Authors : Dr Surya K R; Dr. Radhakrishnan Nair K; Dr. Nisha B Kurup; Dr Xavier Jithu A A

Volume/Issue : Volume 9 - 2024, Issue 10 - October

Google Scholar : https://tinyurl.com/mz7997y

Scribd : https://tinyurl.com/43m8tvhf

DOI : https://doi.org/10.38124/ijisrt/IJISRT24OCT1930

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Abstract : Endodontic therapy of teeth with open apex and chronic periapical lesion presents a challenging situation to the clinician. The present case reported outlines treatment of symptomatic maxillary central incisors that have a traumatic history of 15years. The radiographic assessment indicated an underdeveloped apex & chronic periapical lesion. Irrigants, including 3% sodium hypochlorite & 17% EDTA, utilized with ultrasonic activation. Calcium hydroxide utilized as an intracanal medication. Apexification was performed with MTA, then residual canal filled with thermoplasticized gutta-percha. A one-year follow-up revealed nearly complete resolution of the periapical lesion. Thus, central incisor with a chronic periapical lesion and open apex responded well with apexification procedure with MTA (Mineral trioxide aggregate).

Keywords : Apexification, Calcium Hydroxide, Immature Teeth, MTA, Open Apex.

References :

1. Anantharaj A, Praveen P, et al. Challenges in pulpal treatment of young permanent teeth-a review. J Dent Sci Res 2011;2(1):142–155.
2. Özel B, Erisen R. Management of non-vital anterior teeth with open apex: A report of two cases. Turk Endod J. 2020;5(1):7-10.
3. Kim YJ, Chandler NP. Determination of working length for teeth with wide or immature apices: a review. International endodontic journal. 2013 Jun;46(6):483-91.
4. Trope M. Treatment of the immature tooth with a non-vital pulp and apical periodontitis. Dent Clin North Am 2010;54:313–324. DOI: 10.1016/j.cden.2009.12.006.
5. Lee Y. Effect of calcium hydroxide application time on dentin. Restor Dent Endod. 2013 Aug;38(3):186. doi: 10.5395/rde.2013.38.3.186. PMID: 24010088; PMCID: PMC3761130.
6. Cervino G, Laino L, D’Amico C, Russo D, Nucci L, Amoroso G, Gorassini F, Tepedino M, Terranova A, Gambino D, Mastroieni R, Tözüm MD, Fiorillo L. Mineral Trioxide Aggregate Applications in Endodontics: A Review. Eur J Dent. 2020 Oct;14(4):683-691.
7. Gawthaman M, Vinodh S, Mathian VM, Vijayaraghavan R, Karunakaran R. Apexification with calcium hydroxide and mineral trioxide aggregate: Report of two cases. J Pharm Bioallied Sci. 2013 Jul;5(Suppl 2):S131-4.
8. Muhamad AD, Azzaldeen DA, Hanali A. Apexification with mineral trioxide aggregate (MTA): A case report.
9. Estrela C, Holland R. Calcium hydroxide: study based on scientific evidences. Journal of Applied Oral Science. 2003;11: 269-82.
10. Ahmad, M., Rehman, M. I., Awais, M., & Ali, M. (2012). The effect of ultrasonic activation on the removal of the smear layer in root canals: A scanning electron microscopic study. International Journal of Dentistry, 2012.