People's Journal of Scientific Research
Published June 1, 2014 | Version v1
Journal article Open

SingleVisit Apexification Technique for Inducing Root-End Barrier Formation in Apical Closures: Report of Two Cases

Authors/Creators

  • 1. Department of Endodontics, Sri Aurobindo College of Dentistry, Devi Ahilya University, Indore

Description

Traumatized tooth rendered nonvital (pulpal necrosis) before the final stage of the root development results in a
short root with a wide canal that can be either divergent or parallel. Although the root canal therapy is the choice of
treatment for a nonvital tooth, the above mentioned abnormal root anatomy does not permit a predictable outcome.
Mainly, it is not feasible to achieve a good apical seal due to lack of constriction in the open apex and a good lateral seal
due to an abnormal width and shape of the root canal. Numerous procedures and materials have been utilized to induce
root-end barrier formation. Mineral trioxide aggregate (MTA) reacts with tissue fluids to form a hard tissue apical barrier.
As a result, MTA shows promise as a valuable material for use in single-visit apexification treatment, primarily for treating
immature teeth with necrotic pulp. Here, we present two cases being successfully treated in a single visit apexification with
MTA followed by endodontic treatment

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References

  • 1. Arens DE: Treatment of the incompletely formed tooth. Dent J, 1978;47(3):110-116
  • 2. Lieberman J, Trowbridge H: Apical closure of nonvital permanent incisor teeth where no treatment was performed: Case report. J Endodont, 1983;9(6):257-260.
  • 3. Das S: Apexification in a nonvital tooth by control of infection. J Am Dent Assoc, 1980;100(6):880-881
  • 4. Ham JW, Patterson SS, Mitchell DF: Induced apical closure of immature pulpless teeth in monkeys. Oral Surg Oral Med Oral Pathol, 1972;33(3):438-449.
  • 5. Ball JS: Apical root formation in a non-vital immature permanent incisor. Report of a case. Brit Dent J, 1964;116:166-167.
  • 6. Frank AL: Therapy for the divergent pulpless tooth by contin ued apical formation. J Am Dent Assoc, 1966;72(1):87-93.
  • 7. Lee SJ, Monsef M, Torabinejad M: Sealing ability of a mineral trioxide aggregate for repair of lateral root perforations. J Endod, 1993;19(11):541-544
  • 8. Torabinejad M, Watson TF, Pitt Ford TR: Sealing ability of a mineral trioxide aggregate when used as a root end filling material. J Endod, 1993;19(12):591-595.
  • 9. Torabinejad M, Hong CU, McDonald F, Pitt Ford TR: Physical and chemical properties of a new root-end filling material. J Endod, 1995;21(7):349-353.
  • 10. Torabinejad M, Hong CU, Pitt Ford TR, Kettering JD: Antibacterial effects of some root end filling materials. J Endod, 1995;21(8):403-406.
  • 11. Granath LE: Nagra synpunkter pa behandlinger av traumatiserade incisiver pa barn. Odontol Rev, 1959;10:272-286.
  • 12. Rule DC, Winter GB: Root growth and apical repair subsequent to pulpal necrosis in children. Brit Dent J, 1966;120(12):586-590.
  • 13. Shabahang S, Torabinejad M, Boyne PP, Abedi H, McMillan P: A comparative study of root-end induction using osteogenic protein -1, calcium hydroxide, and mineral tr ioxide aggregate in dogs. J Endod, 1999;25(1):1-5.
  • 14. Webber RT: Apexogenesis versus apexification. Dent Clin North Am, 1984;28:669-697.
  • 15. Morse DR, O'Larnic J, Yesilsoy C: Apexification: Review of the literature. Quintessence Int, 1990;21(7):589-598
