Treatment Options: Apexogenesis and Apexification

Shabahang, Shahrokh

doi:10.1016/j.joen.2012.11.046

Cited by 89 publications

(92 citation statements)

References 36 publications

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“…Regarding the relationship between presence or absence of pathologies during apexification and their resolution time, it is noted that, contrary to what was always thought, they will not influence the time needed for apexification 4 .…”

Section: Discussionmentioning

confidence: 62%

“…Many of these injuries in permanent dentition result in non-vital teeth lacking a complete apical formation (young permanent tooth). In consequence, adequate management of this type of teeth demands acute clinical knowledge to overcome the lack of apical stop and perform an endodontic treatment to keep the tooth in the mouth [1][2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

“…Many materials such as calcium hydroxide, zinc oxide, calcium phosphate and MTA have been used to stimulate apical stop formation during apexification. For this purpose, multiple sessions are necessary for replacing the material but the outcome is usually favorable [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

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Vertical root fracture associated with prolonged use of calcium hydroxide during apexification. A case report

Ribadeneira¹,

Muñoz²

2015

Joralres

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Cite as: Ribadeneira J & Muñoz E. Vertical root fracture associated with prolonged use of calcium hydroxide during apexification. A case report. J Oral Res 2015; 4(2): 124-128. Abstract: Apexification is a procedure performed in young permanent teeth to promote apical closure and root elongation if Hertwig's epithelial sheath has not been irreversibly damaged. The objective of this article is to describe vertical root fracture as a complication during apexification when using calcium hydroxide for extended periods of time. The patient was a 9-year-old female student who went to the Faculty of Dentistry of the Universidad Andres Bello in Concepcion. She presented strong and spontaneous pain and pressure and swelling on the left cheek. Clinically, the vestibule of the lower left first molar (3.6) was edematous and had pus. Radiographically, lesions and open apices were seen in the apical zone. Diagnosis was pulp necrosis and acute apical abscess. The tooth was trephined to perform intracanal drainage and an oral antibiotic was prescribed. Afterwards, she was referred to the endodontic specialty office. The selected treatment was apexification with calcium hydroxide until achieving the formation of an apical barrier. When the apical formation was observed, a vertical root fracture was discovered as well, confirming that the use of calcium hydroxide should not be prolonged because dehydration processes lead to weakening of the walls and therefore of the tooth

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Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

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Vertical root fracture associated with prolonged use of calcium hydroxide during apexification. A case report

Ribadeneira¹,

Muñoz²

2015

Joralres

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“…El acierto en la elección y empleo de técnicas endodónticas en piezas permanentes jóvenes constituyen un tema amplio y delicado, debido a que intervienen varios factores en la determinación del tratamiento a efectuar, tales como: el grado de desarrollo radicular y el estado pulpar (17).…”

Section: Terapia Pulpar En Dientes Con Raíces En Desarrollounclassified

Uso de barreras apicales y apexificación en endodoncia

Coaguila‐Llerena

Hacking

2014

Rev Estomatol Herediana.

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RESUMENLas barreras apicales son un recurso muy efi caz en el tratamiento de piezas dentales que se encuentran con las raíces incompletamente desarrolladas. Sin embargo, es necesario considerar algunos parámetros, los cuales están directamente relacionados con la terapia radicular indicada y éstos serán discutidos en el presente artículo. La ausencia de una constricción natural, indiferentemente de la etiología, hace que el ápice radicular represente un desafío para el profesional, sobre todo en la obturación, debido a que un foramen abierto no proporciona una barrera anatómica. La presente revisión de la literatura incluye el desarrollo radicular y el impacto de cualquier injuria en dientes con ápices incompletamente desarrollados, así como las opciones de tratamiento disponibles según el diagnóstico pulpar y periapical obtenido.

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“…4 Diş pulpası istenmeyen iritanlara karşı yanıt oluşturabilen immun hücreler ve dentin formu oluşturmak üzere özelleşmiş odontoblast hücreler içermektedir. 5 Travmalarda pulpal canlılığın kaybolması kök gelişimini durdurarak apeksin açık kalmasına ve kök dentin duvarlarının ince olmasına neden olmaktadır. 6,7 Geleneksel olarak; nekrotik pulpalı, kök gelişimini tamamlamamış daimi dişlerin tedavisinde kök ucunun kapanması amacıyla uzun süreli kalsiyum hidroksit Ca(OH)2 ile apeksifikasyon tedavisi uygulanmaktadır.…”

Section: Introductionunclassified

Revascularization and Treatment Methods

Yılmaz¹,

Nur²,

Tanrıver³

et al. 2016

EÜ Dişhek Fak Derg

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ÖZETKök gelişimi tamamlanmamış daimi dişlerin kanal tedavisi kök uçlarının açık olmasından dolayı zor olmaktadır. Yapılan literatür değerlendirmesinde, kök gelişimini tamamlamamış enfekte daimi dişlerin tedavisinde günümüze kadar birçok tedavi yaklaşımı uygulanmasına rağmen, en uygun tedavi prosedürü ile ilgili kesin bir yaklaşım olmadığı görülmektedir. Bu derlemenin amacı revaskülarizasyon tedavisinde günümüze kadar kullanılan tedavi yöntemlerini ve son zamanlarda diş hekimliğinde kullanılmaya başlanan doku mühendisliği ve kök hücre ile ilgili güncel yaklaşımları değerlendirmektir.

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Treatment Options: Apexogenesis and Apexification

Cited by 89 publications

References 36 publications

Vertical root fracture associated with prolonged use of calcium hydroxide during apexification. A case report

Vertical root fracture associated with prolonged use of calcium hydroxide during apexification. A case report

Uso de barreras apicales y apexificación en endodoncia

Revascularization and Treatment Methods

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