vervet monkeys after repeated ischolar_main filling with a calcium hydroxide paste. Endod Dent Traumatol. 1997;13:211-7.

  • De-Deus G, Coutinho-Filho T. The use of white Portland cement as an apical plug in a tooth with a necrotic pulp and wide-open apex: a case report. Int Endod J. 2007;40:653-60.

  • Kinirons MJ, Srinivasan V, Welbury RR, Finucane D. A study in two centres of variations in the time of apical barrier detection and barrier position in nonvital immature permanent incisors. Int J Paediatr Dent. 200;11:447-51.

  • Franklin S Weine. Endodontic Therapy. Sixth edition


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  • Apexification - a Case Report

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Authors

Praveen Singh Samant
Department of Conservative Dentistry, Sardar Patel Post Graduade Institute of Dental and Medical Sciences, Lucknow, India
Tanu Tewari
Department of Conservative Dentistry, Uttar Pradesh Dental College & Research Centre Lucknow, India
Amrit Tondon
Department of Prosthodontics, Uttar Pradesh Dental College & Research Centre Lucknow, India
Ramesh Chandra
Department of Conservative Dentistry, Career Dental College, Lucknow, India

Abstract


Endodontic management of immature non vital permanent teeth in young pediatric patients is a great challenge to dentists. The walls of the ischolar_main canals are frequently divergent and open apexes make debridement and obturation difficult. Thus closure of ischolar_main apex is very essential for success of the endodontic treatment. Although different materials are used for the apexification procedure, calcium hydroxide is the material of choice for apical barrier formation and healing. There are different opinions regarding frequency of CaOH dressing change to induce complete closure of the apex. Literature suggests that dressing should be changed frequently. Therefore the aim of the present article is to report the successful closure of ischolar_main apex in pulpless permanent incisors with wide open apices in a pediatric patients using CaOH dressing.

Keywords


Calcium Hydroxide, Apical Closure, Open Apex, Immature Teeth

References