  • 16. Sheehy EC, Roberts GJ: Use of calcium hydroxide for apical barrier formation and healing in non-vital immature permanent teeth: A review. Brit Dent J, 1997;183(7):241- 246
  • 17. Yates JA: Barrier formation time in non-vital teeth with open apices. Int Endodont J, 1988;21(5):313-319.
  • 18. Mackie IC: UK National Clinical Guidelines in Pediatric Dentistry. Management and root canal treatment of non- vital immature permanent incisor teeth. Int J Paed Dent, 1998;8(4):289-293.
  • 19. Cvek M: Treatment of non-vital permanent incisors with calcium hydroxide. I. Follow-up of periapical repair and apical closure of immature roots. Odontol Rev, 1972;23(1):27-44
  • 20. Kleier D J, Barr ES: A study of endodontically apexified teeth. Endodont Dent Traumatol, 1991;7(3):112-117
  • 21. Ghose L J, Baghdady VS, Hikmat YM: Apexification of immature apices of pulpless permanent anterior teeth
  • 22. Kettering JD, Torabinejad M: Investigation of mutagenicity of mineral trioxide aggregate and other commonly used root-end filling materials. J Endod, 1995;21(11):537-542
  • 23. Torabinejad M, Hong CU, Pitt Ford TR, Kettering JD: Cytotoxicity of four root-end filling materials. J Endod, 1995;21(10):489-492
  • 24. Torabinejad M, Hong CU, Lee SJ, Monsef M, Pitt Ford TR: Investigation of mineral trioxide aggregate for root- end filling in dogs. J Endod, 1995;21(12):603-608
  • 25. Torabinejad M, Pitt Ford TR, McKendry DJ, Abedi HR, Miller DA, Kariyawasam SP: Histologic assessment of mineral trioxide aggregate as a root-end filling in monkeys. J Endod, 1997;23(4):225-228
  • 26. Torabinejad M, Hong CU, Pitt Ford TR, Kariyawasam SP: Tissue reaction to implanted Super-EBA and mineral trioxide aggregate in the mandible of guinea pigs: a preliminary report. J Endod, 1995;21(11):569-71.
  • 27. Torabinejad M, Pitt Ford TR, Abedi HR, Tang HM: Tibia and mandible reactions to implanted root-end filling materials (abstract 56). J Endod, 1997;23(4):263.
  • 28. Torabinejad M, Pitt Ford TR, Abedi HR, Kariyawasam SP, Tang HM: Tissue reaction to implanted root-end filling materials in the tibia and mandible of guinea pigs. J Endod, 1998;24(7):468-471.
  • 28. Torabinejad M, Pitt Ford TR, Abedi HR, Kariyawasam SP, Tang HM: Tissue reaction to implanted root-end filling materials in the tibia and mandible of guinea pigs. J Endod, 1998;24(7):468-471.
  • 29. Koh ET, Pitt Ford TR, Torabinejad M, McDonald F: Mineral trioxide aggregate stimulates cytokine production in human osteoblasts. J Bone Min Res, 1995;10S:S406.
  • 30. Koh ET, McDonald F, Pitt Ford TR, Torabinejad M: Cellular response to mineral trioxide aggregate. J Endod, 1998;24(8):543-547.
  • 31. Shabahang S, Boyne PJ, Abcdi HR, McMillan P, Torabinejad M: Apexification in immature dog teeth using osteogenic protein- 1, mineral trioxide aggregate, and calcium hydroxide (abstract 65). J Endod, 1997;23(4):265
  • 32. Torabinejad M, Higa RK, McKendry D J, Pitt-Ford TR: Dye leakage of four root-end filling materials: Effects of blood contamination. J Endod, 1994;20(4):159-163
  • 33. Holland R, de Souza V, Nery M J, Otoboni Filho JA, Bernabe PF, Dezan E: Reaction of rat connective tissue to implanted dentin tubes filled with mineral trioxide aggregate or calcium hydroxide. J Endod, 1999;25(3):161- 166
  • 34. Hachmeister DR, Schindler WG, Walker WA (3rd) Thomas DD: the sealing ability and retention characterstics of mineral trioxide aggregate in a model of apexifecation. J Endod, 2002;28(5):386-390.