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Case Reports
. 2016 Jul-Aug;19(4):377-80.
doi: 10.4103/0972-0707.186443.

Mineral trioxide aggregate apexification: A novel approach

Aamir Rashid Purra  1 , Fayaz Ahmed Ahangar  1 , Sachin Chadgal  1 , Riyaz Farooq  1
Affiliations
Case Reports

Mineral trioxide aggregate apexification: A novel approach

Aamir Rashid Purra et al. J Conserv Dent. 2016 Jul-Aug.

Abstract

The treatment of choice for necrotic teeth with immature root 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). MTA offers the option of a two-visit apexification procedure so that the fragile tooth can be restored immediately. However, difficulty in placing the material in the wide apical area requires the use of an apical matrix. Materials such as collagen, calcium sulfate, and hydroxyapatite have been used for this purpose. This article describes the use of resorbable suture material to form the apical matrix which offers many advantages over the contemporary materials.

Keywords: Apexification; matrix; mineral trioxide aggregate; resorbable suture.

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Figures

Figure 1
Figure 1
(a) Preoperative, (b) working length radiograph, (c-f) formation and placement of suture matrix, (g) mineral trioxide aggregate plug, (h) immediate postoperative, and (i) 3 month follow-up
Figure 2
Figure 2
(a) Preoperative, (b) working length determination, (c) suture matrix in place, (d) mineral trioxide aggregate plug, (e) immediate postoperative, and (f) 3 month follow-up
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