International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 6 , ISSUE 1 ( January-March, 2016 ) > List of Articles

CASE REPORT

A Novel Approach for Apexification: A 2-year Follow-up

Pradnya V Bansode, Sagar S Deshpande

Citation Information : Bansode PV, Deshpande SS. A Novel Approach for Apexification: A 2-year Follow-up. Int J Prosthodont Restor Dent 2016; 6 (1):17-20.

DOI: 10.5005/jp-journals-10019-1147

Published Online: 01-06-2011

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

Aim

To present a novel approach for nonsurgical management of large periapical lesion with open apex by using White Portland Cement to create an apical plug leads to substantial periapical healing.

Summary

Radiographic examination in this case indicated previous root canal treated, immature tooth with a wide-open apex and a periapical radiolucency. After cleaning and shaping Triple antibiotic paste was placed for 3 weeks. Hydroxyapatite was mixed with sterile saline & placed beyond the canal apex until with the aim of creating a periapical barrier. WPC powder was then mixed with sterile water, carried inside the canal to create apical plug (4mm) and obturation. The remainder of the canal was filled with thermoplastic gutta-percha. This was followed by post &core and PFM crown. Clinical follow-up of 2 years revealed absence of clinical symptoms and substantial periapical healing.

How to cite this article

Deshpande SS, Bansode PV. A Novel Approach for Apexification: A 2-year Follow-up Case Report. Int J Prosthodont Restor Dent 2016;6(1)17-20.


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  1. Apexification: a review. Dent Traumatol 2005 Feb;21(1):1-8.
  2. Therapy for the divergent pulpless tooth by continued apical formation. J Am Dent Assoc 1966 Jan;72(1):87-93.
  3. The use and predictable placement of mineral trioxide aggregate in one-visit apexification cases. Aust Endod J 2003 Apr;29(1):34-42.
  4. Treatment of teeth with open apices using mineral trioxide aggregate. Pract Periodontics Aesthet Dent 2000 Apr;12(3):315-320; quiz 322.
  5. The effect of mineral trioxide aggregate on the apexification and periapical healing of teeth with incomplete root formation. Int Endod J 2006 Jan;39(1):2-9.
  6. Mineral trioxide vs. Portland cement: two biocompatible filling materials. J Endod 1999;25:308.
  7. Mineral trioxide aggregate: a review of the constituents and biological properties of the material. Int Endod J 2006 Oct;39(10):747-754.
  8. Histologic evaluation of pulpotomies in dog using two types of mineral trioxide aggregate and regular and white Portland cements as wound dressings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004 Sep;98(3):376-379.
  9. MTA versus Portland cement as repair material for furcal perforations: a laboratory study using a polymicrobial leakage model. Int Endod J 2006 Apr;39(4):293-298.
  10. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005 May;99(5):648-650.
  11. Comparison of the physical and mechanical properties of MTA and Portland cement. J Endod 2006 Mar;32(3):193-197.
  12. Setting expansion of gray and white mineral trioxide aggregate and Portland cement. J Endod 2008 Jan;34(1):80-82.
  13. An evaluation of accelerated Portland cement as a restorative material. Biomaterials 2002 Oct;23(19):4001-4010.
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