Dental Journal of Advance Studies

Vandana ¹, Ruchi Singla ¹, Jagat Bhushan ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics Dr. HSJ Dental College, Panjab University, Chandigarh, IN

Abstract

This case report describes the treatment of a tooth with necrotic pulp and open apex (maxillary left central incisor). In this conventional multiple-visit apexification with calcium hydroxide was replaced with a simple two step apical barrier techinique using MTA. The treatment involved mild debridement of the dentinal walls with K files and repeated irrigation with sodium hypochlorite solution, followed by calcium hydroxide dressing for 1 week and lastly creating an apical plug with MTA. The objective of the treatment was to provide an apical stop for the ischolar_main canal filling material.

Keywords

Tooth Apex, Root Canal Obturation, Mineral Trioxide Aggregate.

Full Text

   

Amandeep Singh Uppal ¹, Jagat Bhushan ¹, Mandeep Kaur Bhullar ², Gulsheen Kaur Kochhar ³

Affiliations
1 Bhojia Dental College and Hospital, Baddi, Himachal Pradesh, IN
2 Dept of Orthodontics and Dentofacial Orthopedics, Luxmi Bai Dental College and Hospital, Patiala, Punjab, IN
3 Department of Pedodontics an Preventive Denistry, Swami Devi Dayal Hospital and Dental College, Barwala, Panchkula, Haryana, IN

Abstract

Apexification is a method to induce a calcific barrier across an open apex of an immature, pulpless tooth. Apical closure occurs approximately three years after eruption. Traumatic injuries to young permanent teeth before ischolar_main formation is complete commonly occur in children resulting in open apex. This can be treated by Surgical or Non - Surgical treatment modalities. Non surgical treatment modalities include various methods such as Customized cone, Short fill technique, Apexification with various materials and One visit apexification. Various materials that can be used for apexification include Calcium hydroxide, MTA, Tricalcium phosphate, Dentin chips, Calcium phosphate ceramics and hydroxyapatite and bone morphogenetic proteins. Calcium hydroxide is the most common and traditional material employed for inducing apexification. This is a multivisit technique requiring six months to four years to complete.

Keywords

Apexification, Calcium Hydroxide, Open Apex.

Full Text