Apexification of non-vital central incisors with wide open apices using conventional approach of calcium hydroxide dressings and contemporary approach of artificial apical barrier by apical plug of biodentine: Report of two cases

Kokate, Sharad R; Pawar, Mansing; Hegde, Vibha

doi:10.4103/2249-9725.122316

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…An apical barrier aids the obturating material to confine within the root canal system. [12] However, while treating cases with wide-open apices is a clinical challenge to confine the restorative material to be used as an apical plug, within the canal. Hence, the use of apical matrix evolved against which the restorative material could be condensed or packed against.…”

Section: Introductionmentioning

confidence: 99%

Retreatment of endodontically failed tooth with wide-open apex using platelet rich fibrin membrane as matrix and an apical plug of Biodentine™

Pawar

Kokate

2015

European Journal of General Dentistry

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The primary reason for an endodontic failure is the persistence or regrowth of bacteria within the root canal system, and such cases require retreatment. The tooth root development and closure of its apex occurs till 3 years after the eruption. Traumatic injuries during this development period result in endodontic complications. While dealing with a tooth, with an open apex the prime objective was eliminating bacteria from the root canal system with minimum irritation to the periapical tissues and induction of apical closure to produce favorable conditions and to confine the root canal filling within the canal space. Traditionally as supported by literature multiple dressings of calcium hydroxide medicament were advocated to induce apical barrier formation followed by an evolution of the apical artificial barrier technique where the mineral trioxide aggregate (MTA) was used. Recently introduced Biodentine ™ is similar to MTA with its basic composition, which can be used as its substitute. The main difficulty associated while treating teeth with wide-open apices are preventing the overfilling of the restorative materials that serve as an artificial barrier. Use of a matrix overcomes this challenge. Platelet-rich fibrin (PRF) a matrix of autologous fibrin, embedded with a large quantity of platelet and leukocyte cytokines during centrifugation can be successfully used as an apical membrane. The present case, reports a novel procedure of apexification of endodontically failed central incisor with open apex using PRF as apical membrane and Biodentine™.

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Section: Introductionmentioning

confidence: 99%

Retreatment of endodontically failed tooth with wide-open apex using platelet rich fibrin membrane as matrix and an apical plug of Biodentine™

Pawar

Kokate

2015

European Journal of General Dentistry

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The effect of varying thicknesses of mineral trioxide aggregate (MTA) and Biodentine as apical plugs on the fracture resistance of teeth with simulated open apices: a comparative in vitro study

Panjwani,

Banga,

Atram

et al. 2024

PeerJ

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Background This study evaluates the fracture resistance of apical plugs created from Biodentine and mineral trioxide aggregate (MTA) in thicknesses of 3 and 5 mm within simulated open apex tooth models. Methods Fifty human maxillary central incisors were obtained from a pool of freshly extracted teeth. In order to replicate open apices without cavity preparation, ten teeth in the control group received apical-to-coronal preparation with Peeso reamers. The remaining 40 teeth were randomly assigned to four experimental groups and received either 3 or 5 mm Biodentine or MTA apical plugs. Results The mean fracture loads observed in this study were as follows: control group, 431.48 N (±34.55); 3 mm MTA, 774.88 N (±62.74); 5 mm MTA, 752.65 N (±73.79); 3 mm Biodentine, 918.25 N (±59.09); and 5 mm Biodentine, 903.42 N (±24.48). Specifically, teeth in the Biodentine group demonstrated considerably stronger fracture resistance compared to those in the MTA group (p < 0.001). However, no significant differences were observed between the 3 and 5 mm thicknesses (MTA: p = 0.98, Biodentine: p = 0.99), suggesting that plug thickness did not affect fracture resistance within both groups. Conclusion Biodentine apical plugs provided the highest fracture resistance among the materials, regardless of thickness.

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Apexification of non-vital central incisors with wide open apices using conventional approach of calcium hydroxide dressings and contemporary approach of artificial apical barrier by apical plug of biodentine: Report of two cases

Cited by 2 publications

References 7 publications

Retreatment of endodontically failed tooth with wide-open apex using platelet rich fibrin membrane as matrix and an apical plug of Biodentine™

Retreatment of endodontically failed tooth with wide-open apex using platelet rich fibrin membrane as matrix and an apical plug of Biodentine™

The effect of varying thicknesses of mineral trioxide aggregate (MTA) and Biodentine as apical plugs on the fracture resistance of teeth with simulated open apices: a comparative in vitro study

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