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Case Reports
. 2013 Jul;5(Suppl 2):S131-4.
doi: 10.4103/0975-7406.114305.

Apexification with calcium hydroxide and mineral trioxide aggregate: Report of two cases

Murugesan Gawthaman  1 , Selvaraj Vinodh, Veerabadhran Mahesh Mathian, Rangasamy Vijayaraghavan, Ramachandran Karunakaran
Affiliations
Case Reports

Apexification with calcium hydroxide and mineral trioxide aggregate: Report of two cases

Murugesan Gawthaman et al. J Pharm Bioallied Sci. 2013 Jul.

Abstract

The completion of root development and closure of the apex occurs up to 3 years after the eruption of the tooth. The treatment of pulpal injury during this period provides a significant challenge for the clinician. The importance of careful case assessment and accurate pulpal diagnosis in the treatment of immature teeth with pulpal injury cannot be overemphasized. The treatment of choice for necrotic teeth is apexification, which is induction of apical closure to produce more favorable conditions for conventional root canal filling. The most commonly advocated medicament is calcium hydroxide, although recently considerable interest has been expressed in the use of mineral trioxide aggregate (MTA). We report a case series wherein calcium hydroxide and MTA were used successfully for one step apexification in teeth with open apex.

Keywords: Apexification; calcium hydroxide; mineral trioxide aggregate; young permanent teeth.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Case 1: Periapical radiograph showing wide open apex in relation to 21 (arrow)
Figure 2
Figure 2
Case 1: Periapical radiograph showing placement of CaOH dressing
Figure 3
Figure 3
Case 1: Periapical radiograph taken after 3 months shows confirmation of apical barrier with gutta-percha point
Figure 4
Figure 4
Case 1: Radiograph showing complete obturation of 21
Figure 5
Figure 5
Case 2: Periapical radiograph showing wide open apex in relation to 11 (arrow)
Figure 6
Figure 6
Case 2: Radiograph showing placement of mineral trioxide aggregate
Figure 7
Figure 7
Case 2: Radiograph showing complete obturation of 11
See this image and copyright information in PMC

References

